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
October 12, 2016
Works after some time
Ok so short history of my acne struggle: Started off as some minor spots when I was twelve, by the time I was fourteen my skin went haywire and I developed severe acne, mainly on my forehead and chin. My back was also covered in acne. I started using Diane 35 (heavy duty birth control) which cleared up my acne and gave me a few years of acne free skin. Eventually I stopped using the BC because of side effects and my acne came back. (Luckily for me the acne on my back never returned) Actual review: The first three months were, well...not that great. The first week my skin started burning like hell when I would apply the cream. My skin started to flake like crazy, making it hard to apply foundation over my face because the scabs were always visible, no matter what I did. It was around the three week mark when my skin started to break out like crazy. I developed zits on my entire face, even in places where I didn't have acne before. This made me want to stop using Retin A, but I kept going. After three months, my acne finally calmed down and scars started to fade due to the rapid skin cell turnover Retin A gives you. I am now using Retin A for almost three years now. Although it hasn't spared me from hormonal breakouts, it has made a huge difference to my skin and it would be much worse without it. Pro's - Helps with the reduction of acne - Fades scars over time Con's - Flaking during the first couple months of use + dry skin (so make sure you get yourself some heavy duty moisturiser) - Initial breakout Final verdict: I recommend using Retin A. Don't get discouraged when you experience an initial breakout. It sucks (trust me I know) but chances are if you give it enough time it will work.
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November 13, 2016
What % of Retin-A are you using?
December 5, 2016
I'm using 0.05%
August 20, 2016
Works in due time.
I've had acne for about ten years, and it was bad during high school but has cooled off a lot. I still wanted to see what could be done about the oily skin and few whiteheads that would pop up around the mouth and nose area, so I went to a dermatologist who gave me this and doxycycline. She started me off on the 0.025% which made be break out a little but worked well. It smoothed out any scars and pretty much solved the oil problem. After a few months she put me on 0.05%. This made me break out more and chapped my nose area. It went away after about week 4 and I'm now in week six and things are much better. Not many whiteheads or any of the pigmentation, and it's working better for the oil. If you're struggling through the so called "purge" just know that I did as well, but it will get better. It did for me, and I'm an oily Italian to begin with! Good luck!
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June 19, 2016
Worked beautifully
I was on Retin-A with duac, bactrim/doxycycline. It worked wonderfully and gave me clearer skin than I've had since before I began puberty. It burned at first but other than that, I experienced no ill side-effects. I used it every night while I used duac in the morning. At first, I didn't apply it every night because my skin was so dry that it was too painful to apply, but once my skin got used to the chemicals in the Retin-A and Duac, I applied it every night and had amazing improvement.
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June 13, 2016
A Science-Fiction Experiment (Honestly!)
I'll begin by saying that I'm 12 Weeks into Rentin-A use (0.05% cream). My acne-type is mild to moderate, an issue since I was 15 but worsening as I entered my late 20's (I'm currently 28). As with so many here, I'm writing this review because I couldn't have made it through the genuinely grueling Initial Breakout period without the perspective of folks who'd faithfully trekked the same path; that might sound like grandiose language, but I've honestly never found myself in a position in which blind faith was more required. Here, I will do my best to break down my experience in weeks: Weeks 1-2: Mild improvement in both current and forming lesions, but benefits overshadowed by my skin's adjustment to the cream. I felt slightly itchy all the time, but I imagine this could be an easier transition for someone with less sensitive skin. I should add that, because of the sensitivity, I was only able to use Retin-A every third night at this time. Weeks 3-5: Itchiness reaches new heights! I recall thinking, and frequently: "I want to peel my face off!". Very Science-Fiction, no? And in a similar vein, the peeling and texture of my skin was similar to someone either freshly chemical peeled or sunburnt. At this time, I was using every other night (which I realize could have been a slower transition, but I was eager to Get On With It and Over It). Lesions at this time felt consistent with pre-Tretinoin use. To sum up: No improvement in acne, scary red monster face, and levels of itchiness that will require all the peaceful meditation skills one has. Weeks 6-8: The pinnacle, the worst. My skin blew up with the largest, angriest bumps I've ever seen on my face, clustered close together on my lower cheeks/jawline and sparsely on my forehead. It seemed cystic in spots, and this is definitely when I left the house as little as possible. My sanity was genuinely challenged, and I felt hopelessly depressed. On the other hand, I did notice that my skin was tolerating the Retin-A more gracefully around this time (less redness apart from lesions, less itchiness). Weeks 9-11: I still feel like I've bought into some snake oil. My skin is now tolerating use almost every night (with breaks, perhaps, every 3 nights or so), but I'm still waking up to new acne at a faster rate than is normal and the existing scars are fading slowly due to the severity of the blemishes that cropped up in Weeks 6-8. Positive aspects: There's something very smooth and bright about the areas of my skin that aren't affected by acne, and this only increases with time. Then, by Week 11, the new lesions have almost ceased. Week 12: Only two new pimples, both of which are very superficial and petite; they only last a day before Retin-A seems to dry them out. Acne scars from my huge breakout in Week 6-8 are healing, and there's only one lesion that remains scabbed-over (the rest are flat hyperpigmentation marks, and not terribly dark ones). The best aspect of my current state is the general feeling of healthfulness to my skin. I still have dry patches that need manual exfoliation every morning, but my skin looks like it's functioning NORMALLY. Does that make sense? It looks like oil production and skin-shedding are more normalized. There's a glow, but I don't look like an oil slick. As a Mediterranean gal with an olive complexion and oily-type skin, I'm not sure it's ever looked so bright. I'm far from perfect (although I'm excited to see where treatment goes from here), but I'm writing this to illustrate the sudden turns that can occur in Retin-A treatment. Psychologically, it's a fascinating drug. It asks people with already-battered self esteem to submit to further punishment. And from what I can tell? This faith and trial is not always paid back with results. But it's such an intoxicating idea for longtime acne-sufferers that we can't help but reach for the rings: Normalized skin, possibly perfect skin, FOR LIFE. And moreover, ipso facto, the ability to lead a normal life. I applaud anyone who is brave enough to take the gamble. Here now, I'd like to briefly list products that helped me: Cetaphil Gentle Daily Cleanser (and moisturizer): For the love of God, please ditch anything classified for acne-prone skin during this time! No fragrances, and no SA or BP. This cleanser feels like washing with a light lotion, and it was the only thing my skin would even halfway tolerate in its most irritated phases. Jojoba Oil: I added a couple drops to my Cetaphil moisturizer. Because it's so structurally similar to human sebum, you might find (as I have) that it's the least comedogenic oil. Cortisone 10 Cooling Effect cream: Any cortisone cream might block pores, but for red-face monster emergencies this was the best. The anti-itch/anti-inflamatory cortisone is paired with a mild analgesic that feels cool immediately (honestly!) on contact with skin. Fish Oil supplements: I didn't expect this to have any impact, but I noticed decreased dry spots just days after beginning use. 2000mg at least, 3500mg optimally. Beware, I've read this is not a winner for all! Do your own research before trying. Final Note: I will update this review at 16 Weeks. In the meanwhile, I invite anyone in the middle of this insanity to post or message me. Retina A affects everyone so individually, but I believe there's strength in commiseration and/or personal advice. Hang tough! Hang gracefully!
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June 17, 2016
Sweet baby Jesus!!! ITS LIKE YOU ARE ME. Our skins are twinsies!! You have given me so so much hope. I am in week 7 of retin a micro and its like a volcanic eruption! Some are healing but I still have 2 that are really lurking underneath like a skin jaws. I am seeing perfect skin outside of my acne spots so that's giving me the drive to continue this torture. Going to work or out in public is so f'n terrible. I will try to jojojba oil to help with moisture also. I also switched to cetaphil cleanser which helped sooo much. I can't wait to see your 16 week review. Seriously thanks so much for this!!
May 16, 2016
good
i used to take roaccutane to treat my skin, and it lasted only for 2 months as it caused severe dryness to my skin. i stopped, and changed my skincare routine. i use cetaphil cleanser and retin A at night only. give it 2 weeks and u will see a lot of difference in your skin.
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March 29, 2016
it works, but will take a while
The first time I used Retin-A was over a year ago, and I remember using it for about 2 weeks and wondering why nothing was improving. However, my doctor told me to give it another shot, but to wait it out this time. I had moderate acne, mainly just the small red pumps down my T-Zone but especially on my forehead. I started Retin-A around mid October (2015) and began peeling terribly and getting really bad acne (a sign that it is working; it has to get worse first) that peaked around early December. It was really a terrible time for me--I tried so hard to hide my acne and and didn't want to go outside or face people directly because it got so bad. But I stuck with Retin-A and by January, most of the pimples had disappeared, and I just had some darker marks left over from the acne. Now, it's almost April, and the scars have been gradually fading away. TL;DR: Retin-A really works, but you have to be consistent with it even when the acne is getting worse.
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March 27, 2016
i love it!
hello everyone! for the past few months I was suffering with horrible big pus-filled acne and I had try everything to cure my acne. It was such a long journey. I have never been so happy as I am now because my skin is now clear and there is only acne marks left. my routine is, on the morning I wash my face then apply benzaz ac 5 gel on my acne area. just apply it thinly. then after 30 mins, apply moisturiser. on the night, i apply retin a cream. 0.05. my skin started to clear after 1 monts of using this routine. besides, to avoid the initial purging I took doxycycline for 1 month only. I promised myself to write a review here and inspire others to be patient and wait for the result. I am so happy and grateful for what I am now. be patience because retin a is amazing. seriously, I really love it.
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January 29, 2017
Do you start this daily or every other night for the first little bit?
March 6, 2016
Decent product
Currently suffering from mostly acne marks, but i still have a few pimples. Am 22 now and have had acne for years, the last 4 years i've been getting a ton of leftover acne marks. My acne marks are on my lower face (cheeks/sides of mouth & under my chin) My dermatologist prescribed me Tretinoin microsphere .04% and clindamycin phosphate topical lotion 1%. Been on it for almost a month now (i use tret every other night and clind every morning), only change i've seen is my skin has gotten smoother but my acne marks are still there. I do believe they are fading but i'm not sure if its the medicine or just time. (I've had these marks for easy a year) I am also taking 500mg of Vit-C twice a day so that may be helping it as well. I do believe the clindamycin has really helped me stop breaking out, ive only got a few pimples now. I do have a question about the Tretinoin, everyone is saying they have a 'purge' but i've been using it for almost a month and have not broken out at all (not like i have a problem with that though!) and ive only gotten peeling skin a few times. Is this normal? I'm not sure if it's working or not.. I took this stuff years ago and the first week i broke out horribly, so maybe now i just don't have as much 'junk' in my face?
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February 29, 2016
Good product for moderate acne
I like this product. I had been using Retin-A Micro which was working fine but it left some dry patches on my skin. When I told my dermatologist she prescribed me Atralin in place of the Retin-A Micro. I think they work about the same but the Atralin doesn't leave dry patches on my skin - unless I get it near my bottom lip, but even then it's no big deal. Of course, my skin is still a bit flaky the next morning but that is just what tretinoin does. I like the consistency of this product - it is very easy to apply, and once it dries, it is very easy to apply lotion on top of it. It also helps blemishes go away more quickly. The reason I only give it 4 stars is because it does not keep me completely clear. I still get a few breakouts on my chin, cheeks, and forehead. So, this product certainly hasn't been a miracle for me, but It has worked better than the MANY others I've tried so I'm going to keep using it. A few notes: It does make your face look shiny after applied, but that should not be a huge problem because your dermatologist will most likely have you use it at night only. Secondly, this product contains fish protein ("fish collagen hydrolyzates") so if you're allergic to fish this might not be a good product for you.
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February 25, 2016
Not quite 5 stars yet, but getting there!
I started using Tretinoin 0.01% gel 16 days ago (i know not long), but my active pimples on my cheeks are so smooth now! There is still scarring/discoloration, but i am very impressed. I read a lot of reviews saying that your skin will purge, but mine has done nothing but improve everyday. Makeup applies so much smoother and evenly now! I am obsessed and pray that this continues to clear up my face. I would recommend to anyone! PS: I was putting rubbing alcohol on my face as a spot treatment prior to using this prescription, that may be why i didn't have the initial "purge". Also, I read that the gel is better for acne because the cream may clog pores (just FYI).
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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.