Is this Retinol diffused redness (rosacea) side effect permanent?

Question

I have been using a Adapalene (0.1%) for around 12 days every other night and have experienced the side effect of diffused redness (rosacea). It has caused small broken capillaries under my eyes and top of cheeks to appear more defined and caused those that weren't really visible before to appear more visible. Is the side effect is permanent and they will forever be this present from now on? Or will they fade back to their previous state after use for the appropriate time?

John Quinn, MBChB · Answer

Hello!
I prescribe adapalene frequently for my patients. It is a prescription retinoid, licensed to treat acne vulgaris. Retinoids in general are known for their skin improving properties.
Most patients develop a transient, contact, irritant dermatitis, when they commence any retinoid. This usually settles with time. I recommend starting even less than alternative nights, to begin with and gradually build up usage, as tolerated. Some patients with sensitive skin simply don’t tolerate retinoids. I don’t often recommend them for patients with existing facial redness or rosacea.
You reaction sounds excessive to me. I would advise returning to whomever prescribed your adapalene for advice.

Is this Retinol diffused redness (rosacea) side effect permanent?

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