A member asked:

How can i use retin a ( tretinoin ) properly without getting irritation on my face?

10 doctors weighed in across 5 answers

Gradual: If you are getting irritation, start by using it every other day. It is also essential that you not overdo cleaning of your face. Use a gentle face wash with a built in moisturizer. Then use a moisturizer with a built in sun screen at least twice a day. Don't use astringents or products with alcohol as a base. If all this doesn't help, see doctor for a weaker strength of the medicine.

Answered 9/28/2016

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Slow & progressive: Start evenings with lowest strength cream (gel can be drying) and moisturizer in am with spf. Begin using 0.025% week#1: m & th week#2: m, w, f week#3: m, tu, w, th, f week #4: m, tu, w, th, f, sa, su advance to 0.25% and then 0.1% as your skin will tolerate. Generic is relatively inexpensive. Other costly forms include Renova (tretinoin) (has moisturizer) at 0.04% or micro retin a ((essentially time release.

Answered 9/14/2015

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Dr. Joseph Mele answered

Specializes in Plastic Surgery

Gradually: Pay attention to your skin, if it is getting irritated stop until the irritation resolves and start again more slowly. Do not apply to wet skin, and protect your skin for the sun even more if you are using retin-a. Some people cannot use it every day, and may need less frequent applications to build a tolerance.

Answered 11/1/2015

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Dr. Thomas Fiala answered

Specializes in Plastic Surgery

Several things: 1. Start with the lowest strength retin-a 2. Use a micronized formulation. 3. Apply after thoroughly drying your face. 4. Use no more than once a day. 5. If irritation develops, reduce to every other or every third day.

Answered 9/14/2015

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Dr. Glenn Messina answered

Specializes in Aesthetic Medicine

Possibly: I normally start patients on a .1 to .2% cream and have them apply it at night every other night for several weeks. If they tolerate that I have them slowly increase the application to every night. Hope this helps.

Answered 9/14/2015

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