The retinoid “uglies” — what they are and how to ride them out

Almost everyone who starts a topical retinoid — tretinoin, adapalene, even higher-strength retinols — goes through some version of the “uglies.” Skin that was fine the week before suddenly flakes, stings, and breaks out. The internet tells you to stop. Most of the time, you shouldn’t.

Here’s what’s actually happening, what’s normal, and the three small adjustments that get you through it without abandoning a treatment that works.