Tretinoin
Read All About Tretinoin
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June 13, 2015
Retin-a can work but only with time
I'm writing this review because reading reviews of retin-a, the side effects and the trials and tribulations helped me stick at it & get where I am today. Retin-a does work but yes, as everyone else says, it takes a serious commitment. I have been using it for just over 4 months and I am finally starting to see the results I want. My face was a state when I first started using it. I actually had folliculitus on my forehead and medium acne around my chin, but it just never got better. Everytime a spot started to go away, another one would come up. I decided to buy retin-a (off prescription and online - obviously I don't recommend this - you should probably see a dermatologist!) after reading about how it could help. For the first 8-10 weeks of using retin-a my face was pretty much a mess. Spots everywhere - skin erupting where it wouldn't usually erupt (cheeks), dryness, flakiness, redness, sensitivity etc etc. It was bad and I felt very self-conscious a lot of the time. Where as my face was relatively oily before, it was now super dry, so I had to go out and by all new skincare, makeup products. I used cerave moisturisers, and around week 4 ish I came up with a system to keep the crazy peeling at bay. Step 1: Wash face (using oil to remove makeup, then tea tree soap) Step 2: Apply rich moisturiser all over (I used a caudalie one) Step 3: After 20 minutes apply retin-a Step 4: After another 20 minutes apply cerave night moisturiser I did this for up until about week 12, which was when my skin finally to recover from the crazy dryness and I started to see the results I wanted. At this point I had A LOT of hyperpigmentation - all the scars from my breakouts over the last 3 months were so red, I also have pockmarks from some of the really bad spots, but not many. And now retin-a is taking care of both of those. Now my regimen is: Step 1: Wash face with an oil - either jojoba or hemp right now (I haven't yet found any other cleanser that works for my skin) Step 2: Let dry and apply moisturiser to only parts of skin that are very dry (not very many - usually around lips) Step 3: Apply retin-a after 20 mins In the morning, I wash face with water usually and then every other day I am using a 5% glycolic acid treatment to help with skin renewal and removal of dead skin cells. Yes my skin is still dry and I do still get spots - because it is hormonal - but overall I am very happy with the results. The scars are fading, my pores are clearer and my skin is smooth. It has also helped a bit with fine lines. I will continue using it, and I would encourage others, unless they have an allergic reaction to it, to stay the course for 12 weeks or longer to actually see any real improvement. Hope that's helpful!
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June 11, 2015
It takes time (and trials), but it does work
For context: I'm 17 and have had moderate acne since I was 13. I tried everything OTC and nothing really worked. Last year, I went to a dermatologist and tried several different combinations (Epiduo + Doxycycline, Acanya + Doxycycline, etc) and finally, Acanya and Tretin-X (0.0375% tretinoin). That combination worked and I was the most clear I'd ever been since I started getting acne. My dermatologist then suggested I move to a stronger tretinoin (Retin-A Micro in 0.08% formulation) and that worked just as well, but also helped with my oiliness. I had a lapse in treatment (Tretin-X was discontinued, I couldn't find Retin-A Micro in that formulation, and I had no time to really follow my routine), but even some application overnight worked. I'm restarting with Aczone and Retin-A, but the lesson is: It takes time, but it will work.
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May 20, 2015
It was okay...
I am 15 and have quite a bit of acne on my face, so after a year or so of doing Proactiv (which amazing affects wore of after a few months), I decided to ask my doctor for solutions and she gave me Retin-A (0.05%) and Minocycline. I found that the Retin-A wasn't really working at first and having naturally oily skin, didn't have the dry skin I heard talk about, so my doctor bumped up my percentage to 0.1%, which almost immediately gave me dry, flaky skin, which I know is supposed be a part of the process, but I didn't find any changes in my acne, the old was still there, the new still coming in, so I went back to my and got something called Differin XP, which is another topical cream (0.3%) which gave me the same side effects and results as Retin-A, so I have recently stop using it and switched back to Proactiv which seems to be working again for me. I feel this product can work if you can live with the side effect of constant dryness and peeling, since I would normally stop applying it for a week because my face would become so dry, sensitive and red, even with constant mosturizing. Also at the beginning my acne will flared up, but a few weeks later it started to go down a bit.
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May 18, 2015
Flaking? Don't be a flake!
It IS drying my skin out and it IS doing exactly as advertised! This is how you clear up scars and already-formed zits. The drying is only a sign of your skin rejuvenating and healing, so to anyone complaining about this effect--don't. I can't speak for everyone, but I don't have severe acne, so take this with a grain of salt. This may not be for everyone. IF you want your scars to fade, and if you want fresh new skin, this is a great product. If you have scars or pimples that have formed and are in remission, use this cream very sparingly (about a pea-sized amount over your entire face), and yes, you will flake the next day and day after, but the simple solution is to use a scrub after letting your face soak in some kind of foaming face wash (salycilic acid for it's anti-bacterial effect--why not?), and then scrub it off. Your skin is making new, healthy skin. This flaking side effect is completely normal. I use it once every second night. An additional effect I enjoy from this is it gives my skin a nice, healthy glow, probably due to the formation of new fresh skin. It's a good product and much better for you than eating Tretinion (accutane) pills. Just scrub the dead skin off (lightly) and you should be fine.
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May 27, 2015
People think this is a cure to pimples, but it isnt, it is a cure to acne. It Will NOT help already formed pimples. It will make pimples never happen again. I am 28 years old and this is the clearest my skin has been since I was 14. The flaking and dryness can be dealt with. I never knew I would ever have skin like this again. If you don't want to buy it from a U.S pharmacy you can outsource. I get mine from Australia for 12$ instead of 75$ my pharmacy wanted to charge.
May 18, 2015
Just started. Need Advice!
I just started a new skin regimen after my visit to my dermatologist this past friday. She prescribed me 1% Retin A for the night, along with clindmycin gel. I also just started to take doxycyclin pills as well. However she has me wash my face with 5% Benzoyl Peroxide wash every morning. Has anyone else had this routine and seen results? Or any advice for the retin A and the dryness?
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May 27, 2015
That is a lot of stuff you are having your skin deal with. I would ask your derm if having that much irritation is actually going to help or just make it worse. Sometimes to much is not the best thing. That is literally 3 things sucking moisture out of your face.
April 29, 2015
Please guide me.
Hi I'm 15 years old and I'm a female. I have been using this cream for a little over 2 weeks. Before using this product , I break out in the typical t-zone ( cheeks , chin , and forehead). I have mild acne but still noticeable. I'm very insecure about it. But I been flaking up with this product and it almost seems like I'm breaking out more then I did before this product. I'm also very red. I know have to be patient. But when should I see results ? Are my experiences so far normal ? I just would like to know because so far with this product , I'm discouraged.
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May 27, 2015
I agree 100% with Moose77. I looked like a lizard man a few mornings. put on some good non comedogenic lotion and re-apply as needed.
April 11, 2015
START SLOWLY...13 weeks in and seeing amazing results
When my doc first prescribed tretinoin, I did my due diligence and researched on the Internet. I got terrified 'the purge' would happen to me, as I had a bad experience with clindamycin in high school and I broke out pretty badly. I put off using T for weeks. But my boyfriend said to me one day, "You'll never know if you don't try it out - why would else this treatment be so popular if it didn't work?" Here's some background: I am a 23 y/o Asian female with moderate acne since middle school, mostly painful and swollen papules/pustules that come up around my menstrual cycle. I'd have 2-3 big pimples on my face at a given time (mostly around my T zone), and some other random zits would pop up here and there. But the worst were the red marks that got left behind - I'd pop my zits (bad habit, I know) and then the marks would just not go away! My skin is naturally pretty oily, with some dry patches here and there bc of my eczema, but my complexion was always reddish and when I drank alcohol I'd always get Asian glow and my face would look splotchy. I had bad hyperpigmentation and the only way to improve my complexion was to first stop the acne. I was sick of having to rely on makeup and foundation daily to hide the zits, it was especially hard because I love to exercise and hated working out because I had to remove my makeup. When I started T, I started VERY slowly. I used it twice a week for 3 weeks. The first three weeks my face flaked a bit, especially around the chin/mouth area. But I'd exfoliate every now and then and it'd take care of the flakiness. It never got to the point where I had patchy or broken skin, I found that moisturizing multiple times a day helped to control the dryness. I didn't experience a purge. The worst it ever got with the T was a few small whiteheads around my chin/mouth. But since T speeds up the rate of skin cell production, the zits went away and faded pretty quickly - a trend that would happen in the months to come, which was awesome. I didn't experience any 'purge' at any point in time. My skin started getting better, and by week 5-6 you could start to see some results. I stopped getting those painful hormonal zits that I usually get a few times a month, and it felt great. I was also taking minocycline for the first month I was on T, but I stopped after a while as I didn't think it was really making any impact. After 3 weeks of 2x/week, I upped the T to 3x/week for another 3 weeks. Then I upped to 4x/week for 3 weeks. Now I'm at 4-5x a week, and my skin has adjusted pretty well. I'm 13 weeks in now. There's no flaking at all now and my complexion has improved so much. I stopped getting painful, swollen zits. I have virtually no acne anymore. At times there's a small whitehead or two, but those almost always fade after 2-3 days. My hyperpigmentation has improved as well, though that takes a bit longer to see big improvements for complexion. I've also started buffering now, as I'm getting a little lazy with having to wait every time I use T, so I'll mix moisturizer and T together and apply right after I wash. The other day, I went to work without using foundation! That was definitely a first for me, and it felt great. I highly recommend using this product for acne, but you MUST be diligent about using it the correct way. I always see people say things like "I started T 2 weeks ago and I have been using it 3x week, my skin broke out!" Well, of course it would break out - you're not using it correctly. The key is to start slowly to make sure your skin adjusts, and to use it in a regimented scheduled way, making sure to wait at least 25 min between applications of T and moisturizer. Here's my skin regimen, if that's of interest: MORNING - Cerave or Neutrogena Ultra Gentle Creamy Cleanser - Moisturize with CeraVe Lotion - makeup EVENING Nights with T: - Cerave or Neutrogena Cleanser ----Wait at least 25min - pea-sized amount of T ----Wait at least 25min but I like it give it up to an hour if I have time - Cerave Lotion and 3 drops jojoba oil (I use Now Foods Organic Jojoba Oil, it's actually great for oily skin. I would highly recommend this product to hydrate skin, it makes your complexion incredibly supple the morning after) Other products - Panoxyl 4% benzoyl peroxide face wash, on days I do not use T (bp and T counteract each other so do not use on days you use T) - Philosophy Microdelivery Vitamin C Peel: for hyperpigmentation, this stuff is expensive but does wonders. I would only recommend this after your skin has adjusted to T (at least 3 months into treatment). I only use this every 1-2 weeks or so. Good luck!
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April 7, 2015
not for sensitive and dry skin
im 16 i've been on this treatment for 2 year but I stopped using this after two day because I got a rash on my face it was red and it hurt really bad. DON'T GET RETIN-A!!!!!!
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May 27, 2015
You've been on this treatment for two years, but stopped using it after two days? Your math does not compute. And yea it does hurt, like a MOFOBITCH. But then you look really awesome. I mean if you stick it out. Don't ruin this for other people because you candle handle it.
October 18, 2016
the other person who commented doesn't get it..this stuff destroys people's faces..maybe not everyone..maybe not even most people...but for some It does..by leaving a negative review, it is not "ruining it for other people because you can't handle it" , it is saving other people from making the same mistake. That comment is utterly ridiculous, besides the fact that that, yea, it doesn't make a whole lot of sense that you got a rash after two years..but I still agree that retin a can be a nightmare for certain people
March 15, 2015
Good option for maintaining clear skin
Using this after accutane and I'm doing wonderful! Its helped a bit with my fine lines (I'm over 30), but not as much as I had hoped or I would give it 5 stars. It does dry you out a bit, so use every other day at first and/or in the winter if needed. So far so good! I've been on this about a year and a half.
May 27, 2015
They say it takes 2-3 years to get maximum results for just a wrinkle stand-point. But since you aren't using this for acne and only for "fine" lines I would suggest you talk to your plastic surgeon.
March 8, 2015
My results so far
I am a 22 year old female with mild-moderate acne. However, I started using MAC makeup on my face, and it caused a terrible breakout that just wouldn't clear up. So I went to my derm and he prescribed retin A coupled with clindamycin. I have only been using retin A (a generic brand, though) for roughly 4-5 weeks. I know it takes 6+ weeks minimum to work, so I am patiently waiting! It finally seems to be improving and I cannot wait to see results! I was a bit apprehensive to give it a try based on reviews, but I gave it a shot. I wanted to share my routine that seems to help a lot with the dryness/flaking/oil. I'm the morning: I wash my face with Acne Free face wash, which is pretty mild with only 2.5% BP. I've used this for years and have always had good results. I use witch hazel on a cotton ball as a toner (I LOVE this and it is SO cheap!). In the morning, I use cetaphil oil control lotion (which seems to help a bit with the oil). A bit spendier, but worth it. I try to leave time to wait 10 min before putting on clindamycin because that's what has been recommended. However, being a flight attendant with an insane schedule, I only have time about half of the time to wait... And it's been fine. After that, I do my normal makeup routine. HINT! The combination of both medications and the dryness make my skin SO oily (and previously I had normal skin) BUT I just use a thin layer of baby powder on a blush/bronzer beush over my makeup and I can go all day with no oil :) and trust me, I have tried the fancy bare minerals/MAC/Clinique cure for oil, and this has been my godsend. And, again, it's SO cheap! PM routine: wash my face with acne free face wash again. Along with witch hazel as a toner. At night I use a heavier cetaphil lotion for dry skin. It's far too heavy and "oily" for day wear, but it does a lot of repairing at night! non comedogenic, of course. Again, I leave it for 10ish min (or more) and apply the retin A. A SMALL amount! Pea sized is all :) If I could stress one thing, it would be START SLOW. I did every 3rd day for 2 weeks, every other day for 2 1/2 weeks. I JUST started using it every day. It has helped a lot with the dryness. I didn't have much of the initial breakout I read about right away, it got a little worse, but nothing major. About the 3rd or 4th week I started breaking out more. But nothing terrible or cystic and they clear up fast. I have been very unhappy with my skin the last couple of weeks, but I can tell things are getting better. There are horror stories, but I can tell it will be worth the wait, and the wait hasn't been that bad. My advice is to take things slow, use everything in moderation, moisturize, and be patient. I will review this in a few weeks with an update. I really just wanted to help those currently struggling with dryness and oil who are going through this process as well. 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.