Sally Booth, MD

I agree that a patient does not have to have peeling in order for Tretinoin to be effective.  Tretinoin comes in different strengths (0.025%, 0.05%, and 0.1%) and I'm not certain of the strength that you are currently using.  I recommend that you consult with a board-certified dermatologist in your area to be evaluated.  If you are applying a milder strength, the board-certified dermatologist after evaluation may suggest a stronger strength.  I hope this helps.

Tretinoin can be used indefinitely in you are not pregnant.  Tretinoin is a retinoid and is an excellent option in giving yourself a fresher more youthful appearance.  Tretinoin irritates the skin causing it to peel and allowing new cell growth because of the rapid turnover of old cells .  Tretinoin can reduce fine wrinkles, areas of darkened skin color, and rough areas in sun-damaged skin.  I recommend that patients use Tretinoin at night because it can make individuals sun-sensitive.  I also recommend sun screen during the day because of the use of Tretinoin and also because even if you weren't using Tretinoin is prevents sun damage to the skin. I hope that helps.  

Tazorac is safe to use indefinitely unless you are planning on becoming pregnant or are pregnant.  If you are planning on becoming pregnant, discontinue 2 weeks prior to attempting pregnancy because Tazorac is a category X medication in pregnancy.  Tazorac is an excellent choice for the treatment of acne and the prevention of acne.  In my experience, Tazorac has benefited some of my patients with photodamage on their face from the sun.  I hope this helps.

Yes, you may apply the Noritate first and then your make-up.  I agree that a mineral based powder is good. I have also found that a green and yellow tint make-up may also be helpful in neutralizing the red color.

Yes, it is okay to use these two medications together.  Sulfacet R contains an antibacterial agent, to kill acne-causing bacteria, and a drying agent which promotes shedding of the top layer of skin, in order to unclog pores.  Tazorac is a retinoid. Retinoids can unclog pores and with continued use prevent dead cells from clogging pores. Once the pores are unclogged it then allows other medications, like the Sulfacet R, to enter the hair shaft and fight any underlying infection.