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:

Choose from 1 to 5 stars
June 1, 2009

Pros:

NONE, none, none!

Cons:

I had such a horrible experience with that topical, I can't believe I was ever prescribed it.

I'm so very lucky right now that all the damage Retin-a caused is all cleared up from taking Claravis! I had what looked like giant strawberry marks all over my right cheek, which would continuously explode with whiteheads throughout the day (which were most definitely caused by Retin-a during the "purging" phase). I also had cracked, old looking skin near my mouth and I'm only 23...I was distraught and livid with the idea that it would never go away. But Claravis has fixed everything and I'm back to looking very pretty again :) Please, if you get the "IB" chances are it's not initial and will possibly be permanent for quite some time...STOP using this cream if you have a terrible reaction, I beg you! Unless you want to do the Accutane route which for me has been the best decision ever regarding my acne
May 29, 2009

Pros:

none this thing sucks, im going back to stievemycin; i thought retina a would help get rid of my redness but it did no such thing.

Cons:

i am sooo angry, i went through weeks of my face peeling and having dry and flaky skin, which you cannot cover up with makeup. having to sleep every night with a mask of moisturizer, all for NOTHING.

This product is awful, would not recommend to anyone with problem acne, because it only made me break out more. and i mean ALOT more. im throwning away my tube in case i get tempted and think hmmm maybe it wasnt so bad.
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May 29, 2009

Pros:

dries pimples up that would normally take longer to heal

Cons:

dry skin, doesn't work

The zits still come but they go away faster than without it. However, dry scaly patches make skin look red and splotchy. I've stuck with this product for too long and am ready for something new.
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May 8, 2009

Pros:

Helped acne somewhat

Cons:

Made my face so red I looked worse than I did with the acne.

People don't generally comment on your acne. But when your face gets this red, people always ask "Why do you wear so much blush?" or "Why do you put blush all over your face?". I would always snarl through my teeth "I'm not wearing blush!!!!" Not worth it to me.
March 30, 2009

Pros:

Exfoliates rapidly.

Cons:

Redness, dryness, peeling, cannot wear makeup because it increases visibility of flakiness, sensitivity to sunlight and cold, makes breakouts worse for weeks and weeks, skin tender, cannot use benzoyl peroxide, sulfur, vit. A or retinol.

My dermatologist prescribed .025% tretinoin and told me to gradually work my way up to using it 2/3 times per week. I followed her instructions and after 7 weeks I could not even use it twice a week without having massive peeling. My breakouts increased rapidly, as warned, and they did heal within one or two days, BUT every place I broke out has remained very red for several weeks. It has been very frustrating and my confidence is shattered. I know most people say you have to stick with it but I cannot any longer. I am going back to using Proactiv because it is the only thing that has worked for the most part. Retin-a only tackles one aspect of acne: sloughing of dead skin cells. I feel that in order to battle acne you must take care of all the factors; oil, dead skin that clogs pores, and bacteria.
March 25, 2009

Pros:

its ok, it helps minimizes acne growth

Cons:

though it minimizes acne formation it brings with it severe itchiness leaving scars.

since I am living in a tropical country I think this is not the product for me, the medication sure is sensitive to heat leaving you compications
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March 24, 2009

Pros:

Smoother skin

Cons:

Started out with .1%, face peeled very badly and was red. It hurt to open my mouth to eat food, I could only drink liquids. After about 2 weeks all hell broke loose on my face, cystic bumps and whiteheads EVERYWHERE. Discontinued use.

I lasted for 5 weeks before I had to stop. I was taking antiobiotics and still had a hellish initial breakout. My derm currently has me on Prednisone to calm my face and Bactrim to decrease acne. So I guess the bottom line is, this stuff may work for some people if you are able to get through that initial breakout, but for me it just made my acne worse and now I have a bigger mess than when I started 5 weeks ago. :(
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March 16, 2009

Pros:

Helps acne a little.

Cons:

Made my skin so dry that my whole face was flaking uncontrollably. NO LOTION WORKED. I tried many! I had to discontinue using it, and it took about 8 days to stop being flaky! I applied lotion multiple times a day and it didn't work.

Exfoliating didn't even help. Makes the skin too dry.
March 10, 2009

Pros:

none so far

Cons:

extreme dryness

I've been using .05% Tretinoin daily for the past two and a half weeks. I apply a very small amount everynight before bed. I didn't notice a single change in my acne for the entire first two weeks, but the last couple of days have been brutal. The entire area is extremely red and dry. No amount of moisturizer helps. I had been applying it on my chin area and inbetween my upper lip and nose (the only areas i break out in) and suddenly those areas are extremely red and dry. It hurts just smile and i feel the tight skin when i talk and i can't even look at it in the mirror its so bad. If this is the path to clear skin, i'm not sure its worht it. I doubt i'll be applying any more of this to my skin tonight.
March 6, 2009

Pros:

it works!! it gets rid of your acne within a few months

Cons:

it takes a while, and you have to follow a set of rules that go along with the medication

i used this product for several months and saw absolutely no effects, in fact, my acne probably got a little bit worse; eventually, i saw my doctor and he had me use an antibiotic with the medication, which helped a little but did not completely heal it; then, i figured out the real key was to do the following things religiously: 1.) no desserts, i ate saltine crackers, bread, etc. all day, every day 2.) drink A TON of water, we have 7 classes per day, i drank a bottle a class, then like 3-4 glasses at home, in addition to the water i had during meals (NO SODAS, FRUIT DRINKS, etc!!!) 3.) make sure you change the detergent you are washing your pillows with so that it does not cause acne break-outs, if you are using bad detergent, it will work with the retin-A to make your acne much worse 4.) quit using cologne/perfume if you do these things this product WILL WORK!!! if not, you can expect prolonged acne

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.