Tretinoin
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March 5, 2016
Patience is a virtue
I've had mild to moderate acne since I was 14. I'm now 26 and still suffering. I've tried everything under the sun!! I'm on week 8 of Tretinoin .5 cream and let me tell you that you definitely need patience when it comes to this medication. I am red, broken out and dry. I've been using FAB Ultra Repair Cream for dryness and it's pretty helpful. Otherwise I've been super depressed because as we all know living with acne is embarrassing and terrible. Reading your positive reviews is extremely helpful and I'm trying to be patient. Hopefully I'll get some good results soon because I haven't been wanting to leave my house or look at anyone for the past month and a half. I'm just looking forward to the day when I can feel good about myself again.
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April 2, 2016
Just keeping you all updated I'm almost on week 12 of tretinoin and I don't have any active cysts just a few old scars. IT'S AWESOME. I also started spironolactone (100 mg) about 4 weeks ago, so I definitely think that helped and I've noticed my oiliness improving slightly. I honestly started tretinoin to get rid of my cray cray blackheads but haven't noticed much improvement in that department 🙃 So hopefully soon? I have also noticed that a baby laugh line I had is very hard to see now so that's cool. I'll keep updating.
May 8, 2016
I know it's difficult. I wish I found this product when I was only 26. I've had acne my entire life and it took until I was in my 40s for get prescribed Retina. I'm 50 now and still use it every night! I might get one pimple sporadically! I can deal with one zit a month! Hang in there and be patient like everyone says. You will be sooo happy with the results. One another positive note, You skin will stay looking much younger. As I said I'm 50 and do NOT have one, single wrinkle yet. Everyone thinks I'm in my late 40s. Retina is a life saver. Good luck to you hun!!
May 10, 2016
thank you for your encouraging words!!
May 10, 2016
i am almost on month 17 and still not getting the results i want. ive added spiro and birth control for hormonal acne so hopefully that helps!
February 25, 2016
Works very well
After years of being on various topicals and antibiotics, I've finally found the right combo of medications for my acne. I have cystic & nodular acne, but it has always just been a couple of active cysts at a time. My acne is pretty much limited to just my t-zone, which is super oily. The rest of my face is normal/dry skin. I currently use Retin-A at night, Finacea in the morning, and wash my face with over-the-counter salicylic acid face wash. I've been on this combo for about a year and a half and my face is 90-95% clear. Any pimples I do get these days go away quickly. They never turns into those massive cystic pimples I used to get. I am in my early 30s and am really glad that Retin-A helps prevent wrinkles. I don't have to worry about adding any other products to my routine. With Retin-A, less is more. Too much product will cause dryness, redness, and peeling. I (gently) use a rotating facial brush every morning to help slough off some of the flakiness. I also use a moisturizer every morning before applying makeup.
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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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February 10, 2016
It will test your patient
This product is legit, it took about 6 weeks to see noticeable changes, from week 1-4, it was hell. like HELL. I was near depression and could not look at people in the eye from my purge. But from about week 6 onward, it got better. I'm on week 10-11 at the moment, and my skin has stayed pretty good, no new white heads or any inflamed acne, just left with a dozen red/brown marks. Again, I'm being patient on the marks and do hope over the next couple of month I will have smooth and clear skin. I also took minocycline (50mg) and BP 2.5% (morning) as side treatment. Overall, highly recommended, makes you a stronger person too by testing your patient.
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March 24, 2016
did you apply retin-a everyday? can you please tell me your routine because we both have the same product.
February 1, 2016
Don't Fear THE PURGE, this treatment works
I have mild acne that I have been managing for about 8 years with BP. With BP I consistently had about 3 -12 zits on my face at any one time. So I decided I might try and get a prescription for something else and give it a try. After reading lots of reviews here and other forums I was terrified about looking like a pizza for a couple weeks after starting this cream. But here is the breakdown of how my results looked: Week 1: (Personally) Noticeable smoothing of areas that did not have acne. (Probably not noticeable to others) Week 2: Continued smoothing of skin without acne on it, some reduction of acne Week 3(My purge): My purge looked like a pretty regular outbreak, I got about 5 new zits that were of pretty average size and duration. Definitely nothing that would be extremely noticeable to those around me. Weeks 4-5: Acne fading continued smoothing of all skin. Weeks 5-16 (Present): Rarely have more than 1 zit on my face at any 1 time. Zits that do appear are MUCH smaller than average, usually clear up within 1-3 days. How I use this product: 0.25% Tretinoin nightly - followed by lotion 2.5% BP in the morning - followed by lotion If you've been using BP for a while I don't think you'll find this treatment too drying, I have a feeling that complaint comes from people who are generally new to acne treatment. This is not an overnight solution, it took about a month for my skin to be noticeably clearer to my girlfriend and people I hadn't seen in a while. At 3 months I was getting comments from lots of people about how clear my skin was. Finally, DON'T FEAR THE PURGE. Remember, most people who post on the internet about something like that are only posting because they had a horrible experience, the people who had average symptoms or no purge are unlikely to come back and post about it. My doctor assured me that most people have very mild worsening of acne at first if at all. So If I were you I wouldn't do it in a month where you have any special ceremonies like graduation or something like that. Otherwise, I'd say your safe to give this a go. My skin has never looked clearer, softer or more healthy.
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February 18, 2016
Hi! Your post has really motivated me to try this which I was prescribed over a week ago and have been too afraid to touch. However, did you wash your face with anything at night or just apply the retin-A? Thanks!
January 28, 2016
WORK BUT TAKE TIME
i started to have acne since i was 18 and tried many products but last year i went to see dermatologist and he prescribed me this retinA and benzac ac..to apply retinA 1 time at night everyday(whole face) and now it clears all acne i have been using this for 2 years..
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January 20, 2016
Does not work for everyone. I gave it 8 months, after Doctor follow up.
I will keep this brief. This did not work for me, and I gave it 8 months. I keep my washing regimen simple and I barely use makeup. I am 32 and have had moderately bad acne since I was a teen. Skipping forward, what ended up working beautifully for me was hormonal regulation by birth control and low dose spirolactone to block androgens. Perfect. I was on that from age 29-31 and it cured all my acne. Before that, I tried all sorts of topical and oral antibiotics with no success. I read and tried Retin-A. Gave it 4 months, then another 4 months after talking to a doc. My acne got worse, and worse, and worse. One guy mentioned chemical burns on this board. That was actually what I got!!!! At one point, my chin started pussing and scarring. That was at 7 months. I lessened my usage (every other day) and it never got better. Until I completely stopped. My face went back to baseline and I thought that looked wonderful compared to the horrible acne I had suffered while being "patient" on this. Point is, regardless of wonderful reviews from a majority, it does not work for everyone, even with a clean regimen and patience. Another point is, something else worked. I've stopped birth control / spirolactone because of future family planning. My acne is not ideal but manageable with $10 benzoic peroxide. That good old teenager stuff that works ehhh, but I guess I no longer care as much as I once did. Maybe not caring helped my face.
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January 17, 2016
Okay, whoa, I'm reading these reviews and really wondering why you guys are using such irritating stuff in your routine
Everyone, seriously. Stop using: -Tea tree oil (guess what? It's an irritant, regardless of it's anti-bacterial properties. Stop buying into all the marketing, and applying full-strength tea tree oil to your skin is a big no-no) -Toners (ANY kind, you don't need this anyway- Retin-A is going to take care of all that) -Foaming cleansers -scrubs of ANY KIND (INCLUDING WASHCLOTHS) -Salicylic/Glycolic Acid (because NO, these are not antibacterial, they are exfoliants. DON'T USE THEM AT ALL WITH RETIN-A) Start slow with Retin-A, every 3 nights at first. Ramp up slowly, and avoid applying directly near your eyes and around your mouth. These areas get the most irritated, and once the rest of your skin adjusts you can start applying it there. Those areas slowly start to adjust via cell communication, so wait for the cells to communicate and adjust before you start applying it directly to those areas. Retin-A is a miracle for deep, painful cysts. If you don't want to use Retin-A religiously all over, keep some on hand for the painful ones. It's a more effective spot treatment for those. However, if you are a female with deep cysts, talk to your dermatologist to see if these are more hormonal; birth control (or spironolactone) might be really effective for you. I've been on both Accutane and Retin-A, which if you are informed know they work in a similar fashion (but Accutane works systematically from the inside out). Your skin does not actually "thin", but it gets delicate on either drug. And as much as people talk about initial "purging" you can avoid most of it by just moisturizing your skin- BUT REMEMBER- IT'S BETTER TO MAINTAIN YOUR MOISTURE BARRIER THAN TRY TO REPLENISH IT. THE OIL ON YOUR FACE IS NOT THAT BARRIER. Any time you rub/exfoliate/dry out your skin, it takes a lot of time to get back to where you need to be. That's the "purging" you're experiencing- when your skin is delicate, dry, and irritated, guess what? That gives you acne and rashes. I prepped to take Accutane by keeping my skin moisturized and not being aggressive with it. And guess what? No "purging", no irritatedness. Flakiness only happened when I didn't use moisturizer. My skin was nearly perfect in 2 weeks and remained that way for the 6 months I was on it (and after). I wish I had listened to my dermatologist instead of buying into the fear people perpetuate on these threads about side effects. I shouldn't have waited until I was 30 to do it. DRY SKIN WILL HAPPEN, DONT WAIT FOR IT TO HAPPEN. BE PREPARED AND SAVE YOURSELF THE TROUBLE. Products you SHOULD use: -Vaseline (won't clog your pores, do your research) -Products with mineral oil (it doesn't clog your pores; that was a marketing trick in the cosmetic industry to get people to buy their products by creating fear over using mineral oil; but it's bull. Do your research, mineral oil is actually one of the best moisturizers for dry (and damaged or irritated) skin. -I would avoid Cetaphil gentle cleanser. Why? It has sulfates. Yeah. Read the ingredients, people. You can, however, use a micellar water (I really recommend Sensibio H2O, its non-irritating and you can wipe your skin without force, no need to rinse. Cetaphil requires that you wipe it off (or rinse it off, which frankly leaves a bit of residue) It's all I use to clean my skin. Bam. Thank you, France. You gotta treat your skin like you're a burn victim. Oiliness or not, okay? Are you guys listening? Please stop with the crap products (even the "natural" ones, which are frequently so poorly formulated I can't believe they're on the market) EVERYONE should educate themselves regarding ingredients- Go to [link removed] and go through the ingredient dictionary. LISTEN TO SCIENCE, NOT HYPE, and certainly not teenagers on this thread. Sorry for all the shouting; I'm worried you guys aren't listening to your dermatologists, or your dermatologists aren't informing you at all. TRUST SCIENCE NOT HYPE I can't stress that enough. //end rant/review
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January 23, 2016
Do you mind spelling out the link that you tried to include? It has been removed.
January 15, 2016
Emo teen recommends this cream
First off I'm a 16-year-old female with mild to moderate acne. I've been using Tretinion cream .025 since August of 2015 and went up to .05 in October, I've been using the 0.5 for over three months now and my skin has gotten a lot better although I'm still breaking out pretty bad before I get my period. So I went to my derm again today and she told me I have hormonal acne and put me on doxycycline and birth control. I heard birth control could make it worse.. But I was just wondering if it would for me, considering the fact I'm on Tretinion cream. And how long doxycycline would take to see results. but anyways yes, Tretinion cream does work. The first month is brutal with purging, redness, dryness, peeling etc. but once u get over the first two months it does get a lot better. :-)
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January 6, 2016
This cream works wonders!
This review for people who have really sensitive skin. I used to have this product on my entire face for almost year and it not only cleared my ance, it repaired the damages left by the ance. However, one day my dermatologist told me that Stevia A stopped the production of the cream and i was literally out of it. Next, my ance started breaking again. I was so desperate, i went for isolaz thinking that it will solve everything. It did help my skin kickstart the purging phase. Here's the nightmare, i did let my skin rest after isolaz. I jumped right right straight back to using tretinoin, AHA and differin. When i felt the dryness, i didn't care, i literally continued. Please don't do any of what i did. If you do any laser, chemical peel or any treatment, let your skin rest for that day and then resume back the pimple cream and glycolic acid the following day. The reason i say this is because by the time i couldn't stand the dryness and wanted my skin to go back to normal, it was too late. My skin was already so so dry. I literally took almost a year to get my skin back to normal. In fact, my dermatologist told me that it is harder to treat dry skin with ance and it is true. I went through this myself and i know it's awful. Back to Retin A, since it is back in production with Stevia A, i am using it now. My routine now: Dalacin lotion 0.1% (whole face) (morning and night) Differin 0.1% (morning) (whole face) Tretinoin 0.05% (nightly) (whole face) Retin A 0.1% (nightly) (over the bumpy areas) So one year later, i have decided to go back for isolaz. I have since gone for 2 sessions of isolaz and will be going for my 3rd session in 2 weeks time. It has been two weeks from the time i started my first isolaz and topical treatment as stated above. My skin have jump from feeling the many crazy bumps under my skin to whiteheads all over my skin and now to the disappearance of whiteheads day after day. I must say the purging came really fast with the isolaz. It was really scary but i told to just hang in there. The earlier the purging ends, the earlier my skin can start healing. Btw, i highly recommend you to try out isolaz if you want to speed up the purging process. It works far better than a chemical peel since this is for active ance. Also, my dermatologist said that sebum glands will slow down after the 4th session. I will update you guys on my progress after my next isolaz. Week 3 My dermatologist added an oral antibiotics and topical antibiotics to help reduce the severity of purging. I definitely do see a lot of the whiteheads and papules going away. However, new ones are still surfacing from the bumps under my skin Week 4 I can now confidently use retin a on the sides of my cheeks and top of my entire forehead without feeling dryness. I guess my skin has gotten used to it. On the side note, i noticed that more of the under skin bumps are appearing to the surface as well. Nothing huge or anything scary. Also, i am now on topical and oral antibiotics. That is certainly helping as well. Week 5 I went for my 3rd isolaz session. This time round, i saw a significant reduction in my ance. My skin felt smoother and glowly. There lesser bumps and pimples after the isolaz session. My advice to all of you out there if you are intending to go for isolaz. Please make sure that your isolaz sessions apart are no longer than 2 weeks. Also, make sure you go for at least 4 sessions. That way you will reap the maximum effect of the isolaz treatment. If not you will just be wasting your money. Two weeks from now is my 4th isolaz session, i will update you guys then. Week 6 The under skin bumps all appeared as whiteheads. They are all over my chin, side of my cheeks and forehead. This all started to happen when i used retin a over my entire face. Therefore, i think the purging from the cream has just started for me. On the side note, i am no longer feeling any form of dryness on my skin. Week 7 I just got my 4th isolaz treatment. This time it took away all the under skin bumps with it. All i am left with is whiteheads. My dermatologist told me that enthromycin is gonna take care of that. I have noticed that my skin feels a lot less cluttered. I am have whiteheads here and there of my face. Overall, my skin has definitely made a lot of progress since my 1st isolaz. To everyone out there struggling with acne, try to hang in there. Moreover, know that since you started retin a, you are already making progress day by day. Soon enough, you will be at the finishing line. In the meanwhile, just try and focus on something else. Your friends ain't gonna abandon just because you have acne. True friends will embrace you. week 8 All the whiteheads have somehow subsided overnight. They were still really huge the night before. I am just left with a couple of pimples. When i touched my face this morning, the bumps were seriously almost all gone. I am now really sure that the creams are definitely taking effect. 3 days from now will be my next isolaz session. I believe that is going to take care of the remaining acne.
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March 10, 2016
This will be the final update i will giving everyone. My acne has entirely subside. All i am left with is just Post hyper pigmentation marks. I believe the routine did work to get my acne away. However, the treatments did really help to quicken the process as well. In total, i went for 5 isolaz treatment, 1 chemical peel and 2 carbon peel with blue light treatment. That pretty much subsided all my acne. All i have to say is that this treatment does work. If you are having a hard time going through this right now, please tell yourself to keep. Everyday your skin is trying to fight off the acne, it will one day win the battle. Stay strong. The day where your clear skin is just around the corner. In the meanwhile, be diligent with using retina a and all the other topical and/or oral antibiotics. It will work. Have faith! I literally saw no hope in my skin and felt depressed for a period of time so i definitely know how it feels. Trust me. This routine works. You can do it.

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.