We've been talking about rosacea a lot. Mine is mild, so if I react to something, it isn't unbearable waiting it out. But I don't like to flare it on purpose, just because of the risk of dilated blood vessels coming to the surface (and staying there). I was just wondering about retinol. I just tried Neutrogena tone-correcting moisture, which has retinol and I think ascorbic acid. I think I was hoping there wasn't much in there and nothing would happen, silly me. My rosacea did act up, a lot more than usual. The product does advise, and I have heard, that the initial reaction will abate. But does this still hold true if you have rosacea skin? I've heard mixed reviews of retinoids in rosacea. Of course, I'm not sure if there is another ingredient contributing.
P.S. I am sad. Ever since my single foolish use of that neutrogena retinol product, my rosacea has been acting up and I can't get my skin looking like itself again. I have a papule that won't go away (usually they go away as soon as I treat w/ metrogel, this one is just sitting there stubbornly lol) and one whole side of my face is blotchy with more prominent dilated blood vessels. I just thought I'd whine here since other women understand these things. Wish I had followed my own advice about people with rosacea not messing with any type of irritant.
I'll be happy to do an ingredient breakdown for you if you can specify WHICH neutrogena tone correcting product you used.
The shop.neutrogena website features: Tone correcting targeted treatment, tone correcting moisture spf 30 and a tone correcting concentrated night serum.
Thanks Lela! I'll take you up on that. I used tone correcting moisture spf 30. Incidentally, Paula's choice has retinol-containing products that are recommended for rosacea, but I think it may be playing with fire. Ouch, my skin hasn't been this bad since I got diagnosed w/ rosacea. The depressing part for me is the blood vessels, because those don't go away once they surface. But it's not horribly disfiguring, I'm dramatizing a bit (vanity).
remember, the sunscreen could be the culprit, a lot of rosacea prone people have issues with sunscreen. Ascorbic acid is also the most acidic and irritating form of vitamin c, but I would wager to say the sunscreen.
Retinol, when formulated in a gentle base, is not nearly as irritating as most other active ingredients (such as AHA's or Vitamind C).
Hmm. I've certainly heard sunscreens can be irritating, but personally I've never reacted to a sunscreen before. I'll have to check if it's a different active ingredient than the others I use. I was a little concerned though when the package mentions redness and peeling as side effects to expect.
isodecane is used to create a matte finish and a longer lasting formulation but it's a potential irritant, the aforementioned vitamin c and the product is fragranced.
any one of these ingredients could cause a problem, but off course it still could be the retinol.
Give it time, I find with my skin when I over-acid, applying a pure silicone product such as a primer (or lubricant!) helps calm it too. And any product with a high concentration of Bisabolol has been successful.
Sarah, my favorite, but very expensive is Hourglass mineral primer spf 15. it's all physical blocks, but it's in a dry-finish silicone base, which has a nice thin texture and exceptional silkiness. This prevents any potential breakouts and keeps the sunscreens micronized so they look less white on. Bonus, it's also very water- resistant and totally ok around the eyes. In particular I find most people with combination skin like it. That's the only one I've tried that I quite enjoy that has a broad spectrum sunscreen, far too many out there only protect from UVB.
Ally E, I agree. I used Paula's retinol products around my very sensitive eyes with no issue and I quite like Philosophy's Help me cream too. I used those while adjusting the eye area skin to prescription retinoids in order to dilute them and I can now use straight up prescription retin-a around my orbital bone with no reaction.
Thanks for your input Ally. It's funny how everyone's triggers are so individual. I was considering that very product (PC retinol) but I'm afraid to now because of how I reacted to the neutrogena. It was really pretty dramatic for me, more dramatic than any symptoms I've had since diagnosis (again, it's all relative--my rosacea is mild, like you). I'll wait until my skin calms down and see how bad the blood vessels look. If I have permanent changes from it, I may forego retinol products altogether to be safe.
Lela, thanks for telling me about the hourglass mineral primer. One issue I've had with physical sunscreens is they look white as a ghost on me (even Paula's choice mineral sunscreen, which has a nice texture). So if this is any less white it could be a good thing.
My skin is doing better, still not 100% back to itself, but much less red and sensitive. I still have some visible blood vessels, though, in some areas I didn't used to, but they may fade.
No, I pretty much just eliminated the retinol product and continued my normal routine of metrogel, eucerin redness relief and cerave (which I use at night).
Here's my experience with retinol. I don't have rosacea, so this might not be helpful for those with rosacea. I do have skin that gets itchy and red in reaction to fragrances and soap, and that breaks out in zits from titanium dioxide and zinc oxide, so it has its issues.
I use a prescription retinol cream that doesn't have any other active ingredients, and no fragrance. I put a little bit on at night, then use mineral oil or aquaphor ointment over it to seal in the moisture. The first time I used it, and every time I run out of it and then start using it again after a lapse, my skin peels after a few days. My skin gets a little bit grey or ashy looking, then gets kind of powdery/flaky for a few days. I deal with this by using an exfoliating cloth, the thin kind that they sell at Chinese dollar stores and usually in drugstores too. I put oil on my face, exfoliate gently, then use more oil or Monistat Chafing Relief Powder Gel (the Smashbox primer substitute) to disguise the flakes. The flakiness is worth putting up with, because the retinol really makes skin look younger. It takes about 3 months to see a noticible difference, so it's a commitment. It makes my skin smoother, bouncier (ie younger) and less zit-prone.
I've also heard that people try a very low % retinol cream, or mix retinol with a gently moisturizer to let the skin gradually adjust to it, but I haven't tried this myself.
Hi professor auntie,
Thanks for sharing your comments. It's funny what you mentioned about mixing in retinol w/ a gentle moisturizer, that was a strategy I thought about trying if I try another retinol product down the line (either that or a small test patch). And I'm very familiar with those exfoliating cloths from years ago, when I used to buy them at an asian grocery store (I used them on my body at the time, never tried them on the face). They are very nice; I think you're right, now you can find them all over.
Sarah
So I kind of got curious (I know, curiosity killed the cat) and tried mixing in a really small amount of the retinol spf 30 stuff w/ a normal amount of my regular moisturizing spf 30 sunscreen, since my skin had recovered pretty well from the earlier flare--it's definitely a LOT better than full strength. So if that continues to be tolerable, I may be able to work my way up, incredibly gradually--or I might just keep using a low concentration. In the meantime, I'm using it full strength on my hands where I have a layer of toughened skin (partly sun damage).
Another update--I am still tolerating the ultra-low-strength retinol achieved by mixing it in with my regular day cream/sunscreen. I used it every other day for a week or so. Today I used it for the second day in a row, which wasn't bad, but I think to be safe I'll stick to every other day.