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Incredibly dry skin, terrible texture right now. Is this normal?

clh1375Dec 4, 2018
I have been using Tretinoin .05% regularly for about 2 months now. Most of my face is making great improvements both with fine lines and cystic hormonal acne. However, my lower mouth area and chin have not only been red and peeling (which I expected), but it is very bumpy with small under the skin zits? Now my chin has the texture of a Pringles potato chip. Is this just my skin purging and this will improve? I am 34 and did not have any fine lines in this area prior.

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From board-certified doctors and trusted medical professionals
Dr. Reuel Aspacio, MD, FAAD - Account Suspended
Board Certified Dermatologist
Answered on Mar 3, 2020
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Robert E. Zaworski, MD (retired)

Retin-A ( Tretinoin) comes in 3 strengths for a reason.  You start with the low strength and build up to the 1%.  Some patients never make it to the highest strength.  Not using it the proper way will cause excessive peeling, dryness, and the patient will decide it is not for them.  Discuss the...

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Fereydoon S. Mahjouri, MD

The flaking and irritation are different for each person. Since you're slowly upping the percentage, I would think that within a matter of a few weeks, it should resolve. If it is too bothersome for you, you can always reduce how often you use it. For example, every other evening could help cut...

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Michelle Cabret, MD, DDS

First, I would seek a professional to make sure they are Fordyce spots vs something else (if you haven’t don’t so already). These spots are oil glands and can form tiny whitehead-like bumps. Do not squeeze them. Tretinoin at a low strength may be able to help, but use at a low strength as ...

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