Wednesday, March 22, 2023

Is Retinol Good For Cystic Acne

How To Get Rid Of Cystic Acne Fast

Starting Retinol Treatment For Acne! My Skin Before And What Im Using!

K, first, make sure to temper your expectations. Though youve got a few at-home treatments that can help prevent cystic acne from forming , theres not much you can really do at home to get rid of the bump that just popped up. That being said, here are your best at-home cystic acne treatments that can help:

My Retinoid Skincare Routine For Acne And Pih

Doesnt matter whether youre using a prescription retinoid or an over-the-counter one, this routine will give you a direction. But always tweak things depending on how your skin reacts.

As I mentioned, my skin had improved a lot even before I started this. I made for fun while I was on azelaic acid in case you want to see my skin condition.

Good Vitamin A To Use To Have Healthy Glowing Skin

Retinol product can you use for to reduce signs of aging, mild acne, and other skin conditions. Understanding that Retinoic Acid is only for chronic condition and used under the supervision of a highly trained Dermatologist then the question is what is a good vitamin A that you can use. Most vitamin A products available from your supermarkets and large department stores will have products that have very low levels of Retinol and in the form of Retinyl palmitate as it never cause a retinoid reaction. This will not turn on your receptors and thus it will do little to boost the skin or to improve the skin. Retinol is quite an irritant ingredient and unstable when exposure to oxygen, light, or even other ingredients like Vitamin C. If Vitamin A and C are in the same formula they can render each other infective unless they are both encapsulated. The best form of Retinol is one that is encapsulated in an oil base ingredient If a skincare uses this kind of encapsulating technology it is more effective than a product that uses high level of retinol that is not encapsulated. The added benefit when the Retinol is encapsulated it has been found that the skin has a less irritation reaction to it. Also the encapsulation allows the delivery of retinol gradually, in a sustained and long lasting releasing system enabling the Vitamin A to be delivered deeper into the skin to the skin cells that will most benefit from the Vitamin A.

Read: Encapsulated of Skincare Active Ingredients

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Where Can I Get Topical Retinoids For My Acne

The first step in getting treatment for your acne is visiting your GP. This is only necessary if you have tried pharmacy treatments and they havent worked, or if your acne is considered moderate to severe. There are lots of different things your GP can prescribe to help with your acne, including antibiotic tablets and topical retinoids like adapalene and tretinoin.

An alternative to seeing your GP is to use Online Doctors acne clinic. To use our service, select the retinoid of your choice then fill out our short, confidential questionnaire and securely upload two photos of your acne. Our in-house clinicians will use this information to decide whether your chosen treatment is suitable, or whether you could benefit from something different.

Once treatment has been approved, we can deliver your medication directly to your home, or make it available for collection in your nearest LloydsPharmacy.

Should We Start With Prescription Retinoid

AHA &  Retinol

Its not the best thing to do unless suggested by your doctor. You should always start with weaker over-the-counter retinol but ya girl was desperate and lives in a third world country. Before I started this routine, my skin had recovered a lot so my before retinol pictures might not look THAT bad. Or should I say Ive seen worse?

If you want to know about retinol what is it, how it works, different types you can read this post on different skincare acids and what they do.

Even though its a miracle ingredient, it comes with its fair share of demerits.

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Role Of Retinoids In Acne Management

It is generally agreed that multiple molecular pathways are involved in acne, with four primary pathophysiologic mechanisms :

  • Abnormal desquamation within the sebaceous follicles that leads to obstruction of the pilosebaceous canal.

  • Androgen-driven excess sebum production.

  • Proliferation within the follicle by Propionibacterium acnes, which generates proinflammatory stimuli.

  • Altered immune system activity and inflammation.

While there is an interplay among the pathogenic factors, abnormal desquamation and sebaceous hyperplasia are arguably the most important because together they are thought to induce the microcomedonethe precursor of all acne lesions . The essential action of inflammation in all ongoing processes of acnefrom the initiation of the microcomedone to the secondary lesions is also increasingly appreciated .

Dose-dependent actions of adapalene at the molecular level. From Tenaud et al.

Dose-Dependent Effects on Primary Acne Lesions

Most recently, the fixed combination adapalene 0.3%-benzoyl peroxide 2.5% has shown efficacy in a patient population with substantially more severe acne than is typically treated by topical monotherapy . The higher concentration 0.3 A/BPO was associated with higher clinical success rates and efficacy on all types of acne lesions .

Dose-dependent clinical success rate of 0.3 A/BPO, A/BPO, and vehicle in patients with severe acne at baseline. From Weiss et al.

Effects on Secondary Acne Lesions

Etiology And Pathology Of Acne Vulgaris

Acne vulgaris is a common human skin disease, occurring mostly during the onset of puberty. It is mainly a disorder of the pilosebaceous unit. It affects almost 4050 million Americans and is estimated to occur in 85% of people at least some point in their lives. Analysis has also shown prevalence of acne in individuals in the beginning or during puberty . Acne occurs in areas of skin with large number of sebaceous follicles, which are found on the cheek, forehead, and back . Acne is generally characterized by areas of skin with seborrhea, comedones, papules , pustules , nodules and possibly scarring. The precise mechanism of acne is not known but is thought to involve four main pathogenic factors: follicular keratinization, increased sebum production, presence of Propionibacterium acnes, and inflammation .

Apart from the above mentioned factors, which are central to acne, genetic and hormonal changes, birth control pills, certain medication, stress, use of oily cosmetics are also some of the major factors that can cause acne by creating a favorable environment for the growth of P. acnes in the follicles.

Ida Duarte, … Clarice Kobata, in, 2011

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Introducing A New Product

After 2-ish weeks, I introduced The Ordinary Azelaic Acid 10% Suspension and trust me when I say this, it took care of the redness and whiteheads like a dream! I kept using it daily at night without fail. My cheeks hurt less by now and I was pretty satisfied with it.

After following the basic routine with this azelaic acid, my skin improved a lot. The acne also slowed down.

What Order Should You Apply Retinol

3 Beginner Retinol for Acne Prone Skin | 100 SUBSCRIBERS!

After cleansing and drying your skin at night, you can apply retinol, but only if it is tolerated this way, advised King. If it’s too irritating, then a thin layer of moisturizer can be applied first. I generally don’t recommend combining a retinoid with a chemical exfoliant or benzoyl peroxide because it could be too irritating and it could decrease the effectiveness of the retinoid, she said. Some retinoids are deactivated by sunlight so I recommend using them at bedtime. Frieling advised that when you spread a small amount of retinol over your face, you should avoid the eye area.

Recommended Reading: What Is An Acne Facial

How A Dermatologist Might Treat Cystic Acne

Since were all different, there isnt a one size fits all solution for cystic acne. When you talk to a dermatologist, you can work together to develop a treatment plan that works for you.

Dr. Braue says that isotretinoin is still widely used to manage cystic acne and recent studies suggest that there isnt a direct link between it and an increase in depression. If you opt to go this route, he usually recommends just cleansing the skin with something very mild and not an acne wash.

Other treatment options might include antibiotics, tretinoin , or tazarotene .

Recommended Reading: How To Stop Puberty Acne

Beat Cystic Acne With Topical Acne Skin Care Treatment Available Without A Prescription

Cystic acne is a tough skin problem that I treat with multiple medicines and acne fighting ingredients. In mild cases of cystic acne topical acne products may be sufficient to control acne breakouts.

In my practice, everyone who has acne is on some sort of retinoid. Retinoids can be prescription strength, or they can come in a milder form called retinol. Retinoids are family of vitamin A. Retinoids help to keep pores unclogged, they fight pigment problems and help soften the appearance of acne scars. Retinol has age fighting benefits which means it is an ingredient that I recommend throughout life .

I also use benzoyl peroxide, which is a powerful acne-fighting ingredient for cystic acne. Benzoyl peroxide is the best topical medicine to kill the acne causing bacteria called P. acnes/C. acnes. It also helps unclog pores. Benzoyl peroxide can be used as a cleanser or as a leave-on topical product.

A great benzoyl peroxide cleanser for people with acne is Foaming Benzoyl Peroxide Acne Treatment Cleanser. It’s an easy product that cleans skin and medicates with a full 10% benzoyl peroxide to fight acne all in one. I recommend using the benzoyl peroxide in the morning and waiting until your evening routine to use a non-benzoyl peroxide cleanser at night with the Retinol Cream. This is because benzoyl peroxide and retinol work best when they are not directly combined.

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How To Choose Between Adapalene And Retinol

The TL DR? âReach for adapalene if acne is your primary concern and retinol for more of the anti-aging benefits,â says Jeffy. While they are both technically retinoids and have overlapping benefits, each one is targeted towards different goals. Regardless of which you end up using, youâll reap the perks of a more even glow.

Studies referenced:

Kedishvili, N. . Retinoic acid synthesis and degradation. Subcell Biochem.

Lucky, A. . Efficacy And Tolerance Of Adapalene Cream 0.1% Compared With Its Cream Vehicle For The Treatment Of Acne Vulgaris. Cutis.

Piskin, S. . A Review Of The Use Of Adapalene For The Treatment Of Acne Vulgaris. Therapeutics And Clinical Risk Management.

Rusu, A. . Recent Advances Regarding the Therapeutic Potential of Adapalene. Pharmaceuticals.

Siddharth, M. . Retinoids In The Treatment Of Skin Aging: An Overview Of Clinical Efficacy And Safety. Clinical Interventions In Aging.

Thielitz, A. . Control Of Microcomedone Formation Throughout A Maintenance Treatment With Adapalene Gel, 0.1%. Journal Of The European Academy of Dermatology And Venereology.


Dr. Brooke Jeffy, board-certified dermatologist at Pore House

What Is Retinol And How Does It Help With Acne

Treating Acne with The Ordinary Skincare Products

Retinol is a popular ingredient in over-the-counter skin care products such as serums, wrinkle creams, and overnight moisturizers.

Its part of a family of compounds called retinoids. While all retinoids come from vitamin A, their properties vary.

Retinol works in a few ways. On the skins outermost layer , retinol exfoliates to remove dirt, dead skin cells, and oil from pores. This can help prevent the formation of pimples.

It also works by literally getting under your skin, unlike many other acne treatments. Tiny molecules penetrate the middle layer of your skin , where retinol stimulates the production of collagen and elastin.

Both of these compounds fight acne indirectly by reducing the appearance of pores and acne scarring over time.

Retinol and retinoids are chemically similar. Theyre also used to treat the same skin conditions. However, there are a few important differences.

Retinol is a type of retinoid. Other common retinoids include:

  • adapalene
  • isotretinoin
  • retinoid esters

Retinol is a medium-strength retinoid. Its stronger than retinoid esters but weaker than tretinoin or isotretinoin, which are only available with a doctors prescription.

That means that while the results of using retinol may not be as fast or dramatic as those produced by prescription-strength products, it poses a lower risk of side effects. For instance, its less likely to cause skin irritation.

Its availability also makes it a good place to start if you want to try retinoids for acne.

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Isotretinoin Treatment For Cystic Acne

This medicine is part of the vitamin A family of compounds called retinoids. It is powerful for the treatment of severe cystic acne and the most effective treatment for cystic acne that dermatologists have. Isotretinoin attacks acne at all levels including stopping blackhead formation, reducing oil production and shrinking oil glands. Isotretinoin is so effective that it can even “cure” acne for good. Unfortunately, it also has some significant side effects.

Isotretinoin is such a powerful medication that it can cause birth defects if a pregnant woman is exposed to it. This is why isotretinoin is tightly regulated. It can also cause liver and blood lipid abnormalities that can be dangerous. I feel that treatment of acne with isotretinoin should only be done by someone that is highly experienced in using this medicine. The goal is to clear acne for good without side effects.

The good news is that there are excellent treatments for cystic acne. It is a tough skin problem but we have good treatment options. If you are not able to heal your cystic acne with medicated skin care products then it is time to see an experienced dermatologist for help.


McLaughlin J, Watterson S, Layton AM, Bjourson AJ, Barnard E, McDowell A. Propionibacterium acnes and Acne Vulgaris: New Insights from the Integration of Population Genetic, Multi-Omic, Biochemical and Host-Microbe Studies. Microorganisms. 2019 7:128. Published 2019 May 13. doi:10.3390/microorganisms7050128

Retinol For Acne: How To Use It Products Side Effects And More

  • Retinol is an example of retinoids, medications obtained from vitamin A
  • Retinol is used to treat blemishes, fine lines, wrinkles, and skin conditions such as psoriasis
  • Products containing retinol include creams and gels
  • Side effects of retinol tend to occur only with long-term or high-dose usage
  • Acne medications with retinol are available in over-the-counter and prescription products

Made from vitamin A, retinol is a medication used to treat acne and generally improve the appearance of your skin. At lower concentrations, its an ingredient in over-the-counter skin care products, while prescription medications contain retinol in stronger doses.

Overuse of retinol products can lead to patchy redness and dryness, but in general, retinol is a safe treatment for mild-to-severe acne. However, stronger medications may be needed for serious acne breakouts.


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About the Author

References:3. Banov et al, 2014 : The Effectiveness of Fatty Acids from Pracaxi Oil in a Topical Silicone Base for Scar and Wound Therapy


Nothing on this article should be interpreted as personal medical advice. For medical related matters, please consult with your dermatologist.

Best Retinol Products Of 2020

Retinol skin cream – Acne Treatment? Acne Free Skin?

King said the important part of retinol shopping is ensuring the active ingredient is retinol rather than a similar-sounding derivative. “And make sure that it is listed high in the list of ingredients, but keep in mind that retinol content of 0.1-percent or less is fairly standard,” she added. Shop the best retinol creams and serums, according to the experts we consulted.

1. Alpha-H’s Beauty Sleep Power Peel

King is a fan of this peel containing .5-percent retinol and 14 percent glycolic acid, a popular type of Alpha Hydroxy Acid . “It resurfaces and stimulates skin renewal, collagen production and decreases hyperpigmentation, sun damage and fine lines,” she noted. There’s also shea butter, which hydrates and softens your skin. Alpha-H also has the Clean at Sephora seal of approval, meaning it doesn’t contain the 50 ingredients the beauty retailer considers problematic.

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What Are The Reasons For A Slow Response To Isotretinoin

Analysis of slow responders to isotretinoin shows that the cause is due to the presence of macrocomedones in the majority of cases 70%, although hyperandrogensim may also play a part in resistance to isotretinoin therapy.

An early post isotretinoin flare, poor absorption, possibly differences in receptor sensitivity, colonization with Staphylococcal aureus, severe acne and unusual variants account for 25% of poor responders and the cause of poor response is unknown in about 5%.

Macrocomedones may be subtle and should be detected under a suitable lamp with the skin stretched. They should be identified before systemic isotretinoin is started as an acute flare of acne may ensue if left untreated before embarking on isotretinoin. Treatment requires light cautery or hyfrecation. A local anaesthetic cream should be applied to the lesions for the requisite time beneath an occlusive dressing and then the lesions touched gently with light cautery or hyfrecation. This procedure should initially be performed on a test area of 10 cm2, to ensure that the patient does not develop scarring or hypo- or hyperpigmentation.

If the acne is very inflammatory, then a significant reduction in the dose of isotretinoin and addition of oral steroids may be required . In other patients it may be appropriate to increase the dose of isotretinoin providing that the side effects are tolerated.

How To Take And Store

Topical retinoids for treating acne are applied directly to affected areas. The skin should be clean and completely dry. Apply in a very thin layer with clean hands. Most dermatologists direct patients to use retinoids once a day, in the evening.

A retinoid should not be used on broken, infected, or sunburned skin. It should not be applied to the eyes, nose, mouth, or genitals.

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