Tretinoin
Read All About Tretinoin
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December 5, 2017
Awful month but there is a light at the end of the tunnel
I faced problems with acne through all my life and now, with 26 years old, I'm still with the same issues (the only notable difference is where the pimples grow). I have adult acne (hormonal acne) and this condition started to really bother me at the beginning of October; I was with 5-6 cystic pimples in my chin and left cheek. So I decided to seek for a 'birthcontrol pill' free treatment (side effects sucks) and went to the dermatologist. She prescribed me 100 mg of spironolactone and topic tretinoin 0,25mg/g with clindamycin fosfate 12mg/g. I was really excited to get rid of this problem, but actually, It just get worse. I've had the WORST breakout ever (a lot of cystic acne and some pustules), and was facing dizziness and fainting sensations due spironolactone. The conclusion: the side effects of spironolactone&tretinoin were worse than taking birthcontrol pills. Through all the month, I was sad, kind of depressed and with painful acne. Last week I visited my dermatologist and my gynecologist, I'm now taking Diane-35 (hopefully I'll switch the pill in the future), a lower dosage of spironolactone (50 mg), doxycycline (100 mg) and topic tretinoin. Since then, I had zero breakouts and the appearance of my skin is slowling improving, so yes, I'm seeing a light at the end of the tunnel. Apart from the prescribed drugs, I've made some daily changes that also seem to have helped. I'm using FPS 60 (I was using FPS 30 before) and I always manage to cover my face when I'm outdoor, I'm really engaged in moisturizing my skin and this really helps!!!!! I'm using this gel moisturizer with thermal water, 2 times a day. Also, it's REALLY important that your skin is completely dry when you are applying tretinoin. Finally, I'm trying to avoid dairy products (so sad). To put it shortly: if you're having a bad time with tretinoin, try to moisturize your face frequently, use high FPS sunblocks and apply tretinoin only when your skin is dry. And also, keep in mind that stress affects your acne situation and the picture can really get worse (try to relax). Hope it helps. (Sorry for my english, I'm from Brazil :) ).
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December 22, 2017
What is the moisturizer called that you use?
October 13, 2017
Good stuff
Tretinoin cream works pretty well for me when I've used it. I'm fortunate not to get much peeling skin and redness from it- just some dryness, but I don't always use the the product straight up on my skin (I mix it with a bit of moisturizer if my skin already feels a bit dry). It never cured my acne completely but when I've used it I've noticed a big difference in the number and severity of my acne lesions- enough for me to really recognize the difference in my skin.
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August 23, 2018
Watch out with using it together with a moisturizer! It's recommended to apply the tretinoin without anything else because it could interfere with each other and make the tretinoin less efficient
September 16, 2017
Mild acne and sensitive skin
I used Retin A 0.05% cream for two weeks and got clear skin after one week. I didn't have harmful effects, except that my face got darker and red, even though I took every precaution (sunscreen/hat). I live in a very sunny place, so definitely not worth it. Advice: I've been using Glycolic Acid 10% Lotion. Its not abrasive, I dont wear sunscreen and my skin is amazing.
December 5, 2017
U got darker as u got inflammed because of it's strength or u might applied more than what it was recommend (pea size for the whole face!) .. the darkness is a sign of a healing process after the inflammation .. try using it once a week and see how it goes at first, if u can handle it move to twice a week max as u r having sensetive skin type.. when u use it once a week at the beginning don't apply it for the second time unless u have stopped peeling from the previous application and you are not having any sign of irritation.. i learned doing this in a hard way
December 5, 2017
And yeah while using it don't use any other harsh product.. even the soap or the cleanser, use a gentle one
August 16, 2017
Strong, works fine
I have a higher dose prescription for this, and have been using it nearly every night for 4 months. It initially dries your skin out very badly, and then within a few days the pimples are pretty much gone. However, I found that after a month or so it stopped working and was pretty much pointless. I wouldn't recommend it for those who have moderate to severe acne.
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July 24, 2017
Don't regret
I was prescribed Tretinoin .025 cream in November, the cream almost completely cleared my skin within the first two weeks with just a few tiny spots. However, lots of redness in the cheeks, and dry lips came along with this. The cream worked very well for the first 8 months but I started breaking out a lot in the summer for the past 4 months and it's just not working for my hormonal acne since I'm a 17-year-old a boy I have a lot of that around my mouth and cheekbones in this season. I think the cream works well in the winter and the gel formula will be better in the hotter months. during this time on the medication, my forehead, nose and temple areas have been completely clear. this is a good product but not for me so I will be changing now, I don't regret going on this and I recommend you try it for yourself.
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June 18, 2017
Stopped working
I was prescribed tretonoin .025 cream in October, and it took about a month to kick in. I had the usual drying and peeling for the first couple weeks, then my skin started to really clear up. I have terrible hormonal acne around my moth and chin, and I enjoyed about 5 months of clear skin with this cream. Around april, my skin randomly started breaking out again in the same places it used to. I got the stronger 0.05 prescription about a month ago, and my skin has only gotten worse. I am also on ortho try cyclen lo birth control, and that is supposed to help but it isn't. Is anyone having an issue with this cream not working anymore?
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July 24, 2017
I had the same issue, I think in the summer months the lighter formula the gel version of tretinoin will work well.
July 29, 2017
Ortho tri cyclen mAde me break out terribly!! I went on it for acne and had to switch because I had so many cysts from it!
August 16, 2017
the same thing happened to me i used it for a year and it worked great but then after a while it stopped working.. ugh
May 25, 2017
Stick with it!
My doctor prescribed me birth control and tretinoin .025% around 2.5 months ago. I have been using tretinoin every night pretty consistently besides skipping a night here and there to not let my skin get too "used to it". I was pretty much traveling overseas all of last month, and my I tried my very best to stick to the same regimen. Fortunately, my skin did not freak out! I was in humid and warmer locations-- which definitely benefited my skin along with the tretinoin. While abroad, my acne cleared up and my face was SPOTLESS. I went from having severe cystic acne along my jawline and a few on my cheeks to having nothing! The only thing that's left are hyperpigmentation. Since I've been back (3 weeks) in the states, the transition has impacted my skin a little. I've been getting a few cysts on the lower part of my face, but they don't last too long. I think my body is slowly adjusting to the climate, food, and schedule overall. I am praying it gets back to as clear as it was abroad. My mom has been complimenting my skin every day saying it doesn't look as red or bumpy anymore. I can also see how flat my cheeks are compared to how it was before the medication. I can't tell if it's birth control, tretinoin, or the combination of both working. Either way, it's a positive outcome! Two months on it, and I'm seeing improvement. The number one thing I've been working on is to keep my schedule as consistent as possible. Sometimes sleeping later than usual will mess up my skin. I can't wait to see the results in two more months! I heard it takes atleast four months to see full results.
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May 19, 2017
6 Weeks in
Hey guys! This is my first time posting, but I know that when I first started treatment I was hungry for accounts of other people's progress. I am now 6 weeks in to using Tretinoin cream 0.025% every night before bed, and am starting to notice significant progress. I did experience an initial breakout starting around week 3, and I knew that it was the purge phase not a bad reaction because the breakout was confined to the area I already broke out in (my cheeks and chin) and the skin around the new breakouts was looking better than before. Now, I only have 3 newish spots, and they are all drying and on their way out. The pesky dark marks acne leaves behind are starting to clear up! My skin looks airbrushed like it hasn't in so long, and the end is in sight! I am in no way all the way clear yet, but I feel like give it another two months, and my skin will have done a major turn around. If you're in the initial breakout phase or just starting out, have patience, and if you are worried about a reaction you're having to the cream, call your doctor-- they'll be able to tell you if it's a bad reaction or just the purge. I also wanted to say that to deal with the initial breakout I've been using Lush brand masks, in particular cosmetic warrior (smells bad but so worth it), and catastrophe cosmetic. They both really helped me to get through the rough patch. Good luck guys! I hope this helps.
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May 9, 2017
Is IT WORKING or is it NOT?
I'm a female student, almost 15 years old and I HAVE REALLY TERRIBLE ACNE. A lot of acne scars, deep clogged pores and freakin loads of whiteheads. Decided to opt for the retin-a treatment. I did some research before getting myself two small tubes (0.025% strength) for $16. It would have been $50+ for already two tubes if I were to get it from a doctor here in Singapore. So I used a Cetaphil Gentle Cleanser recommended by some people here before waiting for another 25/30mins and applying the tretinoin. Applied moisturiser for the first two nights before realising that it does nothing. [BTW, applying the cream was like applying a regular cream. No stinging/irritation. This continued for almost a week where I DO NOT EXPERIENCE REDNESS, PEELING/BREAKOUTS LIKE OTHERS CLAIM TO. My skin was still the same. I could also be outside with the sun facing at me without experiencing terrible sunburn and no sunblock/moisturiser with SPF is needed at all! What is happening? Is there something wrong with my skin or is it the RETIN A? [BTW, the retin-a isn't expired, the seller who sold it to me got it recently from somewhere in THAILAND]
June 9, 2017
the tube you got is not strong enough, you need to go see your doc and get a prescription for .10 strength, and I got the gel it is strong and your face will definitely peel and look BAD for several weeks, your face will be very sensitive and every time you apply the gel it will STING. my face look horrible right now i'm on week 5 but I can tell the medicine is doing what its suppose to do.
April 29, 2017
Tretinoin has prevented my acne from worsening but not much else
I have been using tretinoin on and off since 6th grade. I have only used 0.025% and while it has prevented my skin from getting much worse, it hasn't actually helped get rid of my acne. I am now a high school freshman and I think I'll give accutane a whack after trying every product under the sun.
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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.