Topical Retinoid
Reviews
3.4
1969 Reviews
Topical Retinoid
Efficacy
50%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Topical Retinoid
Side Effects
Low
Topical Retinoid
Acne.org’s Real World Take
Works about the same as the other two topical retinoids, tazarotene and adapalene, and lands in the middle of those two when it comes to side effects. Should provide partial clearing, but comes with sensitivity when you first start using it. It probably won’t be a total game changer but it should help reduce acne.
Topical Retinoid
How to Get It
Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Tretinoin
Compare To Other Treatments
5
22.1%
4
32%
3
21.6%
2
14.9%
1
9.4%

Used Tretinoin? Rate It:

Choose from 1 to 5 stars
December 31, 2008

Pros:

great for wrinkles!

Cons:

i peeled, peeled, peeled! face was red and raw. and my insurance wouldn't pay for it because i am over 35!

retin-a did nothing but make my face peel. it was red, raw and sensitive. i preferred acne to the mess retin-a made! i switched to differin and had much better results. and my insurance will pay for differin so that's a bonus.
December 27, 2008

Pros:

cleared up forehead

Cons:

Makes everything 10x worse. Every single little red mark/bump will come to the surface. I used the medication properly, increasing the dosage as I went for 3 months. I saw results, except that it turned me into a red tomato with ZITS all over.

I understand that the medication works by renewing the skins cells so your skin gets worse, but after 3 months of .1% it just wasnt worth it and I went off it. I never had sensitive skin, like I could pretty much use any product and never have dry/sensitive skin but this prodcut made my face BURN. The irritation is terrible. Now im on doxycyline 200mg and benzaclin to clear up this mess, and my skin is doing SOOO much better off this medication.
December 20, 2008

Pros:

None

Cons:

Destroyed my skin. Do not use this product. It is poison.

At age 44, I started to experience troubling breakouts after being acne free for years after taking accutane in my early 20s. Derm put my on Retin-A micro. Stayed on it for 12 weeks despite redness, creating more cystic acne all over my face because derm kept telling me this was normal and to push through it. Bull. The redness came and stayed for the duration of treatment. I was instructed to use 1% each night. I used the prescribed pea size amount and waited until skin thouroughly dry. I now have wrinkles around my cheekbones that were never present before, huge acne scars, my face swelled so now I have VERY deep nasolabial lines that were barely noticeable before I used this crap. Now going on accutane thanks to this poison. Don't be fooled. If you are having bad reaction after 3 weeks STOP this crap before you do more damage. I look at photos before and after and it makes me physically ill. I doubt I will ever look like my old self again. Would like to sue for damages.
November 17, 2008

Pros:

-helps to reduce scarring
- increases time for pimple to heal

Cons:

- skin is extremelyyyyy dry (especially around the mouth area)
- major breakouts (i have two huge pimples)

- still waiting for final results; i have been using for about 3 months now & i hope my patience will pay off
November 9, 2008

Pros:

No huge pimples that hurt anymore

Cons:

little pimples (but i can deal with that)
that worst part is that my WHOLE face looks like i'm sunburnt!!!!
and i know i'm not cuz i haven't been outside for more then 5 minutes in awhile(cuz of school + winter)my skin is really dry and irritat

try it. if it seems like your getting horrible side effects, see your doctor. thats what i am doing in a couple days. Apparently from everything i have read, it takes time but its awesome. i don't even want to go to school, and show my face in public right now and i have used it for about 2 weeks, but in that time period only about 5 or 6 nights because of all the irritation.
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October 31, 2008

Pros:

NONE

Cons:

It first dried out my whole face, then the I got more acne-pus filled everyone on my face-mostly on the parts that i did not have acne. My face is one-hundred times worse!!!!!!! I dont know what to do now--I regret using tretinoin.

Do not use this medicine!!!
October 17, 2008

Pros:

Inexpensive

Cons:

Made my face so sensitive that I couldn't lay on my pillow. Mild acne that the Retin-A turned into horrible cystic acne that only got worse after months of use.

I have tried to use this product several times, beginning as a teenager. I am now in my 30's and hoped it would make my mild acne disappear. My skin is still reeling from the negative side effects of this drug. It has never worked for me and unfortunately, it will never work for me. I just hope that my skin will go back to the way it was before Retin-A.
October 15, 2008

Pros:

helps a little bit.

Cons:

dries out skin A TON and leaves you flaky.

It didn't work for me. I used Retin-A hoping to clear all my breakouts, blackheads and ALL my pesky whiteheads, but it didn't help much. It made my skin flaky, and after 2 months I saw very little or no improvement, so I stopped using it and just used a gentle cleanser and a mouristurizer and my skin improved, so Retin-A isn't for everyone.
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September 14, 2008

Pros:

I don't see anything good about my skin yet.

Cons:

I feel like my acne got worse and even have it in some places I've never had it, like my cheeks. My face is oily to begin with, and i feel like it made it oilier and irritated. My pores seem bigger too.

I guess I have to keep using it to see if it really works or not, and the instructions say that it may take up to 6-12 weeks. So basically, you have to be very patient because your skin will look gross for like 3 months. And I'm yet to find out if it's going to actually help or not.
September 11, 2008

Pros:

None, AT ALL!

Cons:

made my skin ultra sensitive, worse acne, irritation of skin, sensitive to sun, etc

I used retisol 0.01 then moved up to 0.025.After 10 months still no improvement!I wish I didn't stick with it so long, I wanted to believe that it was going to solve my acne problems and I believed the "IT GOT WORSE BEFORE IT GOT BETTER" which in reality proved to be false! In fact when I consulted another doctor he told me that it is true that you have to wait 3 months to see improvement,but that you SHOULD SEE an IMPROVEMENT. If you don't then its not working! Retisol made my skin so sensitive I couldn't go out to the sun even with 60 FPS creams. My skin reacted to anything anytime, I got these huge red spots that were hot and itchy. I couldn't put anything on my face as it resulted in a rash and my face was peeling of so bad.My acne actually got worse and i had breakouts in places where I never had before. Finally my dermy told me to stop that it wasn't working. And 4 months later, my skin is still having the side effects retisol caused! BOTTOM LINE: DON'T USE THIS PRODUCT!

Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.