If you’ve recently started a new skincare routine or treatment and noticed your skin breaking out, you might be wondering—is this normal? Is your skin reacting, or is it simply adjusting? Welcome to the world of skin purging vs. breakouts—a topic we often address with our clients at Prime Med Spa PDX.
Let’s clear up the confusion so you can better understand your skin and make informed decisions about your treatments.
What Is Skin Purging?
Skin purging is a temporary reaction that occurs when active ingredients (especially exfoliants or retinoids) speed up your skin’s cell turnover. This process pushes out underlying congestion—like microcomedones (tiny clogged pores)—to the surface more quickly than usual. The result? You may see more breakouts before your skin gets better.
Typical triggers for skin purging include:
- Retinoids (e.g., tretinoin, retinol)
- Alpha hydroxy acids (AHAs)
- Beta hydroxy acids (BHAs)
- Chemical peels
- Microneedling
These treatments are designed to stimulate renewal, so the “purge” is often a sign that your skincare is doing its job.
What Does a Purge Look Like?
During a purge, you might notice:
- Small clusters of pimples in areas where you normally break out
- Increased blackheads or whiteheads
- Temporary inflammation or sensitivity
The key difference is location and duration. Purging usually happens in your “problem zones” and resolves within 4 to 6 weeks.
How Are Breakouts Different?
Breakouts, on the other hand, are your skin’s way of telling you something isn’t right. They’re typically triggered by irritation, allergies, or using the wrong products for your skin type.
Signs your breakout is not a purge:
- Pimples appearing in new areas
- Prolonged flare-ups beyond 6 weeks
- Cystic or painful acne
- New skincare products with comedogenic ingredients (clog pores)
If you’re experiencing these signs, it may be time to reassess your skincare routine—or consult with a skincare professional.
When to Worry—and When to Wait
While it’s tempting to quit a new product or treatment the moment you see blemishes, don’t panic. If you’re using a product known to trigger purging (like a retinoid or acid), give your skin time to adjust.
That said, if your skin continues to worsen or you’re unsure whether you’re purging or breaking out, it’s best to consult a licensed provider.
How We Can Help at Prime Med Spa PDX
At Prime Med Spa PDX, our experienced providers are here to support your skin health journey. Whether you’re exploring chemical peels, microneedling, or a new medical-grade skincare regimen, we personalize your treatment plan based on your skin type, concerns, and goals.
If you’re experiencing breakouts or purging and unsure what’s next, schedule a complimentary skin consultation with our team. We’ll help you identify the root cause and design a routine that supports healthy, radiant skin—long term.
Ready to reveal clearer skin—without the guesswork?
Book your appointment or call us today at  971-777-0303
