Should I switch my acne treatment after 2 weeks if I’m still having bad acne breakouts and scarring?

Doctor's Answers 4

2 weeks would be a tad early to stop the treatment, as mentioned. A course of antibiotics usually takes at least 3 – 4 months.

Sometimes, Differin can cause an initial outbreak during the first month or so and if it causes excessive dryness, irritation and flaking of the skin, I would advise using it once every 3 days first and then slowly increasing the frequency to daily.

If you have cystic acne, I would advise draining the cystic acne and consider injectable steroids so as to arrest the inflammation and swelling. This will decrease the risk of subsequent scarring.

Other treatments to be considered include medications to control oil production and lasers.

Hope that helps.

All the best!

Personally, I’d say that stopping acne treatment after 2 weeks is a bit premature.

We typically tell patients that for acne treatment, give it a good 2 – 6 weeks to give the treatment some time to work.

The caveat is if you’ve noticed that the treatment was actually aggravating your skin somehow, in which case, you should stop and consult a doctor earlier.

Stopping all treatment, and just washing your face is unlikely to resolve the acne outbreak either.

You may want to try the treatment for at least 3 – 4 weeks, and if you still find that it isn’t doing anything for your acne at all, seeking a second opinion at that point may be warranted.

If your acne is as bad as it sounds, and scarring is an issue, I’d actually be inclined towards Accutane sooner, rather than later, if I were in your shoes. We previously wrote about Accutane, as well as various acne treatments here.

I have had a patient who had the same issue. She had a sudden outbreak which flabbergasted her significantly (used to have clear skin). She consulted dermatologist and was given some doxycycline for 6 months. Finally she stopped and decided to seek a second opinion.

The point of my story is- You should give it some time for the treatment to work, something like 6 weeks is fair. However if it is obviously not working after that duration, and worsening, you need to consider a re-evaluation.

I am not a fan of doctor-hopping and maybe a thorough discussion with your doctor now may help to allay some of your fears and concerns.

Hope all is well!

Personally, I’d say that stopping acne treatment after 2 weeks is a bit premature.

We typically tell patients that for acne treatment, give it a good 2 – 6 weeks to give the treatment some time to work.

The caveat is if you’ve noticed that the treatment was actually aggravating your skin somehow, in which case, you should stop and consult a doctor earlier.

Stopping all treatment, and just washing your face is unlikely to resolve the acne outbreak either.

You may want to try the treatment for at least 3 – 4 weeks, and if you still find that it isn’t doing anything for your acne at all, seeking a second opinion at that point may be warranted.

If your acne is as bad as it sounds, and scarring is an issue, I’d actually be inclined towards Accutane sooner, rather than later, if I were in your shoes. We previously wrote about Accutane, as well as various acne treatments here.

Similar Questions

Does Differin treatment for acne cause skin purging?

This is why I love this forum! You get answers from experienced doctors too FOC somemore! Now on a serious note, Differin is quite effective in many scenarios. It can help reduce oiliness, comedones and even maintain or control syringomas post laser. It does lead to the possible purge during usage. I have seen dermatologists start Differin AND Retin-A before (although this i still haven’t quite understood why so). You should do the following Control the amount used, and generally at night. You can start alternate nights first to get used to the dryness or peeling first.

Photo of Dr Winston  Lee

Answered By

Dr Winston Lee

Aesthetic

What is the best acne treatment for recurrent breakouts at temple, jawline and chin?

I noticed that I tend to breakouts after holidays. Yes, weather and humidity changes can sometimes trigger breakouts. Stress/poor quality of sleep due to jet lag and time differences can also contribute. Speaking from personal experience here; I tend to break out much worse in Singapore than I did living in the UK. Went to national skin centre for consultation, and was given some watery creams and Cetaphil products to use. Hard to comment on what you were given, but from what you’ve described here, NSC doesn’t seem to have given you anything specifically for acne treatment.

Photo of Human

Answered By

Human

Ask any health question for free

I’m not so sure about a procedure...

Ask Icon Ask a Question

Join Human

Sign up now for a free Human account to get answers from specialists in Singapore.

Sign Up

Get The Pill

Be healthier with our Bite-sized health news straight in your inbox