Jump to content
Acne.org
Search In
Find results that contain...
Find results in...
lameness

Oily skin even oilier with Retin-A Micro?

A little background info:

I started using benzamycin, prescribed by my general physician, a little over three months ago to eliminate my breakouts and reduce oiliness. While I haven't had a breakout in months (knock on wood), my skin is still very oily.

Which brings me to last week:

I went to a dermatologist for the first time last Wednesday and she gave me Retin-A Micro. She told me that my face should feel like a mask in the morning and to only moisturize if it gets flaky. Unfortunately, all the Retin-A Micro seems to be doing is making my skin oilier! I think the benzamycin worked a lot better at making my face seem mask-like in the morning. Right now my skin is blotchy, flaky, and oily. Gross.

I'm really, really frustrated right now. Only an hour after I got out of the shower this morning my skin was as shiny and there was a visible layer of oil on it.

Am I doing something wrong?? I'm applying a thin layer of RMA at night after I wash my face with Cetaphil, and only moisturizing the flaky areas with an oil-free moisturizer. I've been using a damp washcloth in the shower to help remove some of the dead skin too.

Help!

P.S. I am not taking a antibiotic.

Edited by lameness

Share this post


Link to post
Share on other sites

I'm currently on Retin A Micro too. Today will mark one week since I started. Before starting the Retin A Micro, I was on Tazorac .1 Gel for the last 4 months and I noticed that the Tazorac did make my skin more oily. As for the Retin A Micro, my skin does get oily but my skin is naturally oily which is probably not a good thing.

I'm reading your post and I'm wondering why you even switched to Retin A Micro if you had your acne under control with Benzamycin. I used to use Benzamycin and it worked great, however, I started to build a resistence to the medication. The best answer I can give you is that I have seen a lot of people on here posting that their skin becomes more oily while being on some sort of retinoid. If the Benzamycin was working and keeping your acne under control, I would suggest that you go back to that. Although it doesnt apply to all retin a micro users, most users have reported that their skin gets worse before getting better and it is over a 3-5 month period.

Share this post


Link to post
Share on other sites
I'm currently on Retin A Micro too. Today will mark one week since I started. Before starting the Retin A Micro, I was on Tazorac .1 Gel for the last 4 months and I noticed that the Tazorac did make my skin more oily. As for the Retin A Micro, my skin does get oily but my skin is naturally oily which is probably not a good thing.

I'm reading your post and I'm wondering why you even switched to Retin A Micro if you had your acne under control with Benzamycin. I used to use Benzamycin and it worked great, however, I started to build a resistence to the medication. The best answer I can give you is that I have seen a lot of people on here posting that their skin becomes more oily while being on some sort of retinoid. If the Benzamycin was working and keeping your acne under control, I would suggest that you go back to that. Although it doesnt apply to all retin a micro users, most users have reported that their skin gets worse before getting better and it is over a 3-5 month period.

Yeah, my skin has always been very oily. I was told that the benzamycin should dry out my skin and make it less oily, but it didn't improve so I went to the derm. It was there that I was prescribed RMA (after telling her I had been using benzamycin). So...I dunno, it was her decision! If this doesn't work out (and I'm assuming it won't), I'm supposed to try taz. And if THAT doesn't work then maybe accutane. My skin is SO oily, you have no idea.

Share this post


Link to post
Share on other sites

If you are just worried about the oil on your skin, there are other ways of treating oily skin than Retin A or Accutane. You should consider yourself lucky if oil is the worst of your problems. From the way you describe it, it seems that you have no acne but just an oily face problem. There are some people with oily skin, some people with dry skin, and some people in between both. There isnt a real cure for oily skin. It is part of an individual's predisposed genetic makeup. Have you tried blotting sheets or any lotion that has oil absorbing ingredients? The reason why i'm suggesting this is that i'm afraid that you might aggravate your acne-free skin with Retin A, Benzamycin, Taz, or accutane and the results will be that you'll end up getting acne and probably still have oily skin.

Share this post


Link to post
Share on other sites
If you are just worried about the oil on your skin, there are other ways of treating oily skin than Retin A or Accutane. You should consider yourself lucky if oil is the worst of your problems. From the way you describe it, it seems that you have no acne but just an oily face problem. There are some people with oily skin, some people with dry skin, and some people in between both. There isnt a real cure for oily skin. It is part of an individual's predisposed genetic makeup. Have you tried blotting sheets or any lotion that has oil absorbing ingredients? The reason why i'm suggesting this is that i'm afraid that you might aggravate your acne-free skin with Retin A, Benzamycin, Taz, or accutane and the results will be that you'll end up getting acne and probably still have oily skin.

I use blotting sheets everyday ha, but it's only a temporary solution. I am even using Clean & Clear Oil Control moisturizer! I just can't see how it's normal.

Share this post


Link to post
Share on other sites

I'm still not quite sure exactly if you have acne or not. Could you clarify if you have acne or not? Is it just the oil problem? Although i'm not a dermatologist, I am puzzled as to why your dermatologist would prescribe such a strong medication for just oil. On another note, I have read and heard that the more you try to eliminate the oil on your face, the more oil your pores will produce. It is sort of a defense mechanism that your skin activates.

Share this post


Link to post
Share on other sites
I'm still not quite sure exactly if you have acne or not. Could you clarify if you have acne or not? Is it just the oil problem? Although i'm not a dermatologist, I am puzzled as to why your dermatologist would prescribe such a strong medication for just oil. On another note, I have read and heard that the more you try to eliminate the oil on your face, the more oil your pores will produce. It is sort of a defense mechanism that your skin activates.

As I mentioned in my original post, I no longer have breakouts, therefore no more acne. It's just the oil problem right now. She wants to "dry [my] skin out," which she claims this medication will do. Even before I was using retinoids my skin was very oily; I haven't used harsh cleansers in years.

Share this post


Link to post
Share on other sites

I think that the risk is not worth the rewards. Your demertologist is prescribing you a strong medication that usually takes 3-5 months to see results. Retin A micro is also targeted towards users with mild to moderate acne. As I have stated before, if you do decide to start using Retin A micro, you could experience the initial breakout or it could aggravate your skin and make it breakout. As for the oiliness, it could go the other way of your expectation. With retinoids, people tend to get more oily while they are on it. Did she offer you any other alternatives to Retin A Micro?

Share this post


Link to post
Share on other sites
I think that the risk is not worth the rewards. Your demertologist is prescribing you a strong medication that usually takes 3-5 months to see results. Retin A micro is also targeted towards users with mild to moderate acne. As I have stated before, if you do decide to start using Retin A micro, you could experience the initial breakout or it could aggravate your skin and make it breakout. As for the oiliness, it could go the other way of your expectation. With retinoids, people tend to get more oily while they are on it. Did she offer you any other alternatives to Retin A Micro?

Nope, not alternatives. She didn't even offer a possible explanation as to why my skin is this way, other than hormones, but I'm on birth control so an imbalance is out of the question.

Share this post


Link to post
Share on other sites
I think that the risk is not worth the rewards. Your demertologist is prescribing you a strong medication that usually takes 3-5 months to see results. Retin A micro is also targeted towards users with mild to moderate acne. As I have stated before, if you do decide to start using Retin A micro, you could experience the initial breakout or it could aggravate your skin and make it breakout. As for the oiliness, it could go the other way of your expectation. With retinoids, people tend to get more oily while they are on it. Did she offer you any other alternatives to Retin A Micro?

Nope, not alternatives. She didn't even offer a possible explanation as to why my skin is this way, other than hormones, but I'm on birth control so an imbalance is out of the question.

Well, hormones are responsible for stimulating oil production in your sebaceous glands (mostly testosterone)... but I agree with BFCalumni26 that it's kind of weird for her to prescribe RAM for oily skin... RAM has "microspheres" which are supposed to help with oil production.... but it's only FDA approved to reduce acne, not to help with oil.... uh, I guess it might still help though...

You can still have a hormonal imbalance even if you're on birth control... but unless you also have hirsutism, it's not all that likely.... since you're comfortable with taking birth control, you might consider a low dosage of spironolactone... spiro is an antiandrogen, which reduces testosterone production, and also competes for androgen receptors in your sebaceous glands. It reduces acne (though that doesn't seem to be your problem) and reduces oil production as well. There's more info about it on the hormonal treatment boards if you're interested.

Share this post


Link to post
Share on other sites
I think that the risk is not worth the rewards. Your demertologist is prescribing you a strong medication that usually takes 3-5 months to see results. Retin A micro is also targeted towards users with mild to moderate acne. As I have stated before, if you do decide to start using Retin A micro, you could experience the initial breakout or it could aggravate your skin and make it breakout. As for the oiliness, it could go the other way of your expectation. With retinoids, people tend to get more oily while they are on it. Did she offer you any other alternatives to Retin A Micro?

Nope, not alternatives. She didn't even offer a possible explanation as to why my skin is this way, other than hormones, but I'm on birth control so an imbalance is out of the question.

Well, hormones are responsible for stimulating oil production in your sebaceous glands (mostly testosterone)... but I agree with BFCalumni26 that it's kind of weird for her to prescribe RAM for oily skin... RAM has "microspheres" which are supposed to help with oil production.... but it's only FDA approved to reduce acne, not to help with oil.... uh, I guess it might still help though...

You can still have a hormonal imbalance even if you're on birth control... but unless you also have hirsutism, it's not all that likely.... since you're comfortable with taking birth control, you might consider a low dosage of spironolactone... spiro is an antiandrogen, which reduces testosterone production, and also competes for androgen receptors in your sebaceous glands. It reduces acne (though that doesn't seem to be your problem) and reduces oil production as well. There's more info about it on the hormonal treatment boards if you're interested.

Yeah, I don't really get her logic at all either. Nope, not dealing with hirsutism. Thanks for the spiro suggestion, I'm going to look into that! I swear, I felt (and still feel) like I'm more informed than the person actually prescribing the medication -- frustrating.

Share this post


Link to post
Share on other sites

I totally understand how you feel, sometimes I wonder if the derm is just prescribing you stuff just to see if it works and when it doesn't is like okay well lets try something else. And all the while you are going through an emotional rollarcoaster until the next visit and they only spend 2 mintues with you and say okay lets try this and I'll see you in a month. yeah because I have all the money in the world to just pay the specialist fees to see you and the copays for the prescriptions. Oh and not to mention I am the one who has to live with the problem everyday..

Share this post


Link to post
Share on other sites
A little background info:

I started using benzamycin, prescribed by my general physician, a little over three months ago to eliminate my breakouts and reduce oiliness. While I haven't had a breakout in months (knock on wood), my skin is still very oily.

Which brings me to last week:

I went to a dermatologist for the first time last Wednesday and she gave me Retin-A Micro. She told me that my face should feel like a mask in the morning and to only moisturize if it gets flaky. Unfortunately, all the Retin-A Micro seems to be doing is making my skin oilier! I think the benzamycin worked a lot better at making my face seem mask-like in the morning. Right now my skin is blotchy, flaky, and oily. Gross.

I'm really, really frustrated right now. Only an hour after I got out of the shower this morning my skin was as shiny and there was a visible layer of oil on it.

Am I doing something wrong?? I'm applying a thin layer of RMA at night after I wash my face with Cetaphil, and only moisturizing the flaky areas with an oil-free moisturizer. I've been using a damp washcloth in the shower to help remove some of the dead skin too.

Help!

P.S. I am not taking a antibiotic.

Have you tried using a moisturizer with BP in it during the day? That may reduce the oil. Clinique makes one.

Share this post


Link to post
Share on other sites

I had the exact same problem. My skin has always been oily, but on RAM, my skin was unbelievably oily. I could blot 30 times a day and still be slick and oily all the time. I switched derms and he told me that I had "compensatory oiliness". Basically, my skin was reacting to the irritation of the RAM by producing more and more oil to protect the skin. He switched me to differin and put me on Yaz and spironolactone. The differin works great and is way gentler. It doesn't seem to make my skin any more oily than usual. The Yaz and spiro combo worked great until I started having an abnormal heart beat and had to stop the spiro. Still using Yaz and differin with no problems. The only thing I liked about RAM compared to differin is that the RAM seemed to help fade scars better. But I definately prefer differin overall: no increased oiliness, much less flaking skin, controls acne almost as well. Hope this helps. I don't know if starting on spiro would be necessary for you because it sounds like the oil was tolerable before you started RAM. If you do decide to go that route be aware of some of the serious side effects and discuss it with your regular doctor as well as your derm. If I were you, I'd try switching to differin first and see if that helps.

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Personalized Advice Quiz - All of Acne.org in just a few minutes


×