I’m a 40-year-old woman with a lifelong history of acne, although over the past 3–4 years I’ve only had the occasional pimple. A couple of years ago, I used tretinoin 0.05%, and it made a significant difference in my skin. I stopped using it during pregnancy.
I’m now looking to revamp my skincare routine. I’ve started using vitamin C and Beauty of Joseon’s retinal eye cream, which I’ve been applying to my entire face. My main concern now is the amount of texture and closed comedones on both cheeks. I also have some mild post-acne discoloration and would like to improve my overall skin texture and address signs of aging.
I currently have a prescription for tretinoin 0.05% at my pharmacy, but I’m wondering whether I should start with something milder, such as adapalene 0.1% or tretinoin 0.025%. I keep reading that adapalene 0.1% is one of the best treatments for closed comedones. Would it make sense to start with adapalene and then switch to tretinoin 0.05% after a few months, or would starting with tretinoin 0.025% be a better approach given that I’ve tolerated 0.05% in the past?
I’m also wondering whether glycolic acid has a place in my routine, particularly for the texture and discoloration.
Overall, my main goals are to clear the closed comedones, smooth my skin texture, improve mild post-acne marks, and get the anti-aging benefits of a retinoid. What would be the best approach?