Tretinoin 1% for 3 months and sunspots darker

Question

I've been using Tretinoin 1 % for 1 month, used 0.5% for 1 month and the lowest 0.25% for 1 month. I've seen zero results (I know it may be too soon) but my sunspots are DARKER and it goes back and forth. I use a good sunscreen religiously and protect my skin from UV rays EVERY day. My esthetician is telling me my skin is too sensitive to the sunlight even though I'm using the sunscreen and she is telling me I need to stop using the tretinoin during the Summer. Help!

Anna Chacon, MD, FAAD · Answer

Using Tretinoin can sometimes lead to temporary darkening of sunspots, as it accelerates skin cell turnover and can make hyperpigmentation more noticeable initially. Here are some considerations and steps you might take:

Continue Sun Protection: It’s excellent that you are diligently using sunscreen. Ensure it’s a broad-spectrum sunscreen with at least SPF 30, and reapply every two hours if you are outdoors. Also, consider wearing protective clothing and hats for additional protection.

Adjust Tretinoin Usage: If your skin is becoming too sensitive, you may want to reduce the frequency of Tretinoin application. Consider using it every other night or even less frequently, depending on your skin’s tolerance.

Hydration and Moisturization: Make sure to use a gentle, hydrating moisturizer to help your skin barrier recover and reduce irritation.

Consult a Dermatologist: It might be beneficial to consult a dermatologist for personalized advice. They might suggest alternative treatments or adjunct therapies, such as topical antioxidants or azelaic acid, which can help with pigmentation concerns.

Consider Seasonal Adjustments: If your skin is particularly sensitive during the summer, you might discuss with your dermatologist whether a seasonal adjustment of your skincare regimen is advisable.

Be Patient: Tretinoin can take several months to show visible improvements in skin texture and pigmentation. Consistency and patience are key, but professional guidance will ensure you’re on the right track.

By collaborating with a dermatologist, you can tailor a treatment plan that considers your skin's sensitivity and your goals.

Tretinoin 1% for 3 months and sunspots darker

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Tretinoin 1% for 3 months and sunspots darker

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Everything you need to know about Retin-A

Our mission is to create a world where every investment in modern beauty is Worth It.