Will enlarged pores and deep pitted scars reduce overtime with tretinoin use? (Photos)

Question

I have been on tretinon .025% for 10 months now. My acne has significantly reduced but I'm worried about some deep scars and enlarged pores that I have which are more noticeable in the sun. My derm ended the treatment from applying tretinoin everynight to 2 days per week further in future. I don't want to undergo abrasive treatments and would like to know if they'll reduce with overtime use?

Kristina McLean, MD · Answer

You certainly can minimize/get rid of scars and the appearance of large pores with tretinoin use, but you shouldn't be weening down to twice a week if you haven't reached your desired results yet.  Acctually, if you want to correct scars and damage you need to work up to a 0.1% Tretinoin every night probably for a good year and once you have reached your desired results you could back down to 2-3 nights a week to maintain.  A 0.025% can be beneficial for treating the acne itself, but not likely strong enough to correct the damage and at twice a week it will only maintain your current results.  I would talk to your prescribing doctor aboit your concerns of getting rid of the scars and see if they are willing to increase the strength and usage. Best of luck to you.

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photo.  Acne scarring is quite difficult to treat, and often requires a combination of treatments for best results.  While I often use Retin A to prepare the skin prior to deeper treatments, it is unlikely to significantly improve the texture of your skin on its own.  I generally recommend a combination of TCA CROSS therapy, microneedling, lasers, and dermal fillers for best results.  I would recommend that you consult with a cosmetic dermatologist or plastic surgeon to discuss the best treatment plan for you.  Best of luck!

Will enlarged pores and deep pitted scars reduce overtime with tretinoin use? (Photos)

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Will enlarged pores and deep pitted scars reduce overtime with tretinoin use? (Photos)

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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.