Topical Retinoids

Topical retinoids are a family of medicines derived from Vitamin A that have multiple different therapeutic effects.  Retinoids are used for acne prevention, reversing photo-aging, and for dyspigmentation (discoloration) of the skin.

Examples include: adapalene (Differin, Epiduo), tretinoin (Retin-A micro, Renova, Atralin, Veltin), tazarotene (Tazorac). These retinoids are produced in a variety of strengths ranging from adapalene 0.1% (now an OTC product) to tazarotene 0.1%.

Here are important facts to remember when using these products.

-How to apply?: The product should be applied as a thin film to the entire face, not as spot treatment.  One pea-sized drop should cover the entire face. More is not better but may be more irritating. We often start with lower concentration products and less frequent application and increase over time.  Start every other or every third night and increase to nightly as tolerated. 

-When does it work?: Remember, retinoids do not work overnight.  It requires 6-8 weeks of regular use to begin to see their acne preventing ability.  Even if you are not seeing excellent results continue the product until your follow up because it will allow us to switch to a stronger product without starting over.

What to expect and avoid?

-Irritation: Retinoids are known to cause irritation.  Fortunately, this effect improves over time as your face becomes accustomed to the product.  Follow application instructions and apply moisturizer after use. 

-Sun Sensitivity: Retinoids cause sun sensitivity so be sure to exercise precautions and use an a.m. moisturizer with spf protection.

-Contraindications: Do not use if pregnant or breastfeeding.  Also stop the product at least 1 week before waxing.  Threading is ok.

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