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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dryness Of Skin

Hi Doctor, Yes I am currently suffering from dryness associate with use of Tretinoin Cream at 0.1%, and am considering purchasing Vaseline as I hear it is excellent at regulating trans epidermal water loss and generally helps skin heal, yet I am hesitant as I hear from various naturopaths and organic activists, you know the kind, who are convinced it holds no benefit? Could you please help me.
posted on Sun, 23 Nov 2014
Twitter Mon, 9 Mar 2015 Answered on
Twitter Mon, 9 Mar 2015 Last reviewed on
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Dermatologist,  's  Response
Hello. Thank you for writing to us.

Tretinoin is known to have stimulate skin turnover and therefore this manifests as skin peeling/ dryness.
Therefore skin peeling while you are using tretinoin is a known side effect of tretinoin.
This dryness is not actually due to increased trans-epidermal water loss but rather due to skin renewal.
Measures to reduce this excessive peeling include using tretinoin either every alternate days Or reducing the time of application e.g using it for just 1 Or 2 hours everyday.
Alternatively you may discontinue tretinoin for a few days and then restart with reduced frequency of application, as discussed.
Nevertheless, using a moisturizer like vaseline would be fine and is in fact advisable if the patient is experiencing excessive skin peeling.
In addition to using a moisturizer you must use a gentle cleanser for face wash e.g cetaphil cleansing lotion.
Avoid soaps while you are using tretinoin. Soaps are too drying.

Regards
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Suggest Treatment For Dryness Of Skin

Hello. Thank you for writing to us. Tretinoin is known to have stimulate skin turnover and therefore this manifests as skin peeling/ dryness. Therefore skin peeling while you are using tretinoin is a known side effect of tretinoin. This dryness is not actually due to increased trans-epidermal water loss but rather due to skin renewal. Measures to reduce this excessive peeling include using tretinoin either every alternate days Or reducing the time of application e.g using it for just 1 Or 2 hours everyday. Alternatively you may discontinue tretinoin for a few days and then restart with reduced frequency of application, as discussed. Nevertheless, using a moisturizer like vaseline would be fine and is in fact advisable if the patient is experiencing excessive skin peeling. In addition to using a moisturizer you must use a gentle cleanser for face wash e.g cetaphil cleansing lotion. Avoid soaps while you are using tretinoin. Soaps are too drying. Regards