For severe acne breakouts resulting in cystic acne you should see a dermatologist to prevent acne scarring. "Tretinoin, which is a derived form of vitamin A, available only via prescription, is known for fighting acne and clogged pores. Tretinoin also works to reduce unwanted pigmentation and improves your overall skin texture," says Dr. Green.
Other ingredients that are effective for acne-prone skin include niacinamide, a powerful antioxidant derived from vitamin B3. This ingredient, according to Dr. Green, fights acne by reducing inflammation and dark spots. Other over-the-counter options Dr. Green likes include salicylic acid, benzoyl peroxide, and zinc pyrithione. "Some of my favorite products are Mario Badescu Acne Facial Cleanser, $15, La Roche-Posay Effaclar Astringent Toner For Oily Skin, $23.99, and MG Skin Labs Retexturizing Pads, $65."
You'll want to make it a point to avoid heavy makeup. "I would also stay away from heavy creams, ointments, topical steroids and avoid scrubbing, which generally causes more irritation," says dermatologist Dr. Collyer, the medical director at Modern Dermatology.
If you're still not seeing an improvement, try switching up your mask. "Cotton is a breathable fabric and will therefore be less irritating," says Dr. King. "Insert a coffee filter between layers of fabric for extra protection. Using doubled up 600-thread count pillowcases or flannel pajamas can make a mask that provides up to 60 percent filtration." For a ready-to-buy option Dr. Green likes Hanes' masks. "These masks are made from breathable, tightly woven cotton that wicks moisture from your face to the outer layer of the mask. They are also economically priced."
You'll also want to try to be cognizant of the times of day you're outside. "I recommend avoiding going outside during the hotter times of the day and using one mask per day; every time you use a mask it absorbs bacteria from your mouth, sweat and oil like a sponge so it's important to wash your mask between uses," says Dr. Hayag.Mask itchiness can have a few different causes. "Itching may be a sign that a person is allergic to the mask that they are wearing, which is why I typically recommend avoiding commercial face masks which tend to be treated with formaldehyde," says Dr. Hayag. "Additionally, people may be experiencing a reaction to the products used to clean their masks, so it's best to launder reusable masks with unscented laundry products, as heavily scented products can cause irritation and itching."
She adds that dry skin may also cause itching, so be sure to moisturize prior to putting on a face covering. Oatmeal skin care products can be particularly helpful here. "Oats have been known to reduce inflammation of the skin, while also stimulating the production of collagen," says Dr. Green. "The oats bind to the skin creating a shield against irritation while locking in natural moisture from your skin." (To this end, we've always been fans of the First Aid Beauty Ultra Repair Cream Intense Hydration, $34.)