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Tretinoin (All-Trans Retinoic Acid): Is It An Anti-Wrinkle or A Hype?

What is Tretinoin?

Tretinoin, also known as All-Trans Retinoic Acid, is a member of vitamin A group. Widely regarded as the most potent form of vitamin A, Tretinoin has been used extensively for acne treatment. However, due to the potential side effects including excessive drying, peeling, phototoxicity and photosensitivity effects, it is normally used at a low concentration.

The Skin Benefits of Tretinoin (All-Trans Retinoic Acid)

Tretinoin is one of the skincare ingredients that has been proven to be effective in the treatment of acne. As mentioned in the previous article about adult acne, the sebum production is controlled by testosterone, a hormone that is produced in both men and women.

The excess sebum and Propionibacterium acnes bacteria are believed to be the main trigger of acne inflammation.

A study involving 577 people showed that Tretinoin reduced the acne inflammation. It is particularly effective at 0.3% concentration. It also reduced acne scars (within 24 weeks) and hyperpigmentation (within 40 weeks). Somehow, Tretinoin helps boost collagen synthesis and skin renewal.

Nevertheless, Tretinoin is such a potent substance, therefore, it is highly recommended to only use it under the supervision of a qualified dermatologist.

Tretinoin All-Trans Retinoic Acid

The Risks of Using Tretinoin (All-Trans Retinoic Acid) Skincare Products

Similar to Retinol, Tretinoin is known to increase skin sensitivity to UV-induced damage including the development of skin cancer. As we know, the risk for cancer is increases with age, therefore, the use of Tretinoin skincare products for the treatment of signs of ageing should be reviewed and reconsidered. 

Due to the highly irritating, drying and peeling effects of Tretinoin; personally, I don't think it is suitable for mature, premature ageing and sensitive skin.

Is Tretinoin An Anti-Wrinkle or Just A Hype?

Due to the collagen-boosting and skin renewing properties, Tretinoin is sometimes used for the treatment of signs of ageing such as wrinkles, hyperpigmentation and UV-induced skin damage.

The most successful temporary anti-wrinkle is Botulinum toxin, that needs to be injected into the muscles. Widely known as Botox, this neurotoxic substance is capable of paralysing the muscles. The results are likely to last for a few months. However, this shouldn't be done casually. Regularly injecting toxic chemical into the body carries its own risk.

I don't believe there is a permanent anti-wrinkle; as with age, collagen, elastin, hyaluronic acid and other skin components are getting depleted at a pace that is depending on the genetic predisposition and external factors. There isn't a way yet to stop ageing completely; nevertheless, we can slow down the skin ageing process.

Is Resveratrol The Anti-Wrinkle Alternative to Tretinoin and Botox?

Numerous studies indicated that Resveratrol, a superantioxidant found in the skin of red grapes, protects skin cells from oxidative stress, UVA and UVB. It helps prevent collagen degradation and UV-induced DNA damage. The antioxidant properties of Resveratrol is much higher than most antioxidants such as Vitamin A, C, E, Catechin (in teas), Epicatechin (in cocoa), Gallocatechin (in adzuki beans), Gallic Acid (in blueberries), Ellagic Acid (in pomegranates) and Idebenone. Topical Resveratrol is also potentially effective in stimulating skin cells renewal, reducing hyperpigmentation and calming acne-prone skin.

Resveratrol is one of the key ingredients in award-winning Henry Tianus Bio-Collagen Serum. This supercharged face serum is probably the closest thing to an anti-wrinkle in a bottle. Formulated with 8 bioactives, Bio-Collagen Serum helps lift and firm the appearance of skin while also smooths out the look of wrinkles and lines. I initially formulated this serum for my mum, and now I like to use it myself along with Henry Tianus Bio-Collagen Ageless Cream, an award-winning face cream to even out skin tone, plump up and lift the overall look of face and neck.

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Sources: Evaluation of tretinoin cream 0.05% as a potential cause of phototoxicity and photoallergy, Cosmetic Dermatology, April 2002, 15(4): 17-20; Retinoid Associated Phototoxicity and Photosensitivity, Pharmacology & Therapeutics, Volume 40, Issue 1, 1989, Pages 123-135; Why Topical Retinoids Are Mainstay of Therapy for Acne, Dermatology and Therapy, 2017 Sep, 7(3): 293–304.

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