“Stop, if possible, five to seven days before, or adjust the procedure to make it more gentle,” Dr. Many facial procedures should not be performed while using Retin-A. How soon should you stop using Retin-A before procedures, and when can you start using it again after? There are no activities you can’t do while on tretinoin-though you should temporarily go off it before certain facial procedures-but it should not be used when pregnant or breastfeeding, since safety has not yet been determined. Topical, chemical-based hair removers, facial hair bleaches, and facial waxes are, similarly, best avoided. “It’s also recommended that patients avoid other harsh skin products or exfoliants that can cause aggravation or irritation or may disrupt the skin barrier function.” You can still use these ingredients if your skin can tolerate it, but they should be modified and monitored while on Retin-A. Tretinoin is a potent ingredient that makes skin far more photosensitive, so “extra attention to sun protection and avoidance is key,” says Dr. Without any insurance coverage, Retin-A can cost roughly $100 for each supply, which can last anywhere from three to six months patients may find manufacturer or pharmacy coupons to offset the price. For instance, when used to treat acne, some forms are covered, but often, when used to combat signs of aging, it is not. While coverage differs greatly, depending on your carrier, many insurers will cover Retin-A only for the treatment of certain conditions. “Usually, only the generic-rather than newer, hydrating formulas, like Altreno and Arazlo-is covered,” Dr. Like most prescription drugs, Retin-A can be covered by your insurance but only under specific circumstances. Related: How to Use Retin-A: 7 Tricks Derms Swear By for Getting the Best Result 3. There are brands and doctors who will prescribe it virtually, but if you can have a dermatologist do a physical analysis of your skin, that is the best way to ensure you’re getting exactly what you need. “This is the Rx form, so it is distributed only after assessment, skin diagnosis, and prescription,” explains Dr. Retin-A is a prescription product, so only your doctor can prescribe it to you. Acne is also a condition, but usually we prescribe a variation on the brand Retin-A for that.” Prescription retinoids tend to be very drying and can have harsher effects on skin than their over-the-counter counterparts, so those with sensitive or reactive skin should be especially cautious, but all prospective Retin-A users should always discuss the treatment with their dermatologist first. ![]() “Those with texture concerns and pigmentation issues are all candidates. “Basically, anyone in the patient population with sun damage and visible signs of photoaging and damage, cellular aging, and epigenetic or lifestyle aging that presents in lines, wrinkles, and laxity should use tretinoin,” Dr. Who can use Retin-A?īecause of Retin-A’s wide-ranging benefits, it’s worthy of a spot in almost everyone’s skin-care routine. Interested in Retin-A? Find Doctors Near You 1. Before you start using Retin-A, here’s what you need to know. It’s still considered the gold standard for improving skin tone, reducing the appearances of lines, repairing sun damage, and treating acne. “The FDA approved it in the 1970s for acne, and, serendipitously, it was found later to improve photoaging,” Dr. Retin-A, the leading brand of tretinoin, was really the first prescription retinoid. ![]() Mary Lupo, a board-certified dermatologist in New Orleans. “Prescription retinoids are as much as 40 times more potent because they do not need to be metabolized from retinol to retinaldehyde to retinoic acid,” says Dr. While the lower concentration found in over-the-counter retinol must be converted to retinoic acid by our bodies, the high concentration of vitamin A found in prescription retinoids (the most popular of which is tretinoin) is already in the form of retinoic acid, meaning it’s more effective and fast-acting from the start. “The differences between them are strength, bioavailability, conversion, and the receptor-binding profile of the retinoid.” Ava Shamban, a board-certified dermatologist in Beverly Hills, California. ![]() “All of the forms take steps in the right direction, supporting skin functions that slow down as we age in performing more efficiently and engaging in activities at rates more compatible with youth,” explains Dr. Retinoid is the umbrella term for all skin-care derivatives of vitamin A, but within this group are both over-the-counter retinol and prescription retinoids. Yet ultimately, very few of them manage to compete with time-tested retinoids. It seems like every week, there’s another new “miracle” ingredient being touted by the beauty industry for its impressive wrinkle-reducing, blemish-clearing, skin-brightening abilities.
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