What should I do about Retin-A and redness?

Question

I was prescribed Retin-A about a year ago and not up until a few months ago I started noticing my skin getting red and my acne never got any better, it actually seemed to get worse. I can clearly see where i have been applying the Retin-A, as there is redness in the area on my face. where it is red on my skin there is more pimples and the places where I haven't applied the Retin-A there is no pimples and no redness. I stopped using the product for 2 weeks now and the redness is still there.

Theresa M. Jarmuz, MD · Answer

The struggle to use retin-a is very real. Fortunately there are some tricks that will help you push through the process. 
 At night wash your face and use your toner. Wait 15 minutes as water is a barrier to retin-a. If your skin has moisture then the retin-a will activate on the surface causing redness, flaking and irritation. By waiting 15 minutes, you will decrease this side effect. 
Even if you are using the retin-a for acne, think if it as an anti-aging cream(because it is!) and don't put it directly on your bumps. Instead, for the first two weeks use about 1/2 a pea-sized amount and apply small dots to the outside of your forehead, cheeks and jawline. Stay away from your eyes and mouth as these are very sensitive areas and will be easily irritated. Once the retin-a penetrates the skin, it will travel to all areas of the face. You may notice that your breakouts get worse before they get better but that is your body purging all of the garbage.
Lastly, try to use the retin-a every night so that you can get acclimated to it faster. If the irritation is painful, back off for a night or two then resume your regimen. 
Good luck!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question.A common side effect of retinoid therapy (Retin-A creams or gels) is redness, irritation, dryness, or peeling. I would stop the Retin-A and apply moisturizer twice a day. I highly recommend you consult with a board certified dermatologist to have your skin evaluated and to discuss treatment options that best suits your needs. Take care and good luck.

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