How long have you been using it? Retin a sloughs off your skin faster, which causes it to reveal more acne (that would have come anyway). I broke out horridly too, around the three month mark, but it'll pass.

Yvolo, How long have you been using it? I've been using the same regimen only without the spiro. I broke out badly during the first two months, but once I reached the 12 weeks mark, my face cleared up so much. Most people would agree that you need to give retin a 3 months before quitting. It's normal to see terrible break out in the first two months.

Yeah Retin-a makes your skin renew faster so your new pimples were what was behind the skin until it exfoilated.

How long have you been using it? I'm having the same problem. Started with 2 pimples, been on tretinoin for 5 weeks and now have a ton. Very frustrating but tretinoids are known to make skin worse before it gets better.