Can acne occur after switching from soap to a cleanser?

Question

Hello doctor,

I have developed a lot of pimples after switching from an acne soap to the CeraVe hydrating cleanser (ceramide and hyaluronic acid). Previously, when I was using the acne soap, I had many cystic acne breakouts. Now, after changing cleansers, I am getting many new pimples, but they are smaller and contain pus. My skin type is oily and acne-prone.

Could this be skin purging?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

From what you have described, your skin is adjusting to the change in cleansers. Switching from a harsh acne soap to a gentler cleanser like CeraVe hydrating cleanser (ceramide and hyaluronic acid) makes it possible to experience purging. This happens because the skin renews faster, bringing clogged material to the surface as small pimples with pus. The good news is that these are usually less deep and less painful than the cystic acne you had before, which is a sign of improvement.

For oily, acne-prone skin, the treatment should be consistent but gentle:

Face wash: Continue with a gentle, non-foaming cleanser twice daily (your current CeraVe hydrating cleanser (ceramide and hyaluronic acid) is delicate). Avoid going back to harsh soaps as they can dry and irritate the skin, which worsens oil production.
Topical treatment: Apply Adapalene 0.1 percent gel (a pea-sized amount over the entire face, not just on spots) at night, starting two to three nights per week and gradually increasing to daily use as tolerated. This helps prevent new breakouts and treats existing ones.
For inflammatory or pus-filled spots: Apply Clindamycin one percent gel once daily in the morning directly on active pimples for six to eight weeks.
Duration: Both treatments usually show noticeable improvement in 8 to 12 weeks, so patience and consistency are essential.
Supportive care: Use a light, non-comedogenic moisturizer (such as CeraVe PM (ceramide, niacinamide, and hyaluronic acid) or Cetaphil (skincare product)). Always apply sunscreen during the day to prevent marks and irritation.

Suppose acne becomes widespread, very inflamed, or leads to scarring. In that case, it is best to consult a dermatologist for oral options such as Doxycycline (commonly 100 mg once daily for six to eight weeks) or Isotretinoin in select cases.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.