Topical Retinoid
Reviews
3.4
1972 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
February 6, 2010

Pros:

Smoother skin

Cons:

Did absolutely nothing to help with my acne, only my blackheads cleared up the rest of my face looked like a war zone.

It did not work.
December 13, 2009

Pros:

Made me stop breaking out, no dryness

Cons:

Made my previously very dry skin very oily! Also enlarged pores all over my face, a problem I'd never had-makes my skin look bumpy. It gave me noninflammatory bumps on my forehead, where I never had such problems before. It also made my cheeks redder

I started using Retin-A because I was getting pimples that caused scars on my right cheek due to stress. Although it stopped my skin from breaking out (after a very, very mild initial purge that caused some scarring), Retin-A made my skin look much worse. I know that people have had very different reactions to it and I'm probably one of the few who didn't experience any dryness (even though my skin had always been very dry), but I thought I'd share my experience. I wish I had never used Retin-A. My skin would look so much better if I hadn't used it, but there's really no way you can know that before using it. I also never saw any effects (positive or negative) on the wrinkles on my forehead. I recommend praying. That's the only way I can deal with the negative thoughts and feelings I have about my acne.
May 8, 2009

Pros:

Helped acne somewhat

Cons:

Made my face so red I looked worse than I did with the acne.

People don't generally comment on your acne. But when your face gets this red, people always ask "Why do you wear so much blush?" or "Why do you put blush all over your face?". I would always snarl through my teeth "I'm not wearing blush!!!!" Not worth it to me.
July 25, 2008

Pros:

So far none :(

Cons:

Dryness of the skin and worse ance

I have only been using retin-a for a 2 weeks. So far it has only made my skin dry and my ance worse. From what I hear it takes a long time for this stuff to work, not quite sure if I will be able to rough it out. The pimples come in alot bigger now and I hate to look at myself. I'm really praying that the end results will be well worth the wait like everyone says it will. But so far this stuff SUX! I didn't have to pay for it tho, my tri-care insurance paid for it so it was free for me.
June 24, 2008

Pros:

zero

Cons:

doesn't work for acne, SMELLS AWFUL!!!

I've been using this f**king sh*t for two months and I look like a f**king pizza! F**K RETIN-A!!! F**K IT!
May 6, 2012

Pros:

Inexpensive

Cons:

Didn't work
My acne got worse and never got better
I believe it worsened my scarring and never made it better
I was red and peeling the entire time I used it with no improvement with my PIH

Not for me
January 11, 2012

Pros:

It helped a lot with acne in a short amount of time.

Cons:

It REALLY dried out my skin. I got to the point where my acne was getting so bad right underneath my nose and down to my upper lip, that I put a ton of this stuff on every night. The acne went away days ago, but my skin is terribly chapped. It appears dry, it looks disgusting, and it burns extremely bad. It hurts to move my mouth anymore. This alone makes the medicine not worth it. I would rather have acne than have this.

It's not worth it because of how dry it makes your skin. It is especially not worth the money.
October 17, 2011

Pros:

None for me.

Cons:

-Reddens Face A LOTTTT
-Did not do much to help my acne...

I used this all of last year before I went to bed. Now, Ive started using other things and none of this. I don't remember what % my tretinoin cream was but I believe it was a lot. Now when I see pictures of myself from last year my face looks like a red balloon. I DO NOT reccomend this. When I would go to pool parties I had to bring moisturizer for after getting out of the pool. I have naturally dry skin though, so, that may be why it hurt my face so much. It took me about a month and a half to recover after a year use of it. Now my face isn't red. But, if you do use it, and its hurting, dont think it will get better if its been a month... it wont.
September 21, 2011

Pros:

Fewer Blackheads

Cons:

Makes Skin Peely
Doesn't get rid of all whiteheads/cysts, so you're left with peely zits.
Prescription
Expensive

I've had lifelong acne. I took Accutane at the age of 16 in '97 and at the age of 28 in '09. Accutane worked better for me the first time...I attribute this to the fact that the second time I took it, I took the generic (which studies show is less effective). Anyhoo, I had leftover problems after my second round of Tane, and was put on Retin-A as soon as I got off. I didn't have an IB b/c I'd already had it with the Tane (Tane is the internal form...Isotretinoin). However, my acne came back, and the Retin-A didn't seem to be doing much except reducing blackheads. The Retin-A Micro did seem to work better than the generic Tretinoin, but it still didn't do me much good. I stopped using it about a month ago, and began using an over-the counter Retinol product. My skin is MUCH better...I think for me, maybe, the Retin-A was too harsh and caused more acne, whereas the Retinol is not as strong, and doesn't irritate my skin causing more acne.
September 3, 2010

Pros:

Softens skin

Cons:

Eventually caused acne as well as skin changes

Initially, this was the only thing that worked on the comedonal acne (blackhead, whiteheads coming in for no reason) on my forehead. Eventually however, after decreasing my usage, I noticed that anytime I would use it again on my forehead, acne would flare up. Additionally, the morning after using it on my cheeks, there was inflamed comedonal acne everywhere.

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.