Hello,

Thanks for posting your query at DoctorSpring.com.
I can understand your concern.

Retinoids do not give very lasting side effects. It could have definitely lead to the dryness and peeling of the skin, however the hollows you mention may not be due to the tretinoin.

However, it's best to opine only after I see the area you are mentioning. I would request you to send a picture so I can have a look at your concern. Please reply as follow-up.

Regards...

Hello.

Thanks for your reply.

You seem to be having a tear trough which is like a hollow just below the eye, it happens in some individuals due to loss of hyaluronic acid in the area.

Tretinoin cream wouldn't cause this effect, it's just the natural process of aging skin as we get older.

I would recommend application of clinique hyaluronic acid cream which would help in improving that area. To fill up the area, it's best to do a filler which consists of hyaluronic acid gel which is injected in the tear trough below the eye which fills up the area. the effect lasts for eight to ten months and then has to be repeated.

Hope my recommendations were helpful.

Let me know if you have any additional queries.

Take care.....

Hello Tretinoin cream doesn't cause permenant side effects. Only during the first few days, there can be some minor complications like skin redness, dryness, itching, or scaling of skin. However none of these are permanent damages. So don't worry about it.

Regards....

Hello again,

It could usually take 3 to 6 months , however it varies from individual to individual.

The loss of hyaluronic acid however needs to be corrected with the help of fillers as I mentioned. The creams cannot always restore the skin. They act more like a preventive measure and corrective only to some extent.

It's an ongoing process and the skin has to be taken care of on a daily basis.

Take care