Topical Retinoid
Reviews
3.4
1972 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 11, 2007

Pros:

i think it is working ( but with a prescribed wash wash AND anti-biotic, who knows what is really doing it!!)

Cons:

expensive, but a little dab will do ya!, VERY DRYING when used in conjunction with Brevoxyl creamy wash

i think it is worth a try
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May 19, 2007

Pros:

Effective. Easy to use. No cost.

Cons:

Sun sensitivity. Initial worsening of condition, which is virtually unbearable. Flaking of skin.

You think you were embarrassed before you got treatment? Wait til you have to keep using it while you watch your face turn into a disaster area. A few times I wouldn't even leave the house. If you can put up with that it is extremely effective but only if you keep using it.
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May 14, 2007

Pros:

Firmer skin

Cons:

Broke out worse than ever before in my life.

I started out with just a few zits but wanted them to completely go away. After having this prescribed, I noticed my skin clearing up for the first 1-2 weeks. After that, I entered what they called the "it gets worse before it gets better" stage. My face broke out so horribly...I was so embarrassed but kept with the treatment. Supposedly it should have cleared up after about 8 weeks. After 8 weeks, I still looked awful, but decided to stick with it anyways. 12 weeks later, I still looked HORRIBLE. People would ask me what was wrong with my face and why I looked so bumpy and red. I finally decided to stop using this treatment. I was just too embarrassed to keep going with it, and figured if it didn't work after 12 weeks, it probably wasn't going to work for me at all. I really thought this was going to work well, but it didn't. My patience definitely wore out.
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May 13, 2007

Pros:

Slightly helps, doesn't hurt the skin as much as other harsher treatments.

Cons:

Leaves skin feeling oily, doesn't help acne too much.

This didn't help me too much.
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January 21, 2007

Pros:

I have been breaking out since I was 13, and I am 24 now. I used this when I was in high school and never used it everyday like required. Now that I use it every night I don't have any acne problem at all. (knock on wood)

Cons:

The initial breakout sucks, but you can handle it. I'd rather have a short period of time breaking out, instead of over 10 years of breaking out from not using this product on a nightly basis.

The only reason I went to this website is to let people know to stick with using this on a regular basis. Whatever instructions are given by this medication and by your dermatologist LISTEN. I could have stopped acne in it's tracks years ago if I would have just followed the directions, and not freaked out when I started the initial break out. People compliment my skin all of the time, and I love my skin as well for the first time in years!!!!!! I do take Yasmin, and use only Cetaphil and Neutrogena products.
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January 12, 2007

Pros:

my skin cleared up in under a week!!!!!!!!!!

Cons:

dries skin out and when you put mosturizer on to make the flakiness go away it burns.

it works sooooooooooooooooooo good, especially if you only have mild acne because it wont make you intially break out very bad
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December 27, 2006

Pros:

Works great on acne and oily skin, bonus helps speed up production of newer skin and reduces the look of scars and sun damage

Cons:

some redness, peeling and itching is to be expected, my skin also got more oily because this product expels oil from within the pores and does not allow for it to settle there and solidify into blackheads/whiteheads which clog pores and cause pimples

this is a long term treatment, don't expect miracles overnight, use sparingly and if your skin gets too red and sensitive try skipping a day, wash with a mild cleanser, to save money I buy J&J Baby Wash, 444ml for approx $5.99, it does not contain irritants, dyes or perfumes. I've been using retin A for over a year now, it has flushed all impurities out of my pores, this product is excellent for people with very oily skin but I would not recommend it to those who have acne lesions or cystic acne simply because it would irriate the condition and make it worse, in which case, one should see their doctor first. Now that my blackheads have cleared up, I have switched to a benzoyl peroxide product to keep my skin in check, furthermore, regardless whether or not you are using medications, STAY OUT OF THE SUN OR USE A SUNBLOCK OVER 40SPF !!! Your skin will thank you for life :)
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December 22, 2006

Pros:

No known pros.

Cons:

Made acne worse. Burning feeling. Peely.

Only made acne more irratated. Face felt like it was on fire and hurt. Dries out skin, but moisturizing made it worse. catch 22. The tube has about a 3 month supply. Never put on right after washing. You must wait 20-30 mins to apply. Even if its 3 am and you're about to fall asleep. you will get increased side effects if you put retin a micro on after washing your face.
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December 2, 2006

Pros:

At first I could feel it working deep in my skin. I thought, Hey! after a few months this could really help!

Cons:

I've been using it for six months and it's not helping. It might actually be making it worse.

I'm looking to switch to something else. Some of my friends use ProActive, but I think it's too much to pay for such a tiny bottle and pimples only on my chin, upper lip, and forehead (I don't get any on my cheeks). I've heard about BenzaClin, and I've never used a topical antibiotic before. Benzomycin also sounds good. These have been used in combination with glycolic acid and have positive effects for a lot of people in online medical journals. Can anyone give me any advice?
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October 18, 2006

Pros:

Definitely worth sticking with it.

Cons:

Made skin worse before it made it better.

I a 24 year-old woman -- I began to have moderate acne when I was 19 or so -- lots of red spots around my mouth, chin, and jaw-line. What finally worked for me was a combination of desogen birth control pills, clindamycin lotion twice a day, and retin-A micro once a day. It was a challange to stick with this regemin, as the retin-A really irritated my skin (painful, red, flaky skin). Also, my skin would go through cycles of getting better, and then getting worse (as the Retin-A sloughed off more and more layers of skin) -- but after about 6-8 months, my skin is perfectly clear! I found it is really important to use the cleomycin twice a day (once does nothing). I would wash my face, wait at least 10 minutes, apply cleomycin, wait at least another 10 minutes, and then apply about 2 pea-size drops of retin-A micro. If my skin became super irritated, I would drop retin-A usage down to once every 2 or 3 days. Good luck!
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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.