I had an Obagi Blue Radiance peel done a week ago. Now having extreme irritation with tretinoin cream. Another peel today?

I had a blue radiance peel about 8 days ago. Reacted fine to the peel but am having intense redness, burning, and red patches on new skin after using tretinoin cream. It burns to wash my face with Cetaphil and to use the moisturizer..almost like a sunburn. I have another peel this afternoon. Should I call and reschedule?

Doctor Answers 5

Elevase Moisture Booster and retinoids

Avoid the retinoids for a few weeks and moisturize with Elevase Moisture Booster to hydrate your skin with ceramides. 


Dr. Karamanoukian

Los Angeles

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Healing from peel and skin sensitivity.

This is not usual. For a peel that involves 30 % or higher TCA, I would wait 2 weeks, then titrate your skin care. Namely use half the amount of tretinoin, diluted in moisturiser, apply twice a week, and increase from there. All the best, Dr Davin Lim. Brisbane. Australia. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

Irritation from retin a

Peels should be delayed until your skin has settled enough so there is no irritation. Restarting retin a after peels should be gradual as the skin has become more sensitive from the peel.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Radiance Peel

I would advise not having another peel until the irritation has settled and discontinue using the Tretinoin and see your practitioner for advise.

Chien C. Kat, FRCS
Birmingham Plastic Surgeon
4.9 out of 5 stars 86 reviews

Problems after Blue radiance Peel

Thank you for your question about your Obagi Blue Radiance Peel.

  • The Obagi  Blue Radiance Peel is a salycylilc acid peel.
  • It is most often used for acne but can be used for other skin conditions.
  • I am surprised you were told to use tretinoin after your peel.
  • In general no tretinoin is used before any skin treatment for 2 - 7 days, depending on the treatment.
  • I strongly suggest you contact the doctor who did the peel, get instructions on skin management and post-pone the peel.
  • If you have not seen a doctor for these peels, I suggest you consult one first since it does not sound as though you are receiving fully informed care.
Always consult a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.