Is it normal that my face is itchy, dry, and burning red because of Retin-A cream 0.025%? (photos)

Question

I’ve been using Retin a for 1 month or so, I’ve been using it 2-3 times a week for the first 2 weeks and gradually increase it to every other day. My forehead is the worst, my acne was mostly in my forehead but my doctor said to put it on my entire face. My face is currently so fragile, it’s too tightly painful, so dry and itchy esp at night, I put moisturizer with spf like maniac. How long should i stop purging? Or did I developed irritation from it?

Raffy Karamanoukian, MD, FACS · Answer

If you are using retinoid creams, you may experience dryness and irritation that is commonly referred to as the ‘retinoid reaction.’ In our office, we recommend Elevase Moisture Booster to help reduce the dryness and to improve the skin’s natural moisture barrier function. Elevase contains ceramides that are composed of plant-based sphingolipids that can support the skin. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Jeff Angobaldo, MD · Answer

thank you for your question. Retin-A can be irritating to the skin when used in large doses. i would recommend you only use it 3 times a week until your skin gets used to it. slow and steady is the key to using Retin-A. make sure you are moisturizing as Retin-A can cause dry skin, hence the itching you are experiencing.

Christie Prendergast, DO · Answer

Hi, these are expected side effects from use of RetinA. I always recommend that patient's slowly build up to daily use of the cream to avoid some of the expected side effects such as redness, dry, tight skin, and itching. You should back of your use to to 1x/week and increase over time. Alternatively you might consider a retinol which is a gentler form of RetinA that can be easier to tolerate. Follow-up with your doctor to discuss your options.

Robert E. Zaworski, MD (retired) · Answer

Backing off of the Retin-A is recommended.  You might want to try using it every 4 or 5 evenings.  You could be using it too much for your skin.

Is it normal that my face is itchy, dry, and burning red because of Retin-A cream 0.025%? (photos)

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