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Retinol for anti-ageing is popular because vitamin A derivatives can improve the appearance of fine lines, uneven pigmentation and rough skin texture. Retinol is a cosmetic retinoid; prescription retinoids such as tretinoin have a more extensive clinical evidence base for photoageing. Results vary by formulation, strength and consistency.
Retinoids influence epidermal cell turnover and, with regular use, can support remodelling pathways involved in photoaged skin. Changes are gradual rather than immediate. Adequate sun protection is necessary because UV exposure continues to drive photoageing.
Begin with a low-strength formulation two nights per week if tolerated, followed by a bland moisturiser. Gradually increase frequency over several weeks based on dryness, peeling and comfort. Apply to dry skin and avoid irritated areas. Some products cause transient irritation; a persistent burning rash is not a desirable ‘purging’ phase.
Retinoids can be useful components of some pigmentation regimens, particularly where acne and photoageing coexist. However, melasma and post-inflammatory hyperpigmentation require individual assessment and photoprotection. Treating irritation aggressively may worsen dark marks, especially in skin of colour.
Do not use topical retinoids, including cosmetic retinol, during pregnancy. Discuss use while planning pregnancy or breastfeeding with a healthcare professional. People with eczema, rosacea or a disrupted skin barrier may require a gentler approach or an alternative treatment.
For prescription-strength retinoids or persistent pigmentation, book a dermatology consultation. See our guide to combining retinoids with benzoyl peroxide before layering acne products.
General information; individual suitability varies. Prescription retinoids need medical oversight.
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