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It is ill advised to use in this sensitive area because it is drying and irritating. It can be used in a small area and perhaps every other day Intially .
If you want a tattoo removed it needs to be done by laser. If you are using tretinoin on a area with both acne and a tattoo it will not effect the ink which is deeper in the skin.
Tretinoin should not be used by itself but combined with other topical medications. It can be trying and should be used gradually and not overused.
Tretinoin causes surface drying and sun sensitivity only. It wil not effect internal organs. Theoretically it should not be used in a pregnant woman but it's absorption is minimal.