A question regarding rosacea and Retin A (tretinoin).

Hi Dr. Irwin - I read your blog regarding several studies showing that Retin A/Renova/tretinoin do not irritate rosacea and, in many cases, improve it. It's fine to stay on it. I have used Retin-A for years but stopped temporarily when diagnosed with Rosacea. Concuring with you, a plastic surgeon said I should resume treatment for the antiaging benefits. I worked up to o.1% nightly but it seems I may be developing more telangiectases now, so have stopped again. Would it reduce telangiectasis development and yet provide benefits if I used a lower dose less frequently? Please advise....thank-you!

In general, the telangectasias are due to the rosacea, not the Retin A.   IPL or pulsed dye laser are still the best treatments for these, other than your prescriptions.  Also the % in Renova is 0.02% which usually works quite nicely – no need to go to the higher concentrations for this purpose.


Dr. I

Dr. Brandith Irwin, MD

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