I used Retin A (not micro) years ago, and had terrible problems with flaking but had improved texture. Over time, I gave up on it, in particular when I had my two children since RAM is not recommended during pregnancy. I have been struggling for the past 10 years with clogged pores and lots of under skin bumps, along with general mild acne. I finally got it together and went to the derm and asked for Retin A. He prescribed the low-dose gel, RAM .04%. I started slowly and worked up to almost every night over a couple of months. The improvement in texture and clarity is dramatic on my chin and cheeks.
However the forehead, which is a real trouble area for me with lots of clogged pores and bumps under the skin, improved a bit -- but not enough to make me feel happy. I noticed that a reviewer here had recommended increasing the dose when you are acclimated to the low-strength version, so on a 6-month follow up with my derm, I requested RAM .1%. He advised me to use RAM .1% only on the areas where I felt it was needed and to stick with the lower strength for the cheeks and chin, which I am doing. In the evening, after cleansing, I put a small amount of RAM .1% on my forehead and down my nose. Then I use a small amount of RAM .04% on the rest of my face. So far so good, there is some smoothing and some evening of texture in my problem areas. I have only been on the RAM .1% for a couple of weeks, so I am hoping that over the next 5 months I will have better improvement on the forehead.
The great news is that RAM is now available in generic! So, while my original RAM .04% prescription cost a $40 co-pay (after I fought to have it covered at all) back in May 2013, the new prescription for RAM .1% cost only $10 co-pay in November 2013! Now that I am on RAM, I think I will keep using it forever.
The bottom line is that RAM is a godsend for those of us with slow cell turnover and clogged pores. Folks, give it a try (for at least 6 months) to see if it can help you. If you use it slowly and consistently and work up to the full dose, I bet you will be happy with the results!
I'm into my second month of using Retin A Micro and it has made an amazing difference in my skin. I now use it every night. I wash my face and apply Cerave, then wait about half hour before applying the Retin A Micro. My pores have become noticeably smaller and my scars are fading away. I haven't had a break out in a few weeks now.
A little background. I am 25 years old, male, and have been dealing with acne since I was 17. My skin is also on the oilier side. I have used this product (or a similar Retinoid) when I was younger, but in hindsight it may not have worked because I was using it incorrectly, more on that later. A little more than a year ago, I was on accutane for five months and it was like a miracle drug, up to that point nothing really seemed to worked - including antibiotics... So getting off the pill was a little bittersweet. My skin was fine at least 6 months after but then I began to break out again. I was devastated and my dermatologist prescribing me Retin A Micro did not help my stress - since I remembered what it was like to use topical creams to fight acne before.
This time around though I was determined to find out everything I could before using Retin A Micro. I looked at these boards and found that people had success with applying it half an hour after washing their face and after using a moisturizer like Cerave. The first two weeks I would also use it only every other or third night. Another important element was only to use a pea sized amount, don't overdue it. The first month I did break out, sometimes 2-3 new whiteheads a day (luckily small and not cystic). It was not TOO bad because I think the accutane did a good job of wiping out any acne I had under my skin. I am well into my 7th week using it and have absolutely no regrets. My skin does peel SOMETIMES, but it's almost like a sunburn peel, as in it comes right off and does not leave any redness behind (an no sunburned skin pain). I have not had a single break out in almost three weeks. I also use a Clarisonic face brush 1-2 times a week to exfoliate any dead skin on my face. I feel this prevents my skin from peeling/flaking as much.
The 3rd/4th week I really did feel like this product was not working and I will have to get use to having a face full of acne again...Most will probably experience this so just push through it... Don't overdo it by applying more, just be patient and moisturize. I honestly think if this helped me, with my immensely acne prone skin, it should help MOST others with acne.
Ok let me first start out saying that retin -a mirco gel is amazing and it will make your skin beautiful. BELIEVE ME!
But I must warn you retin micro gel will break you out like crazy at first.You will truly truly fill like this product is not working. It brings everything up under your skin. Your skin will be flaky sore and full of pimples that will hurt. The only face wash you can use is cetaphil in the beginning.I hear people say they see results in a few DAYS. That is not possible. The first month u will have a serious breakout by the second month your face will start to get a little better.But it takes a FULL 12 weeks before you really see the results.
So whoever is on this medicine be encourage its not easy.But it definitely worth the wait
I want to share my experience after using retin a micro for almost 14 months. I have been reading reviews on retin a micro for a few months before I finally decided to get a perscription for aging prevention. I have very sensitive oily acne prone skin,99% of all the products I've tried broke me out. Luckily I found that 1% product that stopped my break out when I was 20 years old and I have clear skin since. They consist of a glycolic gel wash, glycolic toner and benzoyal peroxide. I've never wore sunscreen before I start using retin a micro cause everything breaks me out. So i only use those three products for the past 18 years and I have beautiful clear skin and always get compliment from people. I am now 39 years old, no lines or wrinkles but notice my skin started to sag.
So this is what I noticed.
1)I do look younger now, my skin is more firm and smooth.
2) can no longer use the three products above, too dry and irritated for retin a micro. I use trader joe nourishing wash gel, Paula's choice bha 2% toner, md formulation antioxidant lotion ( cheeks only)and comedix SPF 30 spray. If you are not so prone to acne like me , you can find something better for your skin.
3) i have no intitial break out. But i get a few blackheads on my forehead and chin all the time now. I also get break out like one per week on my chin and nose area.
2) I have good and bad days with retin a micro 1%. Sometimes it gets red and irritated and somedays it looks smooth and calm. I tried using it everyday but finally can only take every other day .
3) when I do get a pimple it does goes away quickly, but it will leave a scar( which it never happened before I use retin a , I don't usually get deep scars from pimples)
I didn't notice at first, until I examine my skin closely infront of a mirror. I saw about 6-7 of these deep scar on places where i had pimple. I got so scare that my skin might eventually look like orange peel. I didn't want to give up yet since it did make me look younger .
4) I got a perscription for retin a micro 0.04%. It still make me peel and prevents aging. But gave me more blackheads than the 1% and it doesn't irritate my skin at all. And I have not notice any new scar after a breakout.
Hope this helps!
I am back at using retin a micro 1%. After trying the 0.04% for about two weeks , I noticed I was getting more and more blackheads and acne. The skin on my forehead didn't peel so it looked very wrinkly. To my surprise, after I tried 0.04% then go back to 1%, my skin can now tolerate 1% much better than before. Less flaking and redness. Just need to be careful when I get a cystic acne cause of the deep scars. I am now trying out a different moisturizer(Md formulations antioxidant comfort cream)and SS(skinceuticals sheer physical UV defense spf50) Will share soon.The moisturizer I am currently using has Lactic acid, it burns when I use it and the SS has only titanium dioxide ,so it's not effective against UVA.
I stopped using it for two weeks now. At the end, my skin just can't tolerate
It. Also I worried about my skin getting more scars. My skin looks and feel much better now. It's not red and dry anymore. I will try retinol after my skin fully recovers.
So about a month ago I broke out on my cheeks terribly. I went to the dermatologist and they said it was comedonal acne.They performed a pore cleansing, and prescribed Retin A micro for use every OTHER night. Acyana was also prescribed for every morning.
I was a little excited/nervous to try to Retin-A, just based off of different reviews here and other websites. I paid $40 for Retin A (with insurance)
The first week of using this medication (every other night) I first applied the Rein A and then followed with Cerave PM over it. I woke up to VERY dry skin. After I would wash my face, I applied acyana, moisturizer with spf 30 (neutrogena). Around 10AM every morming, my skin would just look so flakey and dry like i could peel the dead skin coming off from it. It really looked bad especially when I wear makeup to cover everything up in the first place. Also, my face broke out in even more small pimples and some inflamed pimples - disgusting :(
I started doing more research and I used a micro fiber cloth in order to take off the dead skin, and it did help. However, at this point of using the Retin A/Acayna mix my face was super sensitive and super dry. It hurt to touch. I made another appointment with my dermatologist and she agreed I needed to stop using both medications and just seriously hydrate my skin. She gave me epicream and bionect to mix and use everyday until my skin healed up.
So after about 2 weeks or so, I started back on Retin -A (only) every other night. I use it, but I put the Cerave PM FIRST and then apply the Retin-A. I also add some coconut oil over my face to help soothe it. No complaints so far, but its only been a week. No peeling, or drying effects. I want to stick it out because I still have the acne, and a bunch of hyperpigmentation left from the acne that errupted after using the Retin-A/Acyana duo before. I heard the result sof this product should be amazing. So lets hope so! I will follow up after a month or so and let you all know my progress.
Love it. Highly reccomend this miracle. I've used it for 6 nights and already the stubborn acne on my forehead is almost gone. It does sting a bit when I put it on my 30 minute dried skin, but I've been using apricot oil in the morning to protect against the crazy drying I've read about. I don't wash my face with a cloth any more, just warm water and ph balanced alba face wash. I used eclos moisturizer for a day, but it stung so bad when I put it on. Sunscreen too, hurt even more. So I'm off to find some better alternatives.
I have had bad blackheads && whiteheads for years . I've been on all the medicines my dermatologist could prescribe & I've tried all the over the counter products. This is the only product that has worked. Within a couple of weeks , my acne has gone down , some has disappeared , & when i put it on it feels so soft && amazing ! Like makeup primer. It doesn't dry out my skin too much && If you have a good exfoliant , you won't flake! I use this towel type thing from uwajimaya (you can get it at most asian stores) & it exfoliates my skin so well && I feel brand new. Using both these products.. My acne has gotten a lot better. I use Hard Candy Glamoflauge && I look flawless. With my acne before this product , it was so swollen you could still see it. Now it's like i've never had any blemishes ever <3 I LOVE IT!
I have been battling acne since my late teens. I'm 24 now and have a pizza face with extra toppings...well..I should say HAD thanks to this little tube of awesomeness! My dermatologist prescribed me with this to go along with the other things i was using and not getting the best results with (doxycycline pills, clindamycine and differin gel) I must say that just 4 weeks after adding Retin A to my regime, my skin has DRASTICALLY changed, I hardly need any makeup now! I did NOT purge although , most likely thanks to the other drugs i had been using months before starting the Retin A, although, my skin has been much dryer than usual but moisturizer helps with that.
Morning: Take my Doxycycline pill
Wash face with Dove Sensitive Skin bar, Pat dry
apply thin layer of Clindamycine
Moisturize with Eucerin Daily Protection SPF 30
Right now use Loreal BB cream and Olay/cover girl pressed power foundation OR just Maybelline Cover Stick, these are ALL non-comedogenic (super important)
Night: Take my Doxycycline pill
Wash face with Dove Sensitive Skin bar, Pat dry
Apply thin layer of Retin A (avoid around lips and eyes, I learned this the hard way.)
Every other night I use the differin gel instead of the Retin A to lessen the harshness of it. Super happy with this miracle skin ointment and will definitely keep with it!
I have had acne for about 3 years. I started getting acne my senior year in college and I never had horrible acne in high school only the occasional 1 or 2 pimples that went away with over the counter products. In the last couple of years I have been getting cystic acne mainly on my cheeks. I was desperate to find something that would help me quickly because I am getting married next month in late September. July 3 2013, I started using Retin a micro .1% (I used the generic brand tretinoin) because I had seen so many positive benefits/reviews of it. I'm so glad I I did because it's been only 6 weeks and I have hardly any acne! The acne on my cheeks is gone and now my skin is so smooth however I am left with a lot of acne scars on my cheeks.
I have noticed if I do get a pimple I can put Retin A on it and it goes away much quicker than it used to. I have also noticed that my skin is less oily. There was a little initial breakout period for me for the first 3 weeks but I had read that before so I wasn't worried. Your skin in the beginning will peel and may hurt like it did for me but after 4 weeks my skin had adjusted to the Retin A Micro. Now I'm looking for something to get rid of the acne scars but at least I don't have to worry about pimples that can't be covered by makeup. At the bottom I will tell you what I used in with conjunction to Retin A micro along with my morning and night routine.
Products I have used before Retin A Micro that didn't work was Differin .3%, Azithromycin (antibiotics), Clindamycin Phosphate Lotion (skin became resistant to this), and Benzaclin. I also tried Murad, Proactiv, Exposed Skincare, Peter Thomas Roth Acne System, and Boscia 3 step acne system.
-Minocycline 45mg oral antibiotics 1 tablet at night
-Fresh Soy Face Cleanser (expensive but worth it about $38, it's so gentle which you need to be when you use Retin A Micro!) Great at removing makeup also
-It's very important that you wait 30 minutes for your face to dry before putting on Retin A Micro
-Use a pea size amount of Retin A Micro for your whole face. I only used it though where I had acne
-Go to sleep
-Drink 1 cup of Yogi Skin Detox Tea
-Wash face with Nelson's skin clearing face wash (very gentle and natural)
-Use Yes to Tomatoes daily balancing moisturizer and let it soak in for 10mins
-I usually use bare minerals makeup
So, I am now 40 and was still battling acne. As a teen it was light to moderate anywhere on the face. With age it became more cyst like and around the chin and jawline. My derm told me this is normal for women my age with acne. I have tried retin a soooo many times with adverse side effects and NO improvement. So, when my new derm wanted me to try again, I was almost angry with him. Out of desperation I tried again. Now that I am older I tend to be better about following the instructions on things to the T, and that is what I did this time. WOW!!!! It is working!!! I am so happy when I wake up in the morning and look in the mirror! Have not even been on it for 2 weeks yet and old hyperpigmentation has faded by 50% and no new blemishes!!! Why is it working this time? I am convinced it is from FOLLOWING THE DIRECTIONS. What I did wrong in the past...I used a drying soap for problem skin several times a day and scrubbed...don't do that, even if you are super oily. This only makes your skin want to make more oil. I didn't wait to let my face DRY COMPLETELY. You must wait at least 20 min. I used way too much...you only need a tiny bit, more will only make you dry and flaky. What I do now.....wash face gently in the a.m. with Cetafil (original kind) just with fingertips, spend at least a minute doing this, but be gentle! Rinse with leukwarm water, be nice to your skin, no more mistreating it with scrubbing and water that is too hot or cold. Apply light film of DUAC (got from derm) it is a mix of benzoyl peroxide and clindamycin (an antibiotic). Sadly, this will make your skin dry and make it difficult to put on your makeup. Wait for it to dry, then apply an acne friendly, oil free sunscreen made for the face or a bb cream. Whatever you choose it must have spf in it or you will burn from using the retin a. You will really need the oil free moisture too. I won't lie, it is really hard to get your makeup to look good over all this stuff, but is is so worth it and after not even 2 weeks, I have stopped foundation, and just use powder bronzer, blush and highlight. While I was wearing foundation I had to start applying it with a damp beauty blender ( i like the Cynthia Rowley one I got at TJ Maxx, only $6 instead of like $20 for the real thing). I have not found a product I am more impressed with for years than the beauty blender! Moving on...late afternoon/ early evening as soon as I get home I wash off makeup with Cetafil and apply another very light film of DUAC...don't use too much!!! Cetafil is not great at removing makeup so spend some time massaging gently, do not use a wash cloth, just clean fingers. You may even have some leftover makeup on your skin. I was worried this would make me break out...it will not, remember with the retin a your cells are turning over fast, and the antibiotic in the DUAC will kill the germs. You may need to use an eye makeup remover, if it is oily, don't get it on the rest of your face. Then before bed (DUAC has been on 4 or 5 hrs at this point) rinse DUAC off with just leukwarm water, don't use Cetafil again, your face is already clean (that is if you have not reapplied makeup or gone out to the gym.) THIS IS PROBABLY THE MOST IMPORTANT PART...you must wait at least 20 min after rinsing your face before you apply Retin A!! I actually wait more like an hour (watch tv, put kids to bed, pick out your outfit for next day), but you must wait! Retin a does not like water! Second most important...don't use too much. Only a pea size for your whole face! Take out the amount you need and do small dots all over face, don't use in crease of nose, or corners of mouth ( i don't even go close to those areas). Do not use any other acne cleansers, toners or anything harsh while on these meds...not even masks, you don't need it, let the products do their thing. BTW the retin a I am using is the .025%, a low dose. Since I have tolerated it well, I think I will ask for the next stronger dose next time to fade the remainder of the discoloration. FYI, the face makeup I use is Tarte, and TheBalm and they have not made me break out. They are free of lots of yucky ingredients. I also use them as I won't use anything that is tested on animals or sells in China (if it is sold in China, their laws are that the product HAS to be tested on animals first), sadly this means no more Urban Decay for me. Tarte, TheBalm, and Stila are brands that seem to be good to go...oh, E.L.F. is cruelty free as well. Please try cruelty free and be vocal about it...Urban Decay swore they would not sell in China, then they faltered...guess their bottom line was more important! I hope you will try Retin A THE RIGHT WAY, I have not had such great results with anything else in the past 25 years and have tried everything but Accutane.