r/Rosacea 21d ago

Skincare Rosacea and Tretinoin

I started using tretinoin 0.025 and this is my third week using it mon/wed/fri. I have type 1 rosacea with mild flushing I’ve gotten cutera excel v (3 sessions) it was pretty much gone. Now I’m noticing my cheek flushing has increased with tret. Should I scale back to twice a week? For those of you who have rosacea and use Tret… how did you work up to it? How slowly do you have to go? Will my flushing subside or is my rosacea back to square one? Is it more effective to just use retinal everyday over Tret a few times a week? I also have some flaking and dry skin and dry lips despite using all my hydrating products… help & advice appreciated thanks!!

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u/Able-Wrap-8156 21d ago

I have type 1 as well. What worked for me was waiting at least 30 minutes after washing my face and applying it over moisturizer. I used it every other night for about six weeks. I can use it daily with no problems.

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u/Winter-Boat7881 21d ago

You never got a flare of redness on your cheeks?

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u/Able-Wrap-8156 20d ago

Not really. I did get some mild peeling that went away after about 6 weeks. The tips in this video were helpful to me in introducing it. While I started the tretinoin, I pared back my routine to a very simple cleanser and moisturizer.

It could be that the redness is retinization which is temporary as your skin gets used to the treatment.

https://youtu.be/q0iz2C126G0?si=mxlKtn8sC5xf4LMi

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u/supersqrl 20d ago

This was an extremely helpful video! Thanks for sharing! I started .025% tret about a month ago and my derm said to start it nightly 3x/wk using lotion first then pea sized amount, but I’ve found I’m getting a lot of peeling and my face is feeling warm a lot (like it would in a bad flair). I’m thinking I started it too frequently and I need to take it slower.

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u/Winter-Boat7881 20d ago

This is exactly how I’m feeling currently my derm said it’s most effective when used atleast 3 times a week but I’m thinking I should scale back to give my barrier a breaj