Retin-A (Tretinoin) Retin-A Tretinoin Gel 0.01%

Retin-A (Tretinoin) Retin-A Tretinoin Gel 0.01%

Prescription with 6 ingredients that contains retinoid

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What's inside

Key Ingredients

Benefits

Concerns

Ingredients Explained

Skin Conditioning

Tretinoin (aka retinoic acid) is the gold standard retinoid in dermatology because it's the form of vitamin A that your skin can use right away. It's a prescription drug and regulated as medication in most countries.

Unlike retinol, it skips the conversion steps and goes straight to work.

Inside your skin cells, it binds to receptors called retinoic acid receptors and switches on the genes that control how skin cells behave.

For acne, it helps your skin shed dead cells properly instead of letting them build up and clog your pores (this is what turns into blackheads and pimples). It also calms redness/swelling, which is why it's a FDA-approved acne treatment.

Tretinoin also tells your skin to make more collagen and slows down the stuff that breaks collagen apart too. Over time, your skin looks smoother, softer, and more even, with fewer lines lines and sun spots.

The evidence for this ingredient is strong:

A systematic review of randomized controlled trials found that topical tretinoin consistently improved wrinkles, pigmentation, sallowness, and dark spots. Results typically showed up as early as one month and lasted out to 24 months.

All studies also found this ingredient to be safe and well-tolerated.

Typical concentrations run from about 0.01-0.1%, with 0.025%-0.1% being the usual range studied for photoaging and a 0.05% cream producing measurable wrinkle/roughness improvements in large six-month trials.

The main trade-off is irritation; dryness, peeling, redness, and sun sensitivity are common in the first few weeks so be sure to pair it well with a good moisturizer and daily sunscreen.

Learn about a form of retinoid you can purchase at the store, retinol.

Learn more about Tretinoin
BHT
Antioxidant, Masking

BHT is a synthetic antioxidant and preservative.

As an antioxidant, it helps your body fight off free-radicals. Free-radicals are molecules that may damage your skin cells.

As a preservative, it is used to stabilize products and prevent them from degrading. Specifically, BHT prevents degradation from oxidation.

The concerns related to BHT come from oral studies; this ingredient is currently allowed for use by both the FDA and EU.

However, it was recently restricted for use in the UK as of April 2024.

Learn more about BHT
Emulsifying, Emulsion Stabilising

Hydroxypropylcellulose comes from cellulose. As an emulsifier, it helps stabilize products by preventing ingredients from separating.

Antimicrobial, Astringent, Masking

This ingredient is also called ethanol or ethyl alcohol. It is denatured, meaning made undrinkable for cosmetic use.

In formulas, it:

Is it bad for your skin?

The answer comes down to concentration. Patch and wash studies have found highly concentrated alcohol-based hand rubs (60-100%) cause less barrier disruption than washing with a basic detergent like SLS. The only measurable effect in these studies was a temporary dip in skin hydration.

Concentrations below 12-15% in leave-on cosmetics is generally well-tolerated. Concentrations above start to see increased transepidermal water loss (TEWL) and reduced hydration.

In concentrations about 58%, it creates temporary channels in your skin's lipid layers to become more permeable and allow other ingredients to slip through easily.

This ingredient can be up to 80% of the formula in alcohol-based perfumes.

Overall, this ingredient is probably harmless if found lower down an ingredients list but worth side-eyeing if it's high up (especially if your barrier is already struggling).

Alcohol can worsen dry skin, eczema, and oily skin, especially at higher concentrations. This is because it can increase transepidermal water loss and decrease hydration to disrupt the skin barrier.

According to the National Rosacea Society based in the US, you should be mindful of products with these alcohols in the top half of ingredients.

True allergic contact dermatitis to ethanol is uncommon, but be sure to patch test if you have dry or sensitive skin.

Learn more about Alcohol
Perfuming, Solvent

T-Butyl Alcohol (aka tert-butanol) is a small, clear, camphor-smelling alcohol.

It has two main jobs:

On the safety side, it's well-studied and has a solid track record. Human repeat-insult patch testing showed no skin irritation or sensitization even at 100%.

Typical use levels are pretty tiny, usually less than 1%.

You might see some fear-mongering around this ingredient:

Studies in male rats showed kidney effects but that's because of a rat-specific protein that humans don't make. So this study isn't really relevant to humans.

Though it's not a typical fragrance like parfum, it does have a natural scent. That's why the official COSIng database lists it as 'perfuming' ingredient. It can be used to modify the scent of a formula.

Learn more about T-Butyl Alcohol

Brucine Sulfate is a type of sulfate.

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Where it's from

Retin-A (Tretinoin) is a South African brand

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· Updated August 22, 2024 Added by alexrae