Skin ageing combines the passage of time with the damage accumulated from ultraviolet radiation, which is the main cause of fine lines, uneven texture, dark spots and loss of radiance on the face. This part, photoageing, is what responds to topical treatment.
Topical tretinoin is the retinoid with the most decades of evidence: it normalises cell turnover, stimulates dermal collagen and improves fine lines, texture and tone with continued use. Its effects are gradual and are lost if it is stopped.
In the online consultation, the doctor reviews your skin and photos, rules out lesions that need an in-person examination and prescribes tretinoin 0.05% with a gradual introduction schedule and daily sun protection.