Can I use Tretinoin for my textured skin?

Question

Hi doctor,

I have textured skin, so I have consulted many doctors, and they suggested Adapalene. I used it for three to four months. Initially, I saw some improvement, but now there is no noticeable change.

My skincare routine is simple. I wash my face twice a day. In the morning, I use Cetaphil moisturizer, followed by sunscreen. I do not experience any skin irritation when using these products.

My question is whether I can use Tretinoin 0.025 %, as I believe it might help improve my skin texture.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand how frustrating textured skin can be, especially when you have been consistent with treatment.

Adapalene is a good first-line retinoid and often shows gradual improvement over several months. However, in some people, its effect can plateau, meaning the skin adapts and further visible improvement becomes limited.

Since you are tolerating Adapalene well and do not experience irritation with your current routine, stepping up to Tretinoin 0.025 percent is a reasonable and appropriate next option, provided it is used correctly and patiently.

Tretinoin is a stronger retinoid compared to Adapalene and works more effectively to increase cell turnover, unclog pores, smooth skin texture, and stimulate collagen production over time.

It can help with textured skin, but it is important to understand that results are gradual and usually become noticeable after eight to 12 weeks, with continued improvement over several months.

In the beginning, some dryness, mild peeling, or purging may occur; this is expected and does not mean the treatment is failing.

You can start Tretinoin 0.025 percent, as it is an appropriate strength for beginners. Apply only a pea-sized amount for the entire face, once at night, on completely dry skin (wait 20 to 30 minutes after washing before applying).

Begin with two to three nights per week, then slowly increase to alternate nights or nightly use as your skin tolerates it. Always follow with a gentle moisturizer. If your skin feels dry, you may apply moisturizer before and after tretinoin.

In the morning, continue using your moisturizer and a broad-spectrum sunscreen, as strict sun protection is essential when using tretinoin. Without sunscreen, texture and pigmentation can worsen.

General skincare is just as important as medication. Avoid scrubs, physical exfoliation, facial tools, or harsh active ingredients while using Tretinoin, as these can irritate the skin and disrupt healing.

Keep your cleanser gentle, avoid overwashing, and focus on consistency rather than aggressive treatments. Remember, retinoids improve skin texture gradually and do not provide instant smoothness.

I hope this has helped you.

Please feel free to reach out to me again for further queries.

Thank you.