Get a prescription for a cream to reduce wrinkles

Yes, you can connect with a dermatologist via the Miiskin app, and request a photo-consultation. This usually takes five minutes or less, and within two business days, your prescription request is assessed. You can buy your prescribed anti-aging medication from any pharmacy after your prescription request has been approved.

Probably not. With prices starting at $59 for initial patient consultations and possibly much less for follow-up visits, providers on the Miiskin platform make healthcare affordable for everybody without requiring insurance. Regrettably, in many areas insurance coverage for online consultations is still relatively new. Paying the reasonable consultation charge out of pocket helps you avoid complicated insurance paperwork and possible delays, making the process go more quickly and smoothly.

Dr. Mohta says that for deep wrinkles, tazarotene is considered one of the best prescription treatments due to its potency and its ability to stimulate collagen production and improve skin elasticity. In addition, dermatologists may recommend injectable treatments like Botox to relax deep expression lines or dermal fillers to plump and smooth out deep creases, along with skin tightening treatments like microneedling, radiotherapy, ultherapy and laser treatments.

Dr. Mohta says that wrinkles may appear more prominent initially when starting tretinoin due to increased skin turnover and possible dryness or peeling. This is typically temporary, and as the skin adjusts over the course of four to six weeks and regenerates, the overall appearance of wrinkles usually improves significantly over time.

Dr. Mohta says tazarotene is considered a more effective alternative to tretinoin for treating wrinkles. Both are topical retinoids, but tazarotene is often perceived to be more potent, potentially offering faster and more pronounced results. It promotes collagen production and accelerates cell turnover, similar to tretinoin, but may cause more irritation. Choosing between tazarotene and tretinoin depends on individual skin type and tolerance, so consulting with a dermatologist is recommended to determine the best option.

Dr. Mohta says that tretinoin and Botox serve different purposes and can be complementary. Tretinoin works by increasing cell turnover and collagen production, improving overall skin texture and reducing fine lines. Botox, on the other hand, temporarily paralyzes muscles to smooth out dynamic wrinkles caused by facial expressions. For best results, many individuals use both treatments as part of their anti-aging regimen.

Dr. Mohta says that typically, users may start to see initial improvements in skin texture and fine lines after 12 weeks, with more significant reductions in deeper wrinkles appearing after 6 months of consistent use.

Yes, tretinoin is more effective than retinol for wrinkles because it is a more potent retinoid. Tretinoin directly affects skin cells, increasing cell turnover and collagen production more efficiently. Retinol, while effective, is less potent and works more gradually, making it a suitable option for those with sensitive skin.

Altreno is considered one of the best brands of tretinoin for anti-aging. It is formulated as a micronized version of tretinoin and it includes soothing ingredients such as hyaluronic acid, collagen and glycerin, making it more tolerable for those with sensitive skin. 

Dr. Mohta says that the best strength of tretinoin for anti-aging typically starts at 0.025% to 0.05%. Many individuals begin with a lower concentration to minimize irritation and gradually increase to higher strengths, such as 0.1%, as their skin builds tolerance. Practice strict sun protection and keep your skin well hydrated and moisturized when using tretinoin or any other retinoid. It’s important to follow a dermatologist’s guidance to find the most effective and tolerable strength for your skin.

Dr. Mohta says that tretinoin should be applied to clean, dry skin and left on overnight, as it works best when left on for an extended period. It must be applied over a moisturizer, in a thin layer before bedtime and washed off during the morning skincare routine. Learn more on this complete guide on How to use tretinoin.

Dr. Mohta says that using tretinoin three times a week is enough in the beginning. This frequency helps minimize irritation while still providing anti-aging benefits. Over time, the frequency should be increased as tolerated, under the guidance of a dermatologist.

Dr. Mohta says that  tretinoin should always be applied to the whole face, and even your neck, in a thin, even layer. She advises that you should avoid the delicate areas around the eyes, nostrils, and mouth. Consistent use over the entire face can help achieve uniform anti-aging benefits.

Dr. Mohta says that it is absolutely necessary to wash tretinoin off in the morning with a mild cleanser, apply a moisturizing cream and then sunscreen with SPF 50 as tretinoin tends to dry your skin and makes it more sensitive to the sun.

Retin-A available in Mexico is equivalent to the one that can be purchased in the United States, however to ensure safety and efficacy make sure you purchase a tretinoin brand (such as Retin-A instead of a generic) from a reputable pharmacy to ensure authenticity.