Defy Aging Skin With Retinoids

Look younger for longer!

Prescriptive Tretinoin is available at our office.

Retinoids, a derivative from vitamin A, are considered "The Gold Standard" in Anti-Aging technology. The new stuff coming out is promising and exciting, but the big challenge for these new ingredients is, can it measure up to retinoids? The answer is NO!

It makes sense to start it early and keep using it forever! If you use retinoids, you absolutely must use it with sunscreen (the best sunscreens contain zinc or titanium) every single morning. Remember though, it won't help with sagging and wrinkling due to loss of fat and bone. That loss of volume can be replaced with fillers like Juvederm, Voluma or Radiesse.


Retinoic Acid (Tretinoin) was first developed to treat acne. It quickly became apparent that it went beyond acne treatment to make the skin as a whole significantly smoother, brighter, and less wrinkled. In 1984, dermatologist Albert Kilgman proposed it for treatment of sun damaged skin. In 1986, Kilgman and colleagues conducted the first clinical study in which they applied 0.05% Tretinoin on the photo-aged skin of volunteers for 3-12 months.

Tretinoin improved photo-aged skin, increasing collagen formation, improving texture of the skin, elasticity and thickness. Since then, numerous clinical studies confirmed its efficiency in the treatment of chronically aged skin. The effective concentration ranges from 0.025 to 0.1% with stronger solution producing more irritation. That's why you need to introduce your Tretinoin treatment slowly and gradually increase the higher dose.

The formula is available under different brand names Atralin, Refissa, Tretin-X, Avita, Retin-A . We prefer the original Dr. Kilgman formula that is more simple with it's chemical structure and is also sold in different strengths by Obagi either in a cream or gel base.


Cosmetic products may contain Retinol which is a different form of vitamin A and it is much less effective than retinoic acid (approximately 20 percent weaker). Because Retinol may also be irritating in the higher concentration a majority of cosmetic products on the market contain very low concentration of Retinol and are therefore pretty useless. Many cosmetic companies often foster confusion regarding these two products in order to promote their specific formula.

Retinoic Acid (Tretinoin) helps remodel the skin, and requires a prescription, available for purchase only in medical offices and medical spas. It can not be ordered online or by phone. It requires an in-clinic consultation which we offer complimentary to our clients.

Retinol, a weaker form of vitamin A sold by cosmetic companies, does not require a prescription. Although retinol offers many benefits, it does not remodel skin.


  1. Apply Tretinoin before bedtime as sunlight can destabilize its effectiveness. But beware: the result doesn't happen overnight and can take at least one month, if not longer, to see a difference in the skin.
  2. Be sure to apply an SPF protection. Tretinoin sloughs off dead surface cells, removing the skin's natural protection against UV exposure making your skin more susceptible to sunburn. Stop using it about one week before going on vacation (especially the beach) and take a high SPF protection with you.
  3. In order to make sure that your skin will not react harshly to a new formula, start by using Tretinoin every other day or by mixing it (half and half) with your night cream. If your skin is still dry and irritated apply it every third day for two weeks. Then use Tretinoin every other day for the next two weeks and build up slowly to daily use.
  4. For some people (especially those with fair complexions, dry, or mature skin) the process might take longer. Others may be able to use Tretinoin only every other day.
  5. Temporary side effects such as reddened dry, flaky, and scaly skin are to be expected at the beginning of therapy. These side effects slowly subside as the skin gets used to the product.
  6. Extremes of climate tend to dry or burn normal skin. Skin treated with Tretinoin may be more vulnerable to these extremes.
  7. Do not use Tretinoin if you are pregnant, think you are pregnant or are nursing an infant: No studies have been conducted in humans to establish the safety of Tretinoin in pregnant women. If you are pregnant, think you are pregnant, or nursing we do not recommend that you use this product.