I have Atopic eczema, would my skin benefit from retinoid cream?

Question

Hi, I have Atopic eczema which over the years has occurred constanty on my face. I have got it under control recently by using Protopic which is a great relief. I hear that the Retinoid creams are meant to be great for anti-ageing. Would they be of any benefit for my skin type or would I be likely to react badly to them? I usually only use bland fragrance-free creams on my face.

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  It's possible you would be able to tolerate some retin-a, but before seeking out a prescription, which might be expensive and you might not tolerate it, you might want to try an over the counter retinol cream and build up tolerance at your own pace.  There are a lot of pretty good quality topical retinoids, which are not as strong as prescription retin-a.  Some of the ZO Skin Health products have nice mild retinoids, so see an experienced aesthetician that works with a dermatologist for your best recommendations.  At our office, we give patients a tiny disposable vial of any product they want to try for a few days if they have any concerns.  Ask if you can sample something and try it cautiously on your less sensitive facial areas for a few days.  If you do end up on regular retin-a, you'll want to use it less often than people that don't have eczema.  Even once a week can be beneficial.  Best of luck!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question. Common side effects of topical retinoids are dryness, redness, irritation, peeling, etc. Unfortunately, retinoid creams may cause a flare of eczema or atopic dermatitis. I would use caution when starting any topical retinoids or retinol products. I highly recommend you consult with a board certified dermatologist regarding your questions and concerns and about which topicals are best suited for your skin. Take care and good luck.

F. Victor Rueckl, MD (in memoriam) · Answer

You can use retin-A if you have atopic eczema, but you need to be very careful. First, you'll need a really low % retin-A or retinol. Even one by SkinCeuticals (like Retinol .3) may be enough for you, which is available at providing offices and is not a prescription. Second, you will want to apply it ONLY once per week to DRY skin. And you'll follow it immediately with a good thick moisturizer. Something thick and in a jar, not just a lotion. And finally, you'll need to make sure apply good sunscreen every day. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

I have Atopic eczema, would my skin benefit from retinoid cream?

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I have Atopic eczema, would my skin benefit from retinoid cream?

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