Should I increase from Retin-A 0.025% to 0.05% for acne?

Question

I began Retin-A treatment for acne three weeks ago. Week 1 I used it every other night with no visible progress but also no side effects. Week 2 + 3 I used it every night and have had some mild dryness and irritation, but my acne is worse. Even areas that didn't used to break out are getting acne. Is this normal - Should I just wait it out? How long until I should consider increasing my dose?

Hratch Karamanoukian, MD, FACS · Answer

The worsening of breakouts is common in the early phase but this means that the product is working.Don't increase the concentration yet.BestDr. Karamanoukian

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question. During the initial few months of acne treatment, it is not uncommon for acne to get worse before it gets better. The Retin-A is gently exfoliating the skin to bring the blackheads and whiteheads to the surface to gradually remove them; therefore, some dryness and peeling is to be expected while using Retin-A. I tell my patients that it takes at least 2-3 months before you start noticing mild improvement. You'll notice that your skin feels a little smoother, but it will not be 100% percent clear. Please be patient with topical therapy because it can take up to 6-8 months for 80-100% acne clearance. I highly recommend you speak with your dermatologist regarding your concerns and about the dosing of Retin-A. Take care and good luck.

Should I increase from Retin-A 0.025% to 0.05% for acne?

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