Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Sunday, June 8, 2008

Retin-A and wrinkles

Hi Dr. Rivkin,

I have tested both, sequentially, 2 weeks each, starting with the lower strength. I can tolerate the 0.04% concentration every night, even in the eye area, with minor redness. I also started to see an improvement in my mild acne. I can tolerate the 0.1% every three nights with some mild to moderate redness, dryness, and discomfort (cannot use it around the eyes, though).

1. What would you recommend: using the 0.04% strength every night or the 0.1% every three nights? Should I keep trying the higher strength hoping for my face to get used to it every night?
2. May any of these two strengths of Retin-A Micro help prevent wrinkles or a different product would be recommended for wrinkles?

hi,
you know, i would use the 0.4% every night.
with retin-a, regular, long term use is the most important thing. you will be much more likely to use the 0.04% than the 1% regularly. i think the lower percentage one will be fine at controlling your acne and preventing wrinkles both. the fact that you can use it under the eyes is a good thing, considering that this is where alot of the first wrinkles form.
i would also make sure that you are using a good moisturizer, a gentle, exfoliative cleanser and a good sunscreen. an antioxidant like prevage or a vit c topical cream (skinceuticals makes a good vit c and e furrulic) would be a good idea as well for preventative purposes.

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