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:

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July 19, 2016
Eh
It cleared me up for about a week. It's great for Anti-aging, but not for my stubborn, hormonal acne.
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July 11, 2016
Be patient!
This is the best thing that has ever happened to my skin. To avoid the purging stage, you really have to be patient and start slow along with following the instructions that come with the product. I started with 0.5% and I applied it three times a week, and then every other night until I could apply it every night. Just see how your skin reacts the day after you used retin-a. If it's red, itchy, and aggravated then wait until it's back to it's normal state. Once your skin is free from any kind of discomfort, then apply it again. This is what I did and my skin got accustomed to it without being irritated anymore and I am on my fifth month. Some extra tips: Use a very gentle cleanser that doesn't really dry out your skin. I use spectro cleanser as it doesn't have any sulfates or fragrances. Wait 20 minutes then apply retin-a, let it dry, and wait 20 minutes again before putting on moisturizer. Again, use something that's really gentle and extremly hydrating like the first aid beauty ultra repair cream or the cerave moisturizing cream. Hope this helps!
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July 9, 2016
Not a miracle, but still hopeful
Please see the update that I posted under comments. This stuff has destroyed my skin. I am not sure if it will ever recover. Please note that I didn't have red, peeling, or irritated skin while using it every other day. I followed all of my derms instructions and followed up with them monthly. I can't believe that I am writing this, I really thought this would work for me. I am 36 years old, female and have sensitive, acne-prone, oily skin. I have been using Tretinoin 0.025% Gel for 6 months for moderate inflammatory acne caused by taking oral steroids for a medical condition. OK, so, the Initial Breakout was brutal and lasted much longer than I expected, started at about week 3 and lasted for months! My skin is not yet better than it was before treatment (getting there though, hopefully, I don't know, it seems like acne comes in waves, right?). My pores appear larger than before and I am getting indented scars frequently, my skin has always been acne-prone and I have never scarred before. My Dermatologist says that this does not promote scarring, but I am not so sure. These scars may have happened anyway, I don't know, my acne has never been this bad before. I tried to use this every day, but ended up with an irritated-orange-peely texture, this is much better after switching to every other day, though the texture still is not normal. It definitely peels a thin layer of skin off and reveals newer skin with every use, a very good thing. It also brings closed comedones to the surface quickly. This is definitely not a miracle cure, but it just doesn't seem like there is one when it comes to acne... I do see glimmers of hope with this, but I think that it takes a very long time and must be used in combination with other treatments, especially for people that have something internally driving their acne.
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September 25, 2016
Hi, how is your skin now. I'm just going through just the exact thing and i tend to think it's not working and wondering about quitting it. Please let me know how is your skin now
October 8, 2016
Hi Archana_ess. I just wanted to add an update. Retin A has destroyed the texture of my skin, enlarged looking pores, orange peel texture, reactive skin. This is just plain ugly. I don't know if it will ever improve. This is not listed as a side effect but others have had this same experience. My skin was never cleared of acne on Retin A, it only got worse and worse. It also made my skin scar much more easily. I discontinued it 9 weeks ago. I will say that Spironolactone has cleared the acne by about 90%. I used to get it all over my face, now it is mostly on my chin, is much smaller and is much easier to deal with. This texture though, I don't know what to do and I am much more depressed about this than I was with the acne. It just doesn't seem possible that this could ever go away. I know lots of people have great success with Retin A, but I cannot recommend it. I wish that it had never touched my face. I hope everyone else has better luck than I did.
April 19, 2017
Hi Sararey, have you experiencedone any improvement or found remedies for your skin texture and pores? I endured the same exact unfortunate experience with retin-a. It's tough to watch our skin transform for the worse when we were only trying to be pro-active and make positive changes.
June 21, 2016
A lifesaver!!!!!
The best thing I ever did was go to the Dr and get prescribed tretinoin!! Don't spend money on bogus cleansers and acne treatments that don't work, go straight to your Dr or dermatologist and get help!! This stuff has almost completely cleared me up, I'm 24 years old and had hundreds of blackheads and closed comedones and as a result was constantly getting inflamed pimples. I was put on tretinoin 0.05% (Stieva-A brand, not retin-a) and within 3 months I could see a huge improvement. The only thing is that my purging stage on this treatment was terrible, I broke out so badly. I did also peel quite a bit but with a good moisturiser it wasn't nearly as bad as I was expecting. In the end I would do it all again if I had to. I've been using it for 4 months now and am about to go up a dose to the 0.1% just because I can. Get this stuff asap, you won't regret it!!
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June 29, 2016
Im currently going throught the purging period... or at least i think I am. It's been close to 2 months. I was wondering how your purge period was since your skin seems pretty similar to mine
June 30, 2016
how long did it take for the marks from the purging to go away? :( I'm at 2.5 months and i have marks from my purging period
July 23, 2016
To ease the purging period, use coconut oil as a cleanser and tea tree oil as a toner. These are both antibacterial and help counteract the effects of the "purge". Also, vitamin E oil is great for those nasty dry spots you can get around the mouth/nose area.
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 26, 2016
12 weeks on retin a
I've been using Retin-A (generic brand tretinoin) for around 12 weeks now. I don't want to sound pessimistic but I don't know what to do anymore. I only really break out right smack dab between my eyes and above my eyebrows, but for the past few months I am still left with pimples and pih left over from pimples that are super stubborn and won't go away. I've become very discouraged because I thought 12 weeks was when I would see improvement, but I haven't. In need of advice and encouragement... I only use once every other day right before I go to sleep, always at least 30 minutes after I have dried my face from showering. I just can't look people in the eyes because all I can think about is them staring at the mess all around my eyes. I hope to continue retin-a but I'm scared it won't be worth it
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May 28, 2016
Maybe you should start using it everyday now.
May 31, 2016
I have started using it everyday but I know it's too soon to know if it's really improving. If anything though, I'm just breaking out even more. I want to continue but it's been 3 months with no improvement. I feel stuck.
June 4, 2016
Are you using the cream or the gel? What strengh?
June 12, 2016
I am using the cream, .025%
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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May 11, 2016
miracle worker
I started retinA the first time round in October last year, it cleared me up completely by December/January and by feb most my hyperpigmenation was gone!! I was so confident and happy with my clear skin... STUPIDLY after I finished that first tube, my skin was so good i just assumed i didn't need to carry on with the retinA.. BIG MISTAKE. About 6 weeks ago I noticed my skin was breaking out bad... covered in tiny white bumps all over my cheeks, and some even got badly inflamed and larger. So I went to doctors and got back on my original retinaA. I started this 4 weeks ago, first week did nothing just peeled and was looking like a tomato.. week 2-4 bad initial break out- cheeks were covered in medium sized pimples :( guessing this was and is the initial purging stage. But I'm so determined to stick it through as I know this worked before, my advice to anyone is don't pick spots, stick with it even when u feel super depressed and low, I had 2/3 weeks of this :(,In the long run it will be worth it. Defiantly recommend!!! Btw I had tried so many products before this and this is the only one thats ever helped my skin. Good luck my angels x
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May 6, 2016
it works
Works for a while, then I got acne back on my chin and back. Not worth it.
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May 10, 2016
how long did it take to see improvement?

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.