Retin-A®
In general, Retin-A® is most
effective in older patients who have some fine facial wrinkles,
or blotchy pigmented areas caused by sun damage. However,
Retin-A® is often prescribed to younger, active individuals
who want to combat the aging effects of sun exposure. Patients
who are planning to have a chemical peel treatment are often
instructed by their doctors to use Retin-A® as a preparation
treatment; Retin-A® thins the skin's outer layer, allowing
the acid solution used in a peel treatment to penetrate more
deeply and evenly. Retin-A® is not recommended for pregnant
women or nursing mothers, because its effects on the fetus
and nursing infant are still being studied.
Reactions/side-effects
Although no serious medical
problems have been associated with Retin-A®, it's possible
that its use could result in temporary skin irritation and
redness. If this happens, your doctor may recommend a milder
formulation.
As late as 1993, Retin-A® had
not received approval for use as an anti-aging treatment from
the Food and Drug Administration (FDA). It has received FDA
approval as an acne treatment, and doctors have been safely
using it for this purpose for more than two decades. However,
the full scope of Retin-A®'s effects and potential benefits
continues to investigated.
Beginning treatment
Your initial application of
Retin-A® will include a lesson on how to continue your skin-care
routine at home. After your face has been washed thoroughly,
a small amount of Retin-A®, in either cream or gel form, is
rubbed over your face and nose. It's likely that a very gentle
formula will be used at the beginning - especially if you
are younger or have a fair complexion. You may be switched
to a stronger formula after your skin becomes accustomed to
treatment.
Only a very small amount of
Retin-A® - a pea-sized dab - is needed to cover the entire
face. You will be instructed to apply Retin-A® every night
before you go to bed. Because Retin-A® is drying to the skin,
your doctor may also recommend that you apply a moisturizer
once or twice a day. This routine is usually continued for
about eight months to a year, after which you'll be switched
to a less-frequent schedule of maintenance, with Retin-A®
applications only two or three times per week. At periodic
follow-up visits, your doctor may adjust the strength of your
prescription or its frequency of use. To maintain the benefits
of Retin-A®, its use must be continued for a lifetime.
After treatment
It's normal to experience some
redness, irritation, itching, stinging, or skin dryness once
you begin to use Retin-A®. However, you can expect these symptoms
to gradually disappear as the skin becomes acclimated to the
treatment.
Caring for your new
skin
Because Retin-A® thins out
the skin's outer layer, you will need to consistently use
a sun-block to protect yourself from ultraviolet light, and
you may have to discontinue using certain products or cosmetics
on your face.
Though the degree of change
varies from person to person, with continued use of Retin-A®,
you will begin to see subtle improvements in the texture and
tone of your skin. Retin-A® users notice a rosy glow during
the beginning months of use, followed by the disappearance
of fine lines and the shrinking of large pores. After about
six months, many Retin-A® users report that wrinkles are barely
visible and that age spots have faded.
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