Tretinoin 0.05% causing red patches that contrast with non-red skin. Is this a sign of a burn? (Photos)

Question

I’ve started tretinoin 0.05% and have been on it for about a month. I’ve had this redness which forms a clear line down my face for almost two weeks. Is this par for the course or is this a sign of something bad? I’ve covered my entire face with tret so it’s not a patch I have missed that’s causing the difference and it’s the same on the other side of my cheek. Should I continue with the tret or stop before anything worse happens? I’ve been using sunscreen too so it’s not that.

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

Tretinoin 0.05% causing red patches that contrast with non-red skin. Is this a sign of a burn? (Photos)

Answers (1)