Tretinoin 0.1 Gel burn - is this normal and will it cause scarring or hyperpigmentation? (photos)

It's not uncommon to experience some irritation, redness, and peeling when using tretinoin, especially at a higher concentration like 0.1%. These symptoms can occur as your skin adjusts to the treatment. However, the intense itching and redness you're describing, especially after scraping off peeling skin, may indicate that your skin is reacting more severely than usual.

Here are a few points to consider:

Normal Reactions: Mild redness, peeling, and flakiness can be normal as your skin acclimates to tretinoin. However, intense itching and severe redness should be addressed.

Risk of Scarring or Hyperpigmentation: If the skin is severely irritated or if you continue to scrape off peeling skin, there is a potential risk for scarring or post-inflammatory hyperpigmentation, especially if your skin tone is darker.

Recommendations:

Discontinue use temporarily and allow your skin to heal.
Avoid picking or peeling the skin.
Use a gentle, hydrating moisturizer to soothe and protect the skin barrier.
Consider using tretinoin less frequently and gradually increasing usage as tolerated.
Always apply sunscreen during the day, as tretinoin can make your skin more sensitive to UV damage.
Consult a Dermatologist: It's best to consult with a dermatologist who can assess your skin condition in person and provide tailored advice. They may suggest adjusting your regimen or trying a lower concentration of tretinoin.

Monitoring your skin's response and adjusting your skincare routine as needed can help prevent further irritation and potential complications.