Retin-A and Wrinkles
Retin-A is one of the many
methods that we have to control fine wrinkles.
Retin-A, which is topical retinoic acid, is effective in reducing
fine wrinkling and mottled pigmentation, stimulating blood flow for a
rosier complexion, decreasing pore size, and in treating actinic keratoses
The dose that I have prescribed for you is 0.025%
cream. This is a low and safe
dose and is very effective. With
excessive application or a stronger dose no more rapid or better results
are obtained, and marked redness, peeling, or discomfort may occur.
Occasionally a higher dose
(0.05% cream) may be indicated. For
patients with very oily skin, I recommend Retin-A gel 0.025%. This is equivalent to 0.05% cream. If you have some problem wrinkles, discuss with me the
possibility of applying a 0.1% cream directly to each wrinkle with a
Retin-A should be applied to
the face every second day. Apply
a pea-sized amount to the fingertips, dab it over the face, and then
distribute it. It seem to
spread most evenly over the face if you wash your face first and then wait
a half an hour before applying the Retin-A.
You may use the cream close to your eyes and on the upper lids, but
avoid getting the cream in the eyes.
On the days when you do not apply the cream to your entire face,
you may still apply it to the fine lines using a lipstick brush.
This way, you can improve the fine lines without getting the
unattractive redness that often accompanies the beginning use of Retin-A.
One percent Hytone cream, a
mild hydrocortisone cream, will decrease any reaction to the Retin-A
cream, especially when starting to use it.
You must be cautious about
sun exposure when on Retin-A. The
skin is not made photosensitive, but is actually "younger" and
therefore more sensitive to the sun.
You should avoid spending time in the sun and should not use less
than a SPF 20 sunscreen for routine sun exposure.
Remember, Retin-A is only one
of the techniques we have to help you to look your best.