Will Long-Term Use of Retinoids Affect Visible Facial Blood Vessels? - Dermatology

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Congenital blood vessels near the lips?


Hello doctor, I recently developed a lot of acne due to staying up late.
I bought a third-generation retinoid acne treatment and saw significant improvement; I now have almost no acne.
However, I have naturally prominent blood vessels on my cheeks near my lips.
I would like to know if long-term use of retinoids will make these blood vessels more noticeable.
How can I prevent them from worsening or even improve their appearance?

Hi, 20~29 year old female. Ask Date: 2018/08/20

Dr. Wu Yuxin reply Dermatology


No, we cannot identify the issue without seeing the lesion.
If it is causing significant concern, please seek medical attention promptly.

Reply Date: 2018/08/20

More Info


Long-term use of retinoids, particularly topical retinoids like tretinoin (a third-generation retinoid), can have various effects on the skin, including potential impacts on visible facial blood vessels. Retinoids are well-known for their ability to promote skin cell turnover, reduce acne, and improve skin texture and tone. However, they can also cause skin irritation, dryness, and increased sensitivity, particularly when first introduced into a skincare regimen.

When it comes to the visibility of blood vessels, retinoids can have a dual effect. On one hand, they can improve the overall appearance of the skin by enhancing collagen production and promoting a more even skin tone. This can sometimes lead to a reduction in the appearance of superficial blood vessels over time. On the other hand, the irritation and dryness caused by retinoids can lead to increased redness and sensitivity in some individuals, which may make blood vessels appear more prominent.

In your case, since you have noticed that the blood vessels around your cheeks and lips are more visible, it is essential to consider a few factors:
1. Skin Sensitivity: If your skin is reacting to the retinoid treatment with increased redness or irritation, this could exacerbate the visibility of blood vessels. It may be beneficial to reduce the frequency of application or to use a lower concentration of retinoid to minimize irritation.

2. Moisturization: Incorporating a good moisturizer into your skincare routine can help alleviate dryness and irritation caused by retinoids. Look for products that are hydrating and soothing, which can help maintain the skin barrier and reduce redness.

3. Sun Protection: Retinoids can make your skin more sensitive to sunlight, which can lead to further irritation and redness. Using a broad-spectrum sunscreen daily is crucial to protect your skin from UV damage, which can worsen the appearance of blood vessels.

4. Consultation with a Dermatologist: If you are concerned about the visibility of your blood vessels and the long-term effects of retinoids, it would be wise to consult with a dermatologist. They can assess your skin condition and recommend appropriate treatments or adjustments to your regimen. They may suggest alternatives to retinoids or additional treatments that can help reduce the appearance of blood vessels, such as laser therapy or other topical agents.

5. Lifestyle Factors: Consider lifestyle factors that may contribute to skin sensitivity and blood vessel visibility, such as diet, hydration, and stress levels. A balanced diet rich in antioxidants, staying hydrated, and managing stress can all contribute to healthier skin.

In summary, while retinoids can be beneficial for treating acne and improving skin texture, they can also lead to increased sensitivity and potentially make blood vessels more visible in some individuals. It is essential to monitor your skin's response to the treatment and make adjustments as necessary. Consulting with a dermatologist will provide you with personalized advice and treatment options to address your concerns effectively.

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