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Dermatology  (Expert Forum)
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Which products to use? And can I use Retin-A and glycolic acid cream together?
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Which products to use? And can I use Retin-A and glycolic acid cream together?

by Aprilb, Jul 07, 2009 03:26PM
I am a 30 year old woman, with very fair skin, who is starting to notice the early signs of aging on my face. I have lines around my eyes (not just crows feet, but under and around my eyes) and on my forehead. I am also beginning to notice smile lines around my mouth and the skin isn't as taut as before there.

I believe I have combination skin, although I'm not entirely sure. I have LOTS of blackheads on my nose, chin, upper cheeks and forehead. I also have flakey skin on my nose most days (not all) for some reason despite moisturizing, wearing sunblock and using glycolic acid lotion at night. I still get some acne close to menstruation around the jawline and chin, sometimes my cheeks too.

My older sister has been using Retin-A 0.05% in the evenings for a few months now and her skin looks nice. We both used Retin-A when we were young teens for acne and seemed to tolerate it well. I don't recall the strength.

I'm interested in using Retin-A to help with the aging and acne and possibly a glycolic acid cream called Aqua Glycolic Face Cream. I was planning to use the Aqua Glycolic Face Cream in the a.m. under my sunscreen (Blue Lizard Australian Suncream SPF 30 for Babies) and Retin-A 0.05% at night. Would this be safe and effective for the treatment/prevention of fine lines and acne, as well as the uneven skin texture?

Also, at present I just wash my face with Ivory bar soap. Could you recommend a good everyday cleanser?

Thanks so much for your help! I'm so confused about what to use that will truly make a difference. I'm starting to feel frightened over what I see in the mirror. I feel like my skin looks much older than 30. My goal would be to have smooth, firm, dewy, youthful looking skin! I'm very fair, so when my skin doesn't glow I look pasty and unhealthy. Help!

by Alan Rockoff, MD, Jul 09, 2009 06:35AM
To: Aprilb
You should be able to use both glycolic and Retin-A, but I suggest you start one (glycolic) and then add the other, just to make sure your skin can handle both (it should.)  I usually start tretinoin (Retin-A) for aging purposes at the 0.025% strength.  Be sure to use sunscreen when going out.  Your dermatologist who prescribes the Retin-A will discuss this, along with other measures you might consider, such as light chemical peels, once your skin regimen is set.  Cetaphil is a good, over-the-counter cleanser.

Best.

Dr. Rockoff
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