Tretinoin
Read All About Tretinoin
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August 12, 2013
Works wonders, if you know how to use it!

Pros:

Cleared my acne
Cleared my hyperpigmentation
Shrunk pores

Cons:

Have to consistently use strong suncreen
Can be drying/redden/sensitize/flake your face
Might have a purging period and take a while to work and discouraging for some

It was nearing the ending of summer and I was desperate to rid myself of my pimples & blackeads before school started. I came by Retin-A coincidentally from my sister, before then I had never heard of it. And, being an ignorant loaf, decided on the first night to load it on like spot treatment... That was singularly one of the most horrible skin care decision I ever made. The next day, I litterally woke up to my whole face shedding like crazy! I was also red and irritated like hell. Of course I stopped using it immediately. It took my face 2 days to heal from all the burning, flaking, and irritation it wrought upon my poor face. My pimples were still there, however it did make my face a little brighter, something Dan's BP didn't do. That's when I decided to smart up and actually read(I don't know what I was thinking before... Geez) about what I put on my face. So yes, it turns out retin-A is amazing an does all these cool things to your skin by pushing out all those dead cells(which causes the flaking) and can be used as an anti-aging cream. But I also read about the horrible purging period, and all the irritation, flakiness, and general depression people went through before their faces got better. Was I really going to go through all of that torture? But I wanted my face to improve forever, right?? I live in Southern Cali, what if my face burns like crazy??? Well, I absolutely did not want to go through any of that "purging" period at all, I had school and I can honestly say I'd rather not bask in the humiliation it wrought me. But I still wanted to try Retin-A, since I had a lot of hyperpigmentation, which it had proven to lighten, and due to all of its rave reviews. So the only solution was to go SLOW. Now I know many of the reviewers have used this about 10+ months before anything got better, but I can say that that my skin positively improved with retin-A cream 0.04% within 2 months. I am also on tetracycline(hormones) and spironolactone(oil control), but retin-A had been the defining factor to having almost cleared 99% of my acne and scar/hyperpigmentation. My hypothesis is that what causes the purging period is how irritated and flaky your skin is, which causes more pimples and horror. It is also because retinoids HIGHLY POTENT, so your skin is definitely not used to it. The trick, I found, is to go slow, and to heavily moisturize. I used to have incredibly oily skin, but I brought that under control with spironolactone. Some of you might have problems with really oily skin if you don't moisturize properly when using this!! So my regimen to avoiding the purging period was: 1. Wash face(I use some generic liquid lather) 2. Wait 10-20 mins 3. Every other day ONLY AT NIGHT: Heavy moisturizer 2-3 drops jojoba oil Pea-sized amount of retin-A cream 0.04% I mix all of those on before putting it on my face gently. In the mornings I use a moisturizer with at least 30 SPF and 1 drop of jojoba oil(too much makes me shiny) before putting on my make up if I'm gojng out. I also moisturize daily with either a heavy moisturizer or jojoba oil or a mixture of the two. Now I've read that retin-A is less effective if not put directly on your dry skin, but take into consideration that this stuff is SUPER STRONG, and you will notice the difference either way! Also always use it at night, because sunlight decays its effectiveness. I initally thought using this while goin to school everyday would suck, but my skin is flake-free, irritation-free, and brighter than ever! My pores have also gotten subtly smaller, and my blackheads have greatly lessened out. I do get some dry spots and redness when I'm careless with moisturizing/sunblock, but this stuff really, really works. If you find the right way to use it that suits your needs, it WILL improve your acne. Acne: moderate to sever
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June 25, 2013
retin a is my lifesaver

Pros:

complete clear up
better self esteem

Cons:

beginning dry skin painful
use to much it burns
dont let the cons or babies scar u

i had horrible acne all over my cheeks and neck and i finally asked about retin a. i put a little on every night and my face started to look really dry with skin peeling but my doc said that was normal. it was more normal after a month and my horrible cyst like acnes was gone. one time i carelessly used to much and it burned sooooo bad. i was iceing my face for releif. so use a tiny amount. barely any. i used retina for a year or less and quit using it and the acne never came back. its weired because ive been plagued with it since 13 and didnt start using it till 23. your face will be sore and embarrassing for the first part but acne is embarrassing anyway. i say go for it. what do u have to llose.
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May 27, 2013

Pros:

Clears skin
Shrinks Pores
Evens out your skin tone

Cons:

First month or two are incredibly painful
Bad initial break out

I've been on Retin-A micro for over 4 months now. I've always had acne and unfortunately it runs in my family...in high school I would get the occasional zit and I never really followed a skin care routine. When I was about 19, I started getting horrible cysts and other types of acne all over my face....which then led to scarring for the first time. I went and saw a dermatologist once, but my hopes were too high and gave up after the creams she gave me didn't work. I would just cover my face in makeup since I thought there was nothing I could do since everyone in my family has had acne at some point in their lives and grew out of it...tanning seemed to be the only thing that helped, yet I gave that up over a year ago as well. I'm now 24 and I finally decided to find a dermatologist who would be determined to help. She saw my skin and immediately put me on Retin-A micro .1% to use at night and Acanya gel for the morning. Now I have heard horror stories about retin-A and let me tell you...they're 100% right. The first month was awful. I got huge zits that I don't even think there's a category for and I had to ice my face every night. I know I immediately started on the highest strength but I asked for it and I was aware of the pain I was about to endure...I was desperate! I felt insecure caking on makeup everyday (I only wear Clarins and MAC) and acne was the ONLY thing that made me feel this way. After the 2nd month, I started Photodynamic therapy which only led to more pain and icing my face....I waited a whole week to put my retin-A on again but I didn't give up and stuck it out. The second photodynamic therapy session wasn't as bad and I even applied my retin-A the night after the procedure. I started taking spironolactone since I was still oily and that helped IMMENSLY. I'm going in this week for my third photodynamic therapy session and my skin is better than its ever been since my teenage years. I only apply a little bit of powder for makeup now instead of caking on liquid foundation, concealer, powder, etc...I don't need all of that crap to hide my face anymore. I'll still get a small pimple here and there and I'm only 4 months in and I still have a long way to go. But it's true that it takes awhile to notice results and they're minimal at first. People are finally complimenting me on my skin and telling me how gorgeous I am....and it makes me want to cry since I'm FINALLY not hiding behind layers of makeup to make myself look good. BE PATIENT and yes, you are going to feel uglier and nastier during the first month or two....but stick it out b/c you WILL see fantastic results. Retin-A is always making magic and working underneath your skin so that's why you won't notice anything (positive) at first....but give the medication time to push out all of your impurities . We are all beautiful people on the inside.....give the retin-a some time so you can feel beautiful on the outside as well!!
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April 29, 2013

Pros:

Unclogs pores
Refines skin's surface
Fades scarring

Cons:

Difficult transition period
Stronger percentage cream not necessarily better
More is NOT better

It has been one year since I began retin a; 3 mo of .025% followed by 9 mo of .05%. With the exception of a small monthly breakout related to my menstrual cycle, I am CLEAR. I have tried: benzoyl peroxode, salicylic acid, glycolic and lactic acid peels, topical antibiotics, oral antibiotics, birth control, food elimination diets, lifestyle changes, vitamins (fish oil, zinc, vitamin c). The purging period lasted 8 months for me. My clogged pores turned into horrible acne of all varieties within a month of beginning retin a. I didn't think I would survive the first 6 months. I cried, my self esteem reached an all time low, and I was completely humbled. It was a blessing in disguise. My skin completely cleared around month 9, when I began drinking 1 qt of fresh carrot juice (5lbs juiced) daily. I had the same results as a course of Accutane, and now my hyper pigmentation is finally fading. It has been a long road and retin a requires COURAGE. The best thing I have found for my skin is to treat a breakout like a cold sore. Any manipulation of my skin spreads it, and even if I have a gross whitehead, if I leave it alone it will dry up and quickly fade without consequent breakouts. I wash my face with African black soap now, with a spray rose water-glycerine as my moisturizer. I apply hydrogen peroxide on a cotton ball to any breakouts then LEAVE IT BE. It will pass!! Just survive the transition (easier said than done) and draw on your inner strength. I know how difficult it is and I pray for relief for all of you.
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April 23, 2013

Pros:

great for anti-aging, great for shrinking pores, great for clearing regular acne but doesn't stop boils nor deep acne. Not until I started using Dan's regimen. Every night I apply his wash, wait 5 min, apply his benzyl, wait 15 min, apply 2 pumps of his moisturizer, wait 1 hour then apply Retin-A. My skin has not looked this good since I was 19. I started to get boils in my 20's I am 41now. Last 2 years my boils had to be injected with cortisone monthly. Derm wanted me to use acutane.

Cons:

It doesn't work well on it's own. I tried it with glycolic and also with salicylic acid but I kept getting huge boils that would have to be injected with cortisone.

I love Dan's regimen with RetinA. The retinA gives me a great peel to keep my pores tight and my skin looking bright and youthful. Dan's regimin and products stop acne in it's tracks and prevents new boils. This combo is amazing for my skin. Not sure if a lot of others could handle these two together as they are both very strong but my skin is flawless using both together. And the moisturizer is perfect although I do glob it on but it works amazingly well.
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April 15, 2013

Pros:

Completely clears skin
Gives a fresh glow
Cheap

Cons:

Red face for first few months
Constantly dry skin
Initial breakout
Takes two months to start working

I've had spots since I was about 15. As I turned 18 they got worse and worse up to now (I'm 20). My derm recommended this cream and I was unsure at first. It brought out hundreds of little bumps that covered every area of my face. Each bump was a small pimple that the cream had brought up due to clogged pores. My problem is hormonal but the pill hasn't done much for me. Six weeks in and I was still spot ridden and scouring this website for some success stories. By week 8 I had a few less spots, week 9 less again, until finally I gradually noticed I was getting less and less until there were none! It was a miracle to me and I'm so happy I stuck it out. Now 7 months on and I get the occasional spot but that's fine with me! Please give it a proper go. I've never tried any topical as effective as this and I couldn't bare to part with it now.
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April 6, 2013

Pros:

Over time, clears up skin.
Reduces daily oil build up on your face.
.05% is great for moderately oily skin.

Cons:

Is initially very drying.
Initial break out that lasts 3-4 weeks.
Causes sun-sensitivity due to thinning of the skin (so always wear sunscreen, even in Seattle!).

So this is my 3rd review of this cream. I wrote one about 10 weeks into my use of Tretinoin, and then a second after 6 months. I'm now at 1 year of using this medication and I could not be happier. Sticking with this medication is really difficult for the first 4-5 months, because you don't see immediate results and there is a lot of flaking. But don't be discouraged. I went from having lots of acne and comedones on my cheeks and chin, to having maybe 1-2 comedones develop every 2 weeks. Because this medicine thins your skin, any comedone is very easy to extract, if you do so gently. My dermatologist recommended only make-ups and face washes and face lotions that explicitly say "non-comedogenic" on them, and that has also made a big difference. I freely use lotions and sunscreens on my face in order to keep my skin healthy and moisturized, and because they are non-comedogenic they are very effective. Getting through the first months of Tretinoin was so difficult, but I would come back to this site every couple of days looking for success stories. They really kept me going, and I hope that you will read this account, and find the strength to keep going. It will pay off, and you will feel so confident and attractive. Acne is so emotionally painful, but it doesn't have to be anymore! SUPER IMPORTANT: wash your face at night (I use Cetaphil), wait 30 minutes for your skin to be completely dry, apply pea sized amount to affected area. Do not apply near nose or mouth, unless desperately necessary. This medicine will cause more burning/peeling and won't be as effective if you put it on while there is any moisture on your skin. Don't use it in the morning, it's a bit greasy and doesn't work well under make up. Just apply a moisturizer (I use CeraVe with SPF) in the morning and whatever non-comedogenic make-up you like, and go! Also, buy and use a Clairsonic, it is a bit expensive but it is great in the morning when you're washing your face... it will get the dr
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March 30, 2013

Pros:

No more red acne, zits.
With time blackheads eventually get pushes out of the skin.

Cons:

My skin get oily when I use this.
Sensitivity to sunlight.

Here is my picture for 11/1/2012 [link removed] Here is my picture for 3/30/2013 [link removed] I have also started taking birth control in December and I have recently cut out drinking milk.
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March 27, 2013

Pros:

Works great!
Hasn't caused any peeling or flaking.
Generic brand is inexpensive.

Cons:

None

I've only been using Tretinoin 0.05% for about a couple weeks. My dermatologist gave me the cream months ago but I was really hesitant using to use because of the possible side effects. In my case I dont break out on my face, my breakouts usually occur on my jawline and my neck. So when I finally decided to use tretinoin I was at awe how it completely changed my skin's texture. In my case I didn't have a initial break out which most do. My derm did admit that when one first begins using tretinoin they usually breakout the first week. But not in my case! Stay positive and make it a routine and you should be fine. Because clear skin is on the way :)
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March 25, 2013

Pros:

Works wonders
Clear skin

Cons:

Takes awhile
dryness
Flaking

You need to know that everybody is different. Some people see results in 2 weeks. Others in 3 months. The first couple weeks are the worst. Your face is flaking. Breaking out even worse than before. and your skin is red splotchy. But thats how Retin a works it peels off layers of the skin , and helps fight breakouts. And bring up all the acne that was going to come up anyways. Thats why people start breaking out alot. But that just means its working. After 4 weeks i saw results. Never been more happy with my skin today
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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.