Very dry, sensitive, flaky skin a week in. Will it go?

Question

i have mild acne rosacea (im 28) and was put on Treclin 1%/0.025% w/w gel, clindamycin 10 mg/g and tretinoin 0.25mg/g gel by my derma. Prior to this i was using the la roche posay redermic R cream mild drug store retinol which i tolerated well. I wanted to try the prescription strength to fade marks/rough skin texture. i dont have acne spots. a week in and im dry, flakey around eyes and mouth and a bit painful. will this go away as i tolerate it? also should i moisturise bf or after applying ?

Faiyaaz Kalimullah, MD, FAAD · Answer

Dryness and peeling are among the most common side effects of Retin A, particularly when patient's first start using the product.  Most patients find that the dryness improves as their skin gets used to Retin A, but this process can take up to 6-8 weeks.  In the interim, there are some things you can do to minimize the irritation.

1. Apply the Retin A at bedtime, after washing your face and drying it throughly.

2. Make sure you are only using a pea-sized drop of Retin A.  You don't need to apply a thick layer - try to only use the smallest amount you can to cover your face.

3. Avoid applying the Retin A to the skin around your eyes, and the corners of your nose and mouth.  These areas are very sensitive, and are prone to irritation.

4. It's often easiest to start using Retin A only 2-3 nights per week initially, and gradually increase from there as you tolerate it.

5. Always use sunscreen during the day.  Retin A will make your skin more sensitive to sunlight.

If you are concerned at all, or if you find that your skin irritation isn't improving or is getting worse, it would be best to see your doctor for a follow-up appointment.

Very dry, sensitive, flaky skin a week in. Will it go?

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