Retin-A Gel Vs Cream for Aging Skin?

I go to my dermatologist in 2 weeks. I have been using Tretinoin Cream (.05% Obagi) on my face to improve overall skin quality - texture, very fine lines, minor discolorations (along with Obagi Blender - only on the dark spots/areas). I have had irritation only once. After 3rd night of use, I had very slight flaking and redness around my mouth and nose. I skipped the next night and have been fine ever since. I think I need something stronger -- but am confused about the creams, gels, and different strengths. I like to be informed -- Help! Thanks.

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2 Doctor Answers | Asked by SuzyAv8trix in Phoenix, AZ

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Retin-A cream or gel for photoaging is personal preference

I frequently recommend that patients use the highest strength of Retin-A that they can tolerate. However, I have seen a study that showed that although Retin-A shows significant improvement in photoaging there was no difference between the lower and higher strengths of Retin-A. Retin-A gel allows for better penetration of the retinoid into the skin. Because of this, there is a lower percentage of the active ingredient in Retin-a gel. Retin-a cream comes in .025%, .05% and .1% and Retin-A... more

Tretinoin cream or gel

Tretinoin cream is used for skin rejuvenation. The gel is too drying for mature skin unless it is very oily. Continue with the .05% cream, you do not need to have continued irritation for it to be effective. Studies have shown that the .1% cream will not offer any additional improvement in rejuvenation over the milder strength. Remember to use sun protection.