Red lines from mouth corners downward, 2 months after Retin-A.

Question

I've been using .05 Retin A nightly for 2 months now, for wrinkles and chin acne. I never had irritation or peeling. I don't see any difference yet, except that it may have faded some age spots a little. But the wrinkles (lines) from my mouth corners downward are very red now. Why?

Jason Emer, MD · Answer

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), injectable fillers, and radiofrequency skin tightening treatments such as Thermage or Venus Legacy. I recommend getting a formal evaluation with an experienced cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

If you are using retinoid creams, you may experience dryness and irritation that is commonly referred to as the ‘retinoid reaction.’ In our office, we recommend Elevase Moisture Booster to help reduce the dryness and to improve the skin’s natural moisture barrier function. Elevase contains ceramides that are composed of plant-based sphingolipids that can support the skin. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Red lines from mouth corners downward, 2 months after Retin-A.

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