Is it safe to get the Forma treatment while on tretinoin cream?

Question

I am interested in getting the radio frequency treatment Forma. I am unsure if I should discontinue use of tretinoin before this treatment.

Brandon Richland, MD · Answer

Hi there, thank you for your question.Forma feels like a hot stone massage facial. It does not cause any superficial damage to the skin or break the skin. It causes mild thermal damage in the dermis which helps to increase collagen repair/production. However, if you are concerned with increased heat sensitivity due to the tretinoin (if the skin is raw/peeeling/etc) then you could discontinue use of tretinoin for 3-7d prior to treatment and then start using it again 3-7d post treatment. I’d recommend discussing this with an experienced practitioner to address any concerns you may have. Best of luck!

Jennifer R. Berman, MS, MD · Answer

Radiofrequency treatments like Forma are excellent for skin tightening and rejuvenation, but when combined with tretinoin, you’ll need to make some temporary adjustments to your skincare routine. Tretinoin, a powerful retinoid, can increase skin sensitivity, so discontinuing its use before undergoing Forma may help reduce the risk of irritation or adverse reactions. Here's a general guide:

Why Pause Tretinoin Before Forma?
Minimize Skin Sensitivity: Tretinoin increases cell turnover and can leave your skin more delicate. Radiofrequency heat could potentially exacerbate sensitivity, leading to irritation or redness.
Enhance Healing: Forma relies on controlled heat to stimulate collagen production. Without tretinoin in your routine, your skin can focus on healing and responding optimally to the treatment.
When Should You Stop Using Tretinoin?
It’s typically recommended to stop using tretinoin 3-5 days before your Forma treatment. However, this may vary depending on your skin type and the frequency of tretinoin use. Your provider can give personalized advice.

When Can You Resume Tretinoin?
After Forma, wait until any redness, swelling, or tenderness has resolved—usually 2-3 days. Gradually reintroduce tretinoin into your routine to avoid overwhelming your skin.

Key Skincare Tips Before and After Forma:
Hydration is Key: Focus on moisturizing to keep your skin barrier strong.
Sun Protection: Always use sunscreen with SPF 30+ to protect your skin from UV damage, especially when tretinoin is paused.
Consult Your Provider: Every skin type is unique. Discuss your current routine with your treatment provider to ensure the best outcomes.
By temporarily pausing tretinoin, you can enjoy the benefits of Forma without compromising your skin’s health or comfort.

Beverly Friedlander, MD · Answer

Thank you for your question!  There are no contraindications for using tretinoin while receiving Forma treatments.  However, we would recommend that you not use your tretinoin the night before your treatment, the day of your treatment, or the following day.  This will minimize any irritation.  We also recommend that you speak to your provider.  Best of luck to you!

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