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
August 28, 2010

Pros:

Smoother looking skin. Dries pimples and brings them & tiny bumps to surface right away.

Cons:

Dented scars! Yes, ur not imagining, I got them too! I don't have space below, so will share this here: please look into the blue light which has a thread on acne.org [www.acne.org/messageboard/here-415nm-Enlux-LED-t156864.html]; very surprising promising fast results by all who bought it after one person reported excellent results. He has his own home light which is the strong one supported by research & the cost is cheap rather than the expensv lower level ones at spa [I'm thinking of buying

I just submitted a review but didnt have space so I want to add this info--my husband used this tretenoin cream too [Acretin] & now I am connecting the dots & remember there was a time I was getting frustrated, telling him I am seeing new pitted scars & stretch mark-like scars appearing on his face every day! Not exagerating; he has worse acne than me & I'm always looking at his face & noticed scars popping up and once I was telling him about it and the next day I see a new one! Unlike me, he was using other prescriptions at the same time. And, the idea that this was happening from his creams did not even cross my mind, but i was puzzled b/c unlike me he duznt touch his face & never pops anything & doesnt use a facial cloth which could be scratching him yet there's these scars actively happening on his cheecks. Only thing I could think of then was that b/c his pimples have been on his face for so long [same exact ones] that they were eating away at his flesh. But that didn't explain the ones that look like a stretch mark, just the dented round ones. Now, given the fact that I've gotten scars from tretenoin [Acretain] I can see that that's what could have happened to him too. I don't understand what is happening here; they say this is supposed to help scars so how is it causing scars for some people. I do have thin skin; maybe people w/ thin skin are more likely to get this, or maybe it's something else! All I know is it's a big thing; I can put up w/ anything else to get nice skin [the peeling, redness, initial flare up], but these permanent looking dented scars & stretch marks is unacceptable. I wrote this b/c I dont want anyone to get permanent scars when many of us r trying to get rid of the temporary red acne spots. I will continue to do home remedies, like honey [it's antibacterial] & especially the yogurt which fades redness & brightens, gives dewy skin. And as much as can afford, will get blue light @ spa [had 2 which helped] & thinking of buying my
July 21, 2010

Pros:

My acne definitely has gotten better, I have had significant less systic acne. I still get some blackheads, but blackheads are better than systic acne.

Cons:

It will dry out your skin - I'd never had to use moisturizer before because my skin was so oily, but now I have to slather it on daily.
It is expensive - Although one prescription will last you a couple months, the initial price is expensive.

It is a good product to try, but I am using it with Azone and Minocycline - so I don't know if it would be as effective without these.
October 13, 2011

Pros:

Spots r going

Cons:

Red face,dry,peeling,sore,

It is a long process
April 1, 2010

Pros:

Easy to use

This helps control some acne but doesn't help for moderate to severe cases
April 26, 2011

Cons:

dried out my skin

didn't work for me
December 3, 2009

Pros:

got rid of a scar by burning the layer of flesh off

Cons:

severe peeling, burning, felt terrible and was afraid to go to school

I used this 3 times when i went to school I was peely and I couldn't use anything to help me and of course pimply too
October 28, 2009

Pros:

didnt use it long enough to find out

Cons:

Angelina Jolie LIP!!!

I was prescribed this by ny new Dermotologist. I waited till the weekend to take this & good thing I did. I did as the directions told me to do since I was supposed 2 take it every nite. & when I awoke the next morning my top lip was swallon.and its day 2 and it still looks the same. & to top my day off my doctor isnt in his office!
October 27, 2009

Pros:

None.

Cons:

Worsened breakouts!!!!!!!!!!!!!!!!!!!!!
Painful!
Extreme dryness!

This stuff was horrible!! I dont have a lot of acne.. and it gave me TONS! I brokeout soo bad.. the worst I ever have!! It burned when I put it on.. felt like i was peeling off my skin.. seriously. I know there is a purging period... but i gave it over a month and my self esteem couldnt handle it anymore. I couldnt even wear makeup properly because my skin was soo dry... I still have scars from it.
October 12, 2011

Pros:

None

Cons:

Dried out my skin really bad
Feels too tight and dry, also sticky

I used it couple of weeks twice in my life and so far I hated it. It dried my skin very bad and gave me more breakouts. I will not use it again.
March 3, 2011

Pros:

improves skin texture / tone
rapidly exfoliates skin for new cell growth
a little goes a LONG way
clears skin after a period of time ( no product is immediate)

Cons:

sun sensitive
dries face (buy a good moisturizer i recommend Aveeno Positively Radiant Daily Moisturizer SPF 15 and Aveeno's Clear Complexion Daily Moisturizer)

I have been using Retin A since November of 2010, and my acne has subsided durastically. I apply the topical ointment to my entire face ( about a pea sized amount on my forehead, each cheek, nose, and chin) at night after washing my face with a light cleanser ( I use Cetaphil). It takes roughly 2 weeks to see improvement - but after a month I saw a tremendous turn over in my skin's appearance. Four months later my skin is radiant, clear, and even my dermatologist (who i see bi monthly to monthly) has commented on the drastic change this has brought to my skin. It's the only alternative to Accutane I would recommend - I suffered from moderate/sever acne and I now have very light acne problems (which I get injected with cortisone.) I pay $5 with BCBS of Illinois Insurance.

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.