Principles

Most men want a routine that takes a couple of minutes and actually works. The evidence supports keeping it simple:

  • Protect by day. Daily sunscreen slowed visible skin aging over 4.5 years in a randomized trial (Hughes et al., 2013).
  • Treat by night. Tretinoin is applied at bedtime, as the U.S. National Library of Medicine directs, and has decades of evidence for fine lines, texture, and sun spots (Mukherjee et al., 2006).
  • Support the barrier. Gentle cleansing and moisturizer make tretinoin easier to tolerate.

Everything else is optional. Adding many active products at once is the most common reason men give up on tretinoin in the first month.

Morning Routine

  1. Cleanse or rinse. Many people can simply rinse with lukewarm water in the morning. If your skin is oily, use a gentle, non-abrasive cleanser with your fingertips, as the American Academy of Dermatology recommends, and pat dry.
  2. Shave if you shave (see below).
  3. Moisturize. A plain, fragrance-free moisturizer. The AAD suggests applying moisturizer shortly after washing to lock in hydration.
  4. Sunscreen. Broad-spectrum, SPF 30 or higher, water-resistant if you will sweat, per the AAD. Use about a teaspoon for the face and cover the ears and neck. Some moisturizers include SPF 30 broad-spectrum protection, which can combine steps 3 and 4.

Sunscreen matters more while using tretinoin. The National Library of Medicine notes tretinoin increases sensitivity to sunlight and advises sunscreen and protective clothing.

Night Routine

  1. Cleanse. Use a gentle cleanser to remove sunscreen, sweat, and oil. Avoid scrubbing.
  2. Dry completely. Waiting several minutes after washing before applying tretinoin reduces stinging for many people.
  3. Tretinoin. A pea-sized amount for the whole face, dotted on the forehead, cheeks, and chin, then spread thinly. Keep it away from the eyes, the corners of the nose, and the mouth, as the National Library of Medicine instructs.
  4. Moisturize if dry. Apply moisturizer after tretinoin. If you are very sensitive, some clinicians suggest applying moisturizer first as a buffer. Follow your prescriber's preference.
Key point

Morning: cleanse, shave, moisturize, sunscreen. Night: cleanse, dry, tretinoin, moisturize. Four steps each, two to three minutes total.

Starting Tretinoin Slowly

Irritation in the first weeks is common: dryness, peeling, redness, and stinging, according to the National Library of Medicine. A gradual start usually makes it more comfortable:

WeeksExample schedule
1 to 2Two or three nights per week, non-consecutive
3 to 4Every other night if skin is comfortable
5 and beyondNightly, or the frequency your skin tolerates

This is a general example. Your prescriber may give different instructions, and they take priority. Higher strength is not necessarily better: a 48-week trial found 0.025% tretinoin improved photoaging about as much as 0.1%, with less irritation (Griffiths et al., 1995). Read the purge and retinization for what is normal during this phase.

Shaving and Tretinoin

Shaving removes a thin layer of surface cells, which can make skin more reactive while using a retinoid. A few adjustments help:

  • Shave in the morning, apply tretinoin at night. This separates the two by many hours.
  • Use a sharp blade and a lubricating shave gel or cream, and shave in the direction of hair growth if you are prone to irritation.
  • Skip alcohol-based aftershave. The National Library of Medicine specifically lists shaving lotions and astringents among products that can sting skin using tretinoin. A plain moisturizer is a better after-shave step.
  • Take a night off from tretinoin if you have nicks or significant razor burn, and avoid applying it to broken skin.
  • Consider an electric razor during the first weeks if blade shaving is irritating.

If you are prone to razor bumps, which can leave dark marks, see dark spots and hyperpigmentation.

What to Skip

  • Physical scrubs and exfoliating tools. Tretinoin already speeds cell turnover.
  • Astringents, toners, and alcohol-heavy products, which the AAD notes can dry skin.
  • Other strong actives at the same time, such as acids or retinol, unless your clinician recommends them. The National Library of Medicine notes benzoyl peroxide and salicylic acid may interact with tretinoin unless directed by a clinician.
  • Waxing or depilatory creams on treated areas.
  • Tanning, which the AAD says prematurely ages skin.

Adjusting Over Time

After two to three months, many people find their skin has adapted and the routine feels automatic. The National Library of Medicine notes it may take 3 to 6 months to notice improvement in fine wrinkles, and that improvement may fade if you stop. If you also deal with breakouts, a clinician may add a treatment such as topical clindamycin; see adult acne and clindamycin.

Check in with your prescriber if irritation persists beyond the first several weeks, if you develop hives, swelling, or blistering, or if you are not seeing progress after several months. A licensed clinician reviews your skin and decides whether tretinoin, and which strength, is appropriate. For background, see tretinoin for men.

Wondering if tretinoin fits your skin?

Complete a short online intake. A licensed clinician reviews it and decides whether a prescription topical is appropriate for you.

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Frequently Asked Questions

Do I apply moisturizer before or after tretinoin?

Usually after. Some clinicians suggest moisturizer first as a buffer for sensitive skin. Follow your prescriber's instructions.

Can I use tretinoin in the morning?

Tretinoin is typically applied at bedtime, as the National Library of Medicine directs. Use sunscreen every morning.

How much tretinoin should I use?

A pea-sized amount is typically enough for the whole face. Using more increases irritation without speeding results.

Do men need a separate eye cream with tretinoin?

Not necessarily. A plain moisturizer can be used around the eyes. Keep tretinoin away from the eyes unless your prescriber advises otherwise.

Can I keep using my aftershave?

Alcohol-based aftershaves can sting skin using tretinoin. A fragrance-free moisturizer is a gentler post-shave step.

Sources

References cited on this page

  1. Hughes MC, et al. Sunscreen and prevention of skin aging: a randomized trial. Ann Intern Med. 2013;158(11):781-790. Link
  2. MedlinePlus (U.S. National Library of Medicine). Tretinoin Topical Link
  3. Mukherjee S, et al. Retinoids in the treatment of skin aging: an overview of clinical efficacy and safety. Clin Interv Aging. 2006;1(4):327-348. Link
  4. American Academy of Dermatology. Face washing 101 Link
  5. American Academy of Dermatology. Dermatologists' top tips for relieving dry skin Link
  6. American Academy of Dermatology. How to select a sunscreen Link
  7. Griffiths CE, et al. Two concentrations of topical tretinoin cause similar improvement of photoaging but different degrees of irritation. Arch Dermatol. 1995;131(9):1037-1044. Link
  8. American Academy of Dermatology. Acne: Tips for managing Link
  9. American Academy of Dermatology. 11 ways to reduce premature skin aging Link

This article is general education and is not medical advice. It does not replace an evaluation by a licensed clinician. Prescription medications are available only if a licensed clinician decides they are appropriate for you.