Is Tretinoin Cream suppose to break you out after the first use?

Question

I was prescribed tretinoin cream 0.025% for mild acne on my forehead and I tested a small amount on my cheek to make sure Im not allergic and the very next morning I wake up to 6 small red bumps on my cheek(I rarely break out on my cheeks).My dermatologist never said it makes u break out where there is no acne. Does this mean I should stop using the cream?

Sheila Barbarino, MD, FACS · Answer

A picture would have definitely helped me to advise you, that being said go back the dermatologist who prescribed the medication to you. You should not break out after first use of RetinA 0.025%.  The small red bumps may be a reaction of some sort so it's important that you return to your doctor for him to see the 6 small red bumps to see what the best next step for you is. Good luck!

Hratch Karamanoukian, MD, FACS · Answer

Yes, an opti-ceramide cream is best to promote deep moisturization and hydration of the skin when you use retinoid products. I recommend Elevase to my patients.If retin-A is too strong or irritating, consider using a mild retinoid cream may be best. Read about Retinoids on Retinoids 101 (see link below)
As well, use wide spectrum UV protection with SPF like Spectrase.
Best
H Karamanoukian MD FACS

Is Tretinoin Cream suppose to break you out after the first use?

Answers (2)