Rough, dry, red uneven-toned skin from Retin-A Micro 0.06%. I would like to know if this is normal?

It's quite common to experience some dryness and irritation when you first start using topical retinoid products such as Retin-A Micro. Topical retinoids have benefits not only for treating acne, but they also help with skin rejuvenation and help to prevent the signs of skin aging. However, getting over the initial irritation can often be difficult for patients. Proper education on the use of these products is critical to help with these side effects. For my patients, I recommend the following. Use a non-soap and non-irritating cleanser such as Cetaphil or Cerave and wash with luke warm or cold water. Use a good moisturizer in conjunction with the Retin-A Micro. Given that you are acne prone, looking for a non-comedogenic moisturizer would be prudent.  You may also want to try using the Retin-A Micro every other night and slowly build up to every night as your skin starts to tolerate the product better. These tips should help address the irritation you are experiencing. 

Thank you for your question! With Retin A sensitivity, we would recommend the Elevase Moisture Booster which contains Opti-ceramides to help the skin. Best of luck!