It is common for closed comedones (whiteheads) to still appear after two months of using tretinoin cream, as this treatment often takes several weeks to months to show significant improvement.

🩺 What to Expect with Tretinoin Use

• Tretinoin works by promoting skin cell turnover and unclogging pores, but visible results may take 8 to 12 weeks or longer.
• Initial worsening or emergence of new comedones can happen as the skin adjusts, often called the "purging" phase.
• Continued use as prescribed is important for sustained improvement.

🩺 Monitoring and Care

• Avoid applying more than the recommended amount to reduce irritation.
• Use sunscreen daily since tretinoin increases sun sensitivity.
• Keep skin moisturized to help with dryness or peeling.

🩺 When to Consult Your Doctor

• If comedones or irritation worsen significantly after 3 months.
• If severe redness, pain, or signs of infection develop.
• For personalized assessment and possible treatment adjustment.

Seeing a dermatologist can help tailor your treatment plan and address any concerns about persistent or new comedones.