This is a good product if you are using it in conjunction with oral antibiotics. Otherwise all it really does is make your skin purge forever and doesn't really help with the acne a bunch...
I figure if I should write a review about a product, it should be this stuff. I've used it for over 30 years, only discontinuing use during pregnancies, a few SD fare-ups, and a rosacea diagnosis. It's also the only product that I have used for more than 2 years. This can be some evil, wicked stuff if the strength is too high, or if used improperly. You need a good moisturiser, too. Currently I use Kinerase. You don't have to live with dry, parched skin, and you can avoid the bad purge that everyone speaks of, if you start with .01%, or .025%, and work your way up to .05%, and .1%. I started using this for acne when I was 11. Back then it came in a liquid form, and you blotted it on with a cotton ball, like a toner. I wish they would bring that back, because it was so much easier, and it didn't involve touching your face with your hands. You need to use sunscreen with RA. I didn't get religious about that until my mid 30s. I grew up in Los Angeles when a tan was considered healthy, but in my 30s I started getting 'red patches' on my face, that weren't quite lesions, but looked like they could become just that, and they were caused by the sun. Sunscreen is important when using this.. Retin A can cause permanent facial redness if used improperly. Most likely if the strength is too high. This became a cause of concern for me when I was diagnosed with rosacea. I had to come off this for 6 months, but my skin became worse, and then I was diagnosed with stress-induced rosacea. Don't be afraid to moisturise with RA. Start with a low strength and see how your skin responds. It's easier to back off and let your skin repair it's self, then to keep it up, and cause more damage, and inflammation, or just stop using it. A lot of purging is brought on by the inflammation. The less inflammed your skin is, the less likely you are to have purging. I've used RA the hard way, and the easy way. I currently use .1%, and I use it every night. I put it on at night, wait an hour, and then I put a moisturiser on over it. If I don't use a moisturiser, I will wake up to red, and inflammed skin, possibly with a cyst or 2. Inflammation will cause breakouts. I use the gel form of this, and not the creams. I don't like the creams. It's easier to use my own tried, and true, moisturiser, than to use the cream form. My skin doesn't like the creams, and it tends to cause breakouts. I'm probably allergic to something it's binded with, so I stick to the gel. When starting this, get a good moisturising facial cleanser, too. Nothing with BP, fruit acids, or salicylic acid. At least until you have completed the intial 4 months. Be careful when using body washes that contain SA, too, if you are using this on your neck, and/or chest. If you get that body wash on your neck/chest, you are going to be very uncomfortable, and it's likely to cause peeling, and inflamation. You want to avoid as much peeling/redness/inflammation/purging as possible, and a good lotion cleanser is in order. I use Eminence Red Rose Cleanser and a Cetaphil antibacterial bar for sensitive skin. I use the bar on my body, and sometimes my face, if I'm in a rush. Don't use a Clarisonic when starting this, you may rip the skin off your face. I do use a Clarisonic sometimes, but only for a deep cleaning once or twice a week. My aging skin does not need it, and won't tolerate the Clarisonic more than that. I do have rosacea, and RA keeps the rosacea acne at bay. I'm 42, and still deal with breakouts. This isn't a cure for acne, but it helps. It's been a very long time since I'm had a monster zit, or cyst. I tend to try new sunscreens, and if I get a zit, I know it's caused by that, because I won't get just one. The redness I get with rosacea is caused by stress. I wake up with a normal even skin tone, but as the day progresses, my face turns beet red. My derm thought my many years of RA use had permanently dialated the blood vessels, but that hasn't been the case for me. The sun can cause this type of damage, too, so you need to give up the sun even if you choose to not use RA. When I have gone off RA, and then started it back up again, for whatever reason, I have always started with the .025% gel. My skin is combination, dry on checks, and a tad oily in the t-zone. I've always had minimal peeling, with no redness. I have started with .05%, and had major redness/peeling/purging, so starting low is best. When the tube is gone, you can go up. There's a reason everyone says a pea sized amount. Less is more. You're just wasting the product if you use more. The lower strength gels don't 'spread' as easily as the higher strength, but a pea sized amount can be achieved. It's easier if you dab it on three fingers, and then touch your cheecks, and forehead, then work into your skin. The creams are easier to spread, so there's no excuse for using more than a pea sized amount with those. It just takes time with the gels because they dry quickly. You need to wait until your face is completely dry after cleansing, like 20 mins. before you put this on. Sometimes I don't have the time after taking a Lunesta, so I use my blow dryer on cold and that solves the problem. You don't want to put this on a moist or wet face. My derm says it doesn't matter, as long as your face has been towel dried, but I disagree. I've put this on after a shower, and the results have always been more redness. As for it's antiaging properties, I can honestly say that I look like I'm in my mid to late 20s. I was a tanner up until my mid 30s. I grew up, and live in a sunny climate, and I've had some blister sunburns, too. I have no laugh lines, or crows feet, and I am now just getting fine lip lines. I was also a smoker until I was 38.. I am just now considering having a filler for those. It does slow down the aging process, but it takes years of continuious use.
Using for anti-aging about 9 years. IMO it has lessened the onset of wrinkles. It will not stop aging but my skin seems about the same as someone 8-10 years younger. There has been a bit of a learning curve, staying in tune with my skin's needs. Now I buy the strongest strength (0.1%) and buffer as needed.
When getting skin use to retin-a, start on low dose and slowly build up to 5days a week. Also don't force yourself into a rigid routine too rapidly; it'll just put you back as you wait for your skin to recover.
Hints others have mentioned/What works for me:
1-Wait about 30 after washing face to apply.
2-Skip a day or buffer if skin feels tight. I use a drop or two of argan oil.
3-If face feels tight and very uncomfortable after application I'll add argan oil (or good moisturizer) on top.
4-When my skin starts showing flakes under makeup I back off for a few days.
5-At least SPF30 everyday. Higher in the summer. Your skin will become sun sensitive and you can get hyperpigmentation more easily if you neglect sunscreen.
6-Overall skin treated with retin-a tends to be drier so find moisturizers that work for you.
7-I skip more nights or add more buffer on my neck, which is more sensitive.
8-Now I use it about 3 nights a week for maintenance and skip a few weeks in the summer.
Disclaimer: The above is only my experience with retin-a and in no way should be taken instead of advice from a licensed physician.
Retin-A did nothing good to my skin. I used it few times for couple of months. It always broke me out my skin was extra dry. It was really difficult to apply make up. I will never use this again.
UPDATE: Retin-A cream contains a highly comedogenic ingredient called Isopropyl Myristate. Yet, dermatologists routinely prescribe it for people with acne prone skin. (Internet search)
Plenty has been said about this but I thought I'd try and offer something a little different having read quite a few reviews.
Many have said they can't tolerate it, they've tried it at 0.025% etc, 0.05% and it's too much. I use 0.01% and I can use this every single day. That's enough, you just want to gently exfoliate the top layer. If you've had problems try the lower strength. I tried 0.025% and I couldn't use it every day (generally could use it 3-4 times a week). Doctor prescribed 0.01% to see if that made a difference. My skin is a lot better now because it's not irritated, I can use it everyday, it's clearer and there are far fewer hormonal spots than there were on 0.025%. I had used Avene diacneal for a few years before and I don't have sensitive skin, it's quite tolerant. So if you're using it and it's too much, perhaps switch to a lower strength, as you can see from the reviews on here it's helped many people, so don't give up :-)
Secondly I think the lower strength is also very good for anti-aging. It can't be good long term to be irritating your skin. Not to mention when you irritate it you add more products like moisturisers which can cause congestion.
Skincare products that I've found work well with retin-a
I use a microfibre cloth (gently) and water with these two products.
Dr Nick Lowe purifying foam cleanser - I use this first, removes make-up, isn't harsh and is amazing for clearing up spots. I would really recommend this to anyone with spots. Get it from Boots in the UK plus from Dr Nick Lowes websites. Boots often has offers on the range.
I then follow with Garniers Simply essentials comforting cleansing milk for sensitive skin. Incredibly cheap, wasn't expecting much but this is amazing. Removes that last bit of makeup. Gently rinse off with the microfibre cloth, no film, but left with soft skin.
I take a night off about once a week and use a clay mask followed by a moisturising mask.
I recommend Good Things 5 minute facial - clay based but gentle.
Boots No7 Heavenly Hydration or cheaper and just as effective but cheaper Boots traditional cold cream cleanser, use as a mask and follow with cleanser. Mineral oil is not a pore clogger, it's not just me saying that, it's got the lowest possible pore clogging rating an ingredient can have yet it's also one of the most emollient.
Ren also has a sulphur mask which is very gentle and many skins respond well to sulphur so it's worth considering. I use sulphur soap on my body and it works.
Day time - Dr Nick Lowe's oil control day cream - no SPF unfortunately so I ensure my foundation has it. Really does help with the oilies.
Night time - at the moment Vichy's aqualia for dry skin in a jar. Makes my skin shiny within minutes so not an attractive look but it does moisturise decently and doesn't clog at all. Not sure if I will repurchase. Have some other moisturisers to try first.
Serum - M&S ceramide collagen serum - doesn't clog like the No7 serum, moisturises unlike the No7 serum. Tried the Vichy aqualia serum before that, waste of money. The M&S is a good make-up base too. No idea if it's doing anything anti-aging wise though. For reviews of it see the M&S site.
Also I find Bourgois Healthy Mix and No17 (boots) BB cream are light foundations that also do not clog pores. Healthy mix doesn't have SPF though. No17 has SPF25.
None of the above have clogged pores at all, if you're like me then you have tonnes of skincare + make-up items which has cost you a fortune and say non-comdegenic yet do clog or don't suit your skin I hope it's of use to some people.
Sorry it's a long one, but as you can see retin-a has helped so many people hopefully some of the info above will help make it work for you.
When this product was first prescribed to me I was reluctant to try it because I really didnt want to wait 3 months to see results, however on my 18th birthday I felt so miserable about my skin that I decided to give it a try,and Im really glad I did! the first few weeks were HORRIBLE however I knew that good things would come, my skin became soo sensitive, red, peely, irritated and all the usual symptoms. However with maintenance and time the acne and redness and peeling really decreased. the only side effect that is long lasting would be the sensitivity my skin has towards waxing or anything hot, and also sensitivity to cold weather...I really think everyone should give retin A a chance because it could really change the quality of your skin
hope this helps!
Update: After three months on Retin-A, my skin has completely adjusted. No redness, no flakes, etc. That said, my tube is over half gone and I'm moving up to the .1% with my next tube, so I imagine I'll go through some more adjustment to this strength.
I don't have acne, but started Retin A as part of a new anti-aging skin regimen. I've been using the product for approximately 2 months.
I'm on .05%, and decided to go ahead and use it every day, but back off if I had problems. At night I wash my face with a mild cleanser, and then let it dry for 20 minutes. I then use a pea size amount of Retin A over my face and another pea size on my neck and chest. After waiting about another 10 minutes. Until my skin adjusted, which took about a month, I had to slather on a LOT of moisturizer.
My skin was unchanged for about two days. Then it became slightly red I had some flaking around my mouth. I continued to apply every night, although one one night I did apply it only to the spots on my face that were not so irritated.
I had maybe three days of irritation, and then my skin looked amazing - for about a day :) Then my skin continued with the flaking. A few weeks into use, my skin suddenly got very red. It didn't hurt, but looked horrible. I've uploaded a couple pictures of my irritated skin. I laid off the Retin-A, and used Neova Night Therapy, which contains wound healing copper peptides. This cleared the redness up after about two days, but it did look really bad. Even now that my skin has adjusted, I still have flaking. I found that using a buff puff twice a day when I wash my face helps a lot with the flaking.
Of course I haven't seen any reductions in fine lines yet, which I am hoping for. However, one thing that has amazed me is that ALL of the blackheads on my nose are completely gone. I can't believe it, as I've had a nose covered in blackheads since middle school, I've tried tons of products for it, and the only thing that has made my nose look as good as it does after Retin A was immediately after a facial with extractions.
I also notice that my freckles have lightened and my skin tone seems a little bit more even, and that my cheeks have a bit of a dewy appearance.
I have high hopes that over the next couple of months I'll continue to see improvements in my skin. Once my tube of .05% is gone, I plan to bump it up to .1%
Check out the pictures I added. Two are of my irritated skin and one is a recent pic after two months of use.
This is a miracle!!! I have been using now for a year. I was on accutane TWICE but both times the acne came back with a vengeance about 2 years after each treatment. So I was about to give up when I re-discovered Retin-A. (I had used it about 10 years ago and all I remember is severe redness.) But now, I dunno, it's weird, my skin really likes it and it's the ONLY thing that clears my pimples. Now I rarely get pimples. I realize I will probably be using this cream for the rest of my life, and I'm not sure how safe that is, but oh well. At least I won't have pimples, and maybe I will be preventing some wrinkles while I'm at it! Also, one more thing is that I had a few "pits" in my skin (not bad ones, just barely) that are really getting smoothed out by the Retin-A. And also my scars are fading! Love it!
A word of advice for those who get red/peely and hate this product:
First of all, give it a few months. Second of all, do not use this everyday! I use it everyday UNTIL my skin just starts to peel. Then I don't use it until the peeling goes away, which is usually 2 to 3 days later. Then I use it again. The cycle continues. Also, sometimes I use it all over my face for maintenance, but usually I just load up the problem areas. Some areas can take more Retin-A than others. Like my forehead. I can glob it on everyday and no peeling or anything, but around my nose gets peely very quickly. And if you want to dilute it a little, put moisturizer on first and then the Retin-A. Also, if you live in a sunny area, use sunscreen or you WILL burn! Other than that, it's a miracle!
And one more thing... please do not use it for a month and say you hate it!! It takes UP TO SIX MONTHS to get full results. It took me about 8 months to get my skin where I want it. Please be patient. This DOES work.
I get the ADC version of this in .05 strength in the cream base. It is only about $3.00/tube and it works amazingly. I think it may be more gentle than the US version as the bases are different. However, because I use this for anti-aging vs. acne and I have dry, delicate skin, this formula is perfect for me. I use it every other night, even up to around my eyes (though I buffer w/moisturizer there immediately after application). I've never had any irritation from this and I've gotten many compliments on my skin since using this. I used to have very bad melasma and uneven skin-tone, and after treating the melasma w/Tri-Luma I use this to maintain my results, and works amazingly! It also really does seem to prevent fine lines (not cure deep wrinkles mind you) as I've gotten no new ones since I started using this 2 years ago. Really one of the few miracle product for anti-aging that exists!
I buy this from magicpharma.com. Gets shipped from India, flat rate shipping is $5. I have used them multiple times and never had any problems with my CC, and I never get my email spammed.
Yes, there are side effects but if you use it as suggested, those can be manageable. All in all it has cleared my skin, which nothing else managed to do for years - deep, painful cystic acne. I will never be without!