Aggressive microneedling / loose and orange peel skin afterwards

Hello! Were you on accutane at the time you received the microneedling? This could be the case for the wrinkles and peeling after the microneedling as it is not recommended to receive microneedling while on accutane. In any case, using tretinoin after microneedling can offer significant skin benefits but requires a cautious approach to avoid irritation and damage. Allow your skin to heal initially, reintroduce tretinoin gradually, and maintain a gentle skincare routine with diligent sun protection. However, using tretinoin while on Accutane (isotretinoin) is generally not recommended. Both medications are retinoids, which can significantly increase the risk of severe skin irritation, dryness, and other side effects when used together. In your case, I would recommend calmer remedies before another procedure. Vitamin C Serum can help with skin repair and reduce pigmentation, but only use once the initial irritation has subsided. Ceramide-Based Moisturizers support the skin barrier and promote healing. I would also recommend meeting with your dermatologist.