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1. Skin purging is a reaction to an active ingredient that increases skin cell turnover rate. 2. Skin may have more blackheads, whiteheads, papules, pustules, cysts & even the tiny pre-pimples before it get itself cleared of purging. 3. Retinol is one of the most common ingredient to lead to purging. The simplest solution is to wait it out patiently & follow your doctor’s advice diligently. 4. Purging vs reaction or breakouts – reaction/breakout occurs from a new product, normally in areas which don’t usually breakout. Also the reaction is immediate.