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Tretinoin Before and After Rejuran: What Should Change in Your Skincare Routine?
Before Rejuran, ask whether you need to pause tretinoin and when to apply it for the last time. The prescribing information describes irritation but gives no Rejuran-specific stop date. Tell the clinic which strength you use and whether your skin is already stinging or peeling so the clinician can advise on your prescription and the planned injections.
If you’re considering Rejuran at Edition Clinic, Dr. Natcha Prachayakul (Dr. Mild) sets out the clinic’s aftercare in a separate published guide. Her advice is to skip washing, makeup and skincare on the treated area for the first six hours. The guide recommends gentle cleansing with lukewarm water and a mild, fragrance-free cleanser during the first 24–48 hours, and advises avoiding retinoids, acids and exfoliants during the first week.
Agree on when to restart tretinoin before the injections, including what to do if the skin is still irritated when the planned pause ends.

Rejuran product photograph. Photo courtesy of Edition Clinic.
Is your skin comfortable on tretinoin, or already irritated?
Two people can both say they use tretinoin every night while describing very different skin. One may have used the same prescription comfortably for months. Another may have increased the strength recently and now finds that even an ordinary moisturiser stings.
The tretinoin cream prescribing information published on DailyMed describes redness, peeling and irritation, and explains that troublesome reactions may require treatment to be interrupted or adjusted. It also cautions about use on eczematous skin and advises waiting until sunburn has resolved. These are medication precautions; they do not establish a Rejuran preparation protocol.
For the appointment, give a fuller account than the ingredient name alone. Bring the strength and formulation, explain how often it is applied and describe how the skin has behaved recently. Include where it goes: a whole-face routine and a small area of prescription use are useful details to distinguish.
If the skin is sore or visibly inflamed, raise that before attending rather than treating it as a minor detail to mention after preparations begin. The question becomes whether the planned injection should proceed on that skin, not simply whether the last application was long enough ago.
What if you used tretinoin the night before Rejuran?
Tell the clinic before you head to the appointment. Give the time of your last application, the strength on the tube and whether the skin being treated is stinging, peeling or visibly irritated. If you were asked to pause tretinoin, say when you last used it so the clinician can decide whether to keep or move the appointment.
Avoid scrubbing or exfoliating to make up for the application. If the clinic asks you to pause a prescription you use for acne, ask whether to confirm the change with your prescriber and what to use in the meantime.
Plan the first week as carefully as the appointment
Under Edition Clinic’s published protocol, tretinoin stays out of the evening routine during the first week. The temporary pause and subsequent restart therefore belong in the aftercare plan agreed before treatment.
Edition Clinic’s first-week instruction is a clinic-specific aftercare example, rather than a universal interval for every polynucleotide treatment. For someone who uses tretinoin regularly, the practical point is clear: good tolerance before the appointment does not remove the need to plan what goes on the recovering skin.

Consultation at Edition Clinic. Photo courtesy of Edition Clinic.
Agree what to use instead, when a review is needed and how restarting will be decided. Reaching the end of a suggested pause does not, by itself, show that sore or peeling skin is ready. Equally, the plan should not leave a prescription suspended indefinitely because nobody explained the next step.
Review the products beside the tretinoin
The rest of the routine can complicate an otherwise clear plan. A salicylic acid cleanser used a few times a week, an exfoliating toner and a scrub kept for special occasions are easy to leave out when the conversation centres on one prescription tube.
The tretinoin label cautions about abrasive cleansers, strongly drying products and some other topical treatments. Photograph the labels of everything used on the proposed treatment area, including occasional products. This gives the clinician something more useful than a description of a routine as gentle or suitable for sensitive skin.
If particular products are paused, leave the gaps in place until the agreed restart. There is little practical benefit in carefully removing the named exfoliating toner while introducing a new peel that was never discussed. Keep the temporary routine simple enough that you know which instructions apply to which product.
Restarting is part of aftercare, not a return to autopilot
Before leaving, establish what recovery should look like and how to get advice if it differs from the explanation. Persistent or worsening irritation deserves a response to the symptoms, rather than an automatic return to the usual evening application.
The same prescribing information warns that applying too much tretinoin does not bring better or faster results and can cause more redness, peeling and discomfort. Resist the urge to make up for a pause with a larger application. Resume according to the agreed prescription plan.
It also helps to keep a short note of what was stopped and when. If the clinician advises changes to the restart schedule, you can follow those changes without relying on memory or confusing an occasional exfoliant with the prescribed medicine.
A well-planned Rejuran appointment should leave you able to answer three everyday questions: what goes on your skin tonight, what stays off for now and what needs to happen before tretinoin returns. Settling those details beforehand makes the temporary change easier to follow and keeps the prescription in the conversation from start to finish.
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