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
July 28, 2014
tretinoin 0.05%
I have been on this stuff for two weeks and my skin has gotten which is to be expected but I was wondering if anyone recommends the 1% instead of the 0.05 % to speed things along if not how long should I wait to see real results with the 0.05%. it has made my skin overall smoother but it has also made my skin oily
June 25, 2014
Read this study before you take Tretinoin
This stuff does work, but I wanted to share this study so that if you decide to take Tretinoin, you'll be making that decision with your eyes wide open regarding the risks. There have been studies done that link these topical retinoids to internal cancers and increased mortality rates. Here's one: [link edited out] Granted, the connections still need to be explored in more depth, but given the huge profitability of this product for drug companies, I wouldn't be surprised if they are working hard to prevent further research into the potential hazards of Tretinoin.
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December 21, 2013
It works - when combined with a good moisturizer and exfoliate

Pros:

Works
Smooth skin
skin cell turnover

Cons:

Irritating at first
Expensive
Hard to obtain

I'm 46 and have had acne since i was 14. I've tried everything out there and nothing has worked or lasted. this includes Accutane, antibiotics, sulpha lotion, benzoyl peroxide, laser, peels, and tons more. accutane worked for a few years but after the birth of my son, acne came back in a fury. i went on accutane again, but lasted a few months. This product with a combination of other products has helped resolve my problem. In the morning I wash my face with physoderm ph reducer. Then i apply a thin layer of reversa 8% glycolic cream (wait 15 minutes after washing to apply). Then i apply a second layer of Eucerin 5% urea face cream. Since glycolic can be irritating to the skin and also dries it out, this is the best cream that i have found to give me intense moisture without break outs. in the evening, i wash my face with sebcur 4% glycolic acid. Yes, this product is meant for dandruff, but the 2% face wash that are available on the market simply was not working. i needed something stronger. once my skin is completely dry, i apply .5 retinol cream to my entire face and add a second layer of eucerin 5% night cream (very very hydrating). Note that at the beginning, i had to apply the glycolic and retin a every 3rd day to give my face a chance to adjust. eventually it was every day without any irritation. By the 3rd week into this treatment, all pimples on my chin, cheek and nose disappeared. I had a few break outs and by week 6 nothing. I'm now on week 10 and still nothing. It is so nice now to get up in the morning, touch my face and no pimple can be found! its a miracle and i'm crossing my fingers that it will continue to last. the main benefit of this regime is that your skin will shed quite a bit bit without any irritation. however, it is important to manually exfoliate your skin every second day. The best exfoliating glove on the market is Renaissance. it costs more, but it can last several years (make sure to clean it on a weekly basis). i also purchased a small microdermabrasion machine and use it once a week for more intense exfoliation. This really helps with removing a lot of dead skin. Today, my skin is amazing. Many of my acne scars are barely noticeable. They are slowly disappearing and if you are in your forties, fine lines are also considerably reduced. My colleagues cannot believe how good my face looks, they indicated that i look so much younger and healthier. I wanted to share this regime as i have tried pretty much everything that exists out there.
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December 19, 2013
Requires patience

Pros:

Evens skin tone
Removes closed comedones
Acne heals faster

Cons:

Takes a long time to work
Causes skin to be flakey and dry
Can be irritating for those with sensitive skin

This is a review specifically for Retin-A Micro. For years I had been trying to get rid of closed comedones on my forehead area that just never seemed to go away. I was prescribed Retin-A Micro by my dermatologist. At first I found it to be irritating (I have very sensitive skin) and it make my skin dry and flakey. I decided to use it every two days instead. After about 3 months, I noticed that the closed comedones were turning into blackheads....I wasn't sure if that was progress or not, but continued using the product nonetheless. I would say it took a good 6 months before I saw any good results. Now, I hardly have any closed comedones (whiteheads) left. You have to be patient, but it does work.
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December 19, 2013
not even going to try it
The ingredient list on my tube has stearic acid and isopropyl myristate high on the list (first and second ingredients behind tretinoin)..both are very comedogenic ingredients. Many other people have said this product has broken them out...so to me it's not worth the risk.
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December 4, 2013
Wish I never would have tried this

Pros:

Doesn't burn
Dries fast

Cons:

Terrible initial breakouts
Dryness
Low self Esteem

I really wish I would have never gone to the dermatologist office. In all honesty my acne was not even that bad. I feel like it became severe once I started using Atralin, the brand I was prescribed. I trusted my derm, and I asked her if I would break out while using this. She told me no.. Wrong. I understand that this takes 3 months to see results, but I am only on month 2 and I do not think I can continue using this. My breakouts haven't been whiteheads, but cysts. So many cysts. A new one every day. I have become so self conscious about them, I refuse to leave my house because I do not want people to see me. Dryness has been an issue as well, which is also making me feel self conscious with everyone pointing it out. But I do not mean to discourage anyone. This product simply did not work for me, that doesn't mean it will be the same for everyone. It could work beautifully for some people, and may not for others. I do hope anyone going through what I am going through makes it with beautiful skin. Best of wishes.
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November 25, 2013
couldn't quite stick it out

Cons:

causes more breakouts
irritated/flakey skin for a few weeks

After about 3 months of suffering terrible breakouts after I started this gel, I decided I just couldn't do it anymore. I was getting deep, painful pimples that were leaving scars and I wasn't seeing improvement anytime soon.
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November 21, 2013
Miracle Cream!

Pros:

Clears acne fast
Smooths skin/shrinks pores
Evens skin tone

Cons:

Causes sensitivity
Flakey skin

I'm 19 years old and I've always had bumps/clogged pores/blackheads on my forehead and nose for as long as I can remember. It was the worst, because no matter how much make-up I'd use, it would be impossible to cover up (especially in certain lighting). It was bothering me so much that I asked my doctor to put me on birth control pills, solely for the purpose of acne. She did, and I stuck to the pills for about 10 months until I realized that my skin was getting much worse (huge painful cyst like acne on my jaw line/neck/chin/cheeks/around my mouth STILL ALSO had the bumpy skin) it was so awful and embarrassing. I just recently went to the dermatologist and was prescribed Minocycline 200mg per day and 0.025% Tretinoid cream to be applied every night. Literally, after 2 nights of using this cream my face was 99.7% clear! I put my make-up on and you couldn't even see a blemish. Now, I have been using it for almost 2 weeks, all of my dark spots from acne are fading very quickly, a couple of new zits have popped up but I'm not even mad because it's cleared up so much of what was already existing. I'm aware that there is supposed to be a "purging" period, but I am 2 weeks in and haven't experienced that yet. Very minimal flakes around my nose area. I did make the mistake of using this cream too close to my under eyes and it did burn very much when I used make-up remover in the same area. Overall my face always has a warm sensation now, not painful though. I don't remember the last time my skin has been so smooth, I could not be happier. I can't wait to see more results with this product!
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November 18, 2013
Seems to help

Pros:

Effective
Easy to use
Fewer inflamed zits

I've been using this in conjunction with BenzaClin and it seems to be helping. It has helped to make the pimples I do get stay less inflamed and I've been getting much fewer cystic acne. I use it at night and it has a good texture like a cream, and no side effects like burning.
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November 4, 2013
Tretinoin Review - 6 Weeks

Pros:

Improvement in skin texture
Faster healing
Very helpful for cystic acne

Cons:

Makes face greasy at first, but goes away

I'm a 20 year old male, and I've had mild acne since I was 13. After going on antibiotics (pill and cream) in high school, my acne got somewhat better. After not being on anything for the past 2 years, in the last several months my acne flared up again, and I was getting surface spots and painful cysts. A dermatologist put me on Doryx, Benzclyn and tretinoin 0.5 cream. I saw initial improvement with the antibiotics as I was getting less inflammation. However, my skin problem has always been more about an inability to shed dead skin Let me tell you, 6 weeks after using tretinoin, my skin has never looked better and it is continually improving. I still am getting an occasional spot or two, but the texture of my skin is so much softer and spots heal much faster. This cream has cured my cystic acne. The antibiotics help with smaller spots, but tretinoin has really, really made the difference. Non-inflamed spots I've always had are going away too. I'm religious about putting this stuff on every night, applying a thin layer to my entire face. I'm looking forward to seeing continual improvement in the next few months. I also did not have any side effects besides the cream making my skin greasy after applying (went away after a week or two). Acne has always affected my self-esteem/ image, and this stuff has really helped me out. I would strongly recommend anyone with acne to use this product - it is awesome!
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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.