Renova / Retina-A Treatment
Renova is a prescription medicine approved for the treatment of sun damaged (photo damaged) skin in combination with a total sun avoidance/sun protective skin program. The active medicine is called tretinoin, which is related to vitamin A, and also contained in the medicine Retin-A. Renova is the emollient version of Retin-A. Renova is milder and may be better for persons with fair, dry and sensitive skin. People with darker, oily skin can tolerate the stronger 0.1% Retin-A cream.
They stimulate the production of new cells in the skin. It also increases the supply of blood, decreases the color of sun spots and may increase collagen production in the areas where it is used.
They appear to provide an effective method of reducing the signs of aging skin caused by excessive sun exposure. It can improve the quality of your skin, give it a better texture, reduce fine wrinkling, lighten dark liver spots and replace skin dullness due to sun damage with a pink, rosy color.
• Prior to Retin-A application, wash your skin gently with a mild soap or cleanser, pat lightly with a towel and wait 15-20 minutes for complete drying to occur. This is very important
• Application of Retin-A on a once-a-day schedule should occur at bedtime. Apply enough Retin-A to the areas you have been instructed to treat so that the cream appears as a white film which disappears within 30 seconds after rubbing it into your skin. Application of Retin A on the face should extend up to the lower margins of the eyes, as well as the outer corners of the eyes. Apply extra amounts to darker spots.
• Your face should feel dry and irritated so the use of moisturizers, lipid drops and hydrating spray is recommended every night.
• During the day use "chemical free" sun blocks with sun protection factor (SPF) 15 or higher. Self-tanning or tinted moisturizers with SPF 15 may also be used.
You can expect a slight improvement within 4-8 weeks and even more benefit in 4 months. People who see you occasionally may be more likely to notice the difference than people (or yourself) who see you everyday.
In the first weeks of treatment, you are likely to experience a sensation of burning or stinging, dryness, redness, peeling and scaling on the areas you are treating with Retin-A. These symptoms may be moderately uncomfortable. However, these effects are temporary and will usually disappear after the first few weeks of treatment, once your skin has adjusted to the cream. If the effects of Retin-A produce severe irritation, we recommend that you decrease your Retin A applications to every other night or every third night, until your skin can again tolerate treatments every night.Increased Susceptibility to Sunburn:
Retin-A may initially increase your skin's susceptibility to sunburn. The use of sun screen (SPF 15 or greater) is recommended during normal daily and recreational activities. We urge that you always wear a sun screen to prevent further sun damage.
• Commitment to discontinue recreation sun exposure, especially tanning beds.
• Wear a sun screen with a SPF of 15 or higher.
• Wash treated areas no more than 2-3 times per day. Avoid harsh scrubbing.
• Avoid astringents and after-shaves. These products typically have high alcohol concentrations and fragrances that can cause stinging on treated skin.
• Avoid undue exposure to wind and cold. This can cause dryness and stinging on treated skin, so use more moisturizers or decrease Retin-A.
• Do not use other medications on treated areas unless reccommended by your skin care specialist.
• Sometimes bleaching creams and cortisone are used with Retin-A to decrease hyperpigmentation, especially before or after chemical peels.
• Avoid contact of those areas to which you have applied Retin-A with those areas that you have not. Wash fingertips used for application before touching other areas of the body.
• Stop using glycolic gel or glycolic night cream at bedtime when you begin using Retin-A. Some people can tolerate both glycolic and Retin-A simultaneously, but typically it is best to alternate their use every other night for the first several weeks. You can still use glycolic acid during the day.
• Stop Retin-A one week prior to your office glycolic acid facial peel or wash.
• Call this office if you have questions or problems.