What to expect from topical retinoids for acne

Topical retinoids help normalize how skin cells shed inside pores. This can reduce clogged pores and make it harder for new spots to form. They may be used as a cream, gel, or lotion, depending on the medicine and your skin needs. Acne can look unsettled before it looks clearer, especially if blocked pores were already developing beneath the surface. Results are gradual rather than immediate, and the treatment usually works best when applied consistently.

Apply a thin layer to clean, fully dry skin as directed; using more will not speed improvement. Begin as often as prescribed, and use a bland moisturiser to support the skin barrier. Choose gentle cleansing and avoid scrubs, picking, and several irritating acne products at the same time. Retinoids can increase sun sensitivity, so use broad-spectrum sunscreen and protective clothing. Ask a clinician whether the product is suitable during pregnancy or when planning pregnancy.

Contact your clinician if swelling, blistering, marked burning, or a spreading rash develops, or if irritation prevents normal use. Arrange a review if acne is painful, scarring, affecting your wellbeing, or not improving despite consistent use. Sudden severe skin symptoms or facial swelling with breathing difficulty need urgent medical attention.

Which retinoid and strength fit my acne and skin sensitivity? How should I adjust use if peeling starts? Can I combine it with benzoyl peroxide or another treatment? What should I use if I am pregnant, breastfeeding, or planning pregnancy?