Retinaldehyde: Skin Benefits and Side Effects Explained

Retinaldehyde 101: Benefits, Side Effects, and How to Add It to Your Routine

Retinaldehyde 101: Benefits, Side Effects, and How to Add It to Your Routine
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In the world of anti-aging products, retinoids rule. Research shows these vitamin A derivatives can smooth fine lines and wrinkles, fight acne, and create a more even complexion. One increasingly popular type is retinaldehyde, also known as retinal (not to be confused with the less-potent form, retinol).

“There has been great innovation in topical retinoids in recent years, and we’re now seeing retinaldehyde appear more often in formulas,” says Noëlle S. Sherber, MD, a board-certified dermatologist and a clinical associate professor of dermatology at George Washington University School of Medicine and Health Sciences in Washington, DC.

Here’s what to know about retinaldehyde, how it compares with other forms of vitamin A, and how to add it to your skin-care routine.

Other Forms of Vitamin A

Retinoids, retinol, retinyl palmitate, and retinaldehyde all belong to the family of vitamin A derivatives. The most potent form you can get is retinoic acid, available in prescription form as tretinoin (Retin-A), says Dr. Sherber.

It is this form — retinoic acid — that acts directly on the skin.

 The other forms, which are available in over-the-counter topical products, must first be converted into retinoic acid before they can start their work in the skin.

Once applied, retinol reacts with oxygen and converts to retinaldehyde, which then converts to retinoic acid. (Retinyl palmitate is even farther back in the chain; it must first be converted into retinol.)

To put this in perspective, “Retinaldehyde is only one conversion step away from retinoic acid, making it a quite potent OTC retinoid,” says Sherber.

How Retinaldehyde Works in the Skin

Once retinaldehyde converts to retinoic acid, it gets to work in the skin. “Skin cells and sebaceous cells (oil glands) have receptors for retinoic acid,” says Lauren Fine, MD, a board-certified dermatologist with Fine Dermatology in Chicago.

Dr. Fine notes that retinoic acid can boost skin-cell turnover to unclog pores and clear hyperpigmentation, increase skin thickness over time, and stimulate collagen production. The potential results: improved texture and reduced fine lines and wrinkles.

Some limited cell and animal studies have found that retinoic acid can have an anti-inflammatory effect on bacteria that contribute to acne formation, but more human studies are needed to confirm these claims.

Benefits of Retinaldehyde

Less Acne

If you have mild to moderate acne, consider trying a retinaldehyde product. “We know that retinaldehyde helps fight those early open and closed comedones, one of the earliest forms of acne. Enhancing skin cell turnover also helps normalize skin in the early stages of acne,” explains Suzanne Friedler, MD, a board-certified dermatologist with Advanced Dermatology in New York City.

If you have severe acne, Friedler recommends working with a dermatologist. They may suggest a prescription-strength retinoid such as tazarotene.

Smoother, More Even Skin

Retinaldehyde may help you achieve that glow-from-within skin. “Retinaldehyde will help keep pores clear and will speed skin cell turnover for a smoother and more even complexion,” says Sherber. “This is a great ingredient for improving skin texture and tone if used correctly.”

Better Hydration

Research shows that certain formulations of retinaldehyde (like gel-based serums) may help maintain your skin’s hydration and moisture while smoothing texture. Higher concentrations of retinaldehyde may help even skin pigmentation.

Fewer Wrinkles

If you want to target fine lines and wrinkles, retinaldehyde may be a good option. A small clinical trial of 32 women with signs of photoaging reported that after eight weeks of using a retinaldehyde-based serum, the appearance of fine lines and wrinkles was significantly reduced on the face.

More than half the study participants reported having sensitive skin, and the retinaldehyde was gentle enough not irritate.

Side Effects of Retinaldehyde

The main side effects of topical retinoids like retinaldehyde are redness, dryness, scaly skin, and irritation. These effects can happen with any topical retinoid, and they tend to be more severe as the dose and concentration increase.

Companies often market retinaldehyde as a less-irritating form of retinol than retinoic acid, says Fine. But it’s likely not as effective at decreasing the signs of wrinkles and pigmentation as the prescription topical, she says. Fortunately, there are ways to buffer side effects (more on this below).

Don’t use topical retinoids, including retinol or retinaldehyde, if you are pregnant, says Friedler. “Systemic absorption of these products is probably low, but we always want to be abundantly cautious,” she adds. Benzoyl peroxide, azelaic acid, salicylic acid, and glycolic acid are considered safe for use during pregnancy, but check with your healthcare provider to be sure.

Make sure skin conditions like rosacea, eczema, or psoriasis are well controlled before you introduce retinol products, including retinaldehyde, Fine says. “If you begin from a place where your skin barrier is compromised, it will only become more irritated.” If your skin is in a good place, start the application slowly and consult your dermatologist.

How to Add Retinaldehyde to Your Routine

Start by using retinaldehyde products two to three times per week, says Friedler. As your skin adapts, you can increase the frequency of application. It’s okay to use retinaldehyde daily, as long as you aren’t experiencing irritation.

Use retinaldehyde at night, Friedler says. “They can be deactivated by sunlight, as well as make your skin more sensitive to the sun.” Be sure to use a sunscreen with at least SPF 30 in the morning to protect against this extra sun sensitivity.

Start with a product that has a concentration of 0.05 percent. Once you’ve incorporated that into your routine, you can increase the percentage. Higher percentages, like 0.1 percent, are more potent and can help treat conditions like acne.

Apply a chocolate chip–size amount of product to your skin, Friedler suggests. Avoid layering it with other exfoliants like glycolic or lactic acid or vitamin C. To decrease the potential for flakiness, apply a water-based hydrator (a clear or milky serum containing glycerin or hyaluronic acid) after cleansing, then the retinaldehyde product, and then follow up with a moisturizer on top, says Sherber.

The Takeaway

  • Retinaldehyde is one of the strongest topical vitamin A derivatives you can buy over the counter.
  • Retinaldehyde can reduce the appearance of fine lines and wrinkles, fight acne, and boost skin radiance. It’s less potent than retinoic acid (or prescriptions such as tretinoin), but it is helpful for people with sensitive skin or those prone to dryness.
  • Side effects can include redness, flakiness, or dryness. Use caution if you have an underlying skin or health condition. It’s not recommended during pregnancy. Talk to your doctor before adding it to your routine.
  • When you do use retinaldehyde, apply a chocolate chip–size amount of product to your face at night, followed by a moisturizer.

FAQ

What’s the difference between retinaldehyde and retinol?

Retinaldehyde is stronger than retinol because it goes through fewer conversions to get to its most active form, called retinoic acid.

Yes, you can use retinaldehyde every day if your skin can tolerate it. Start with two to three days per week and increase use gradually over the course of a month until your skin adjusts.

Yes, retinaldehyde is a treatment for mild to moderate acne. It decreases skin inflammation and targets oil gland cells that contribute to acne.

It can take several months before improvements in skin tone, texture, and fine lines are noticeable. Consistent use is recommended for long-term results.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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Jacquelyn Dosal

Jacquelyn Dosal, MD

Medical Reviewer

Jacquelyn Dosal, MD, is a board-certified dermatologist practicing at The Dermatology House in Park City, Utah. Her areas of expertise include acne, rosacea, integrative treatments of inflammatory skin diseases, as well as laser treatment of the skin and injectables.

Dr. Dosal writes cosmetic questions for the certifying exams for the American Board of Dermatology. She is also the deputy editor for the American Academy of Dermatology's podcast, Dialogues in Dermatology.

Jessica Migala

Author

Jessica Migala is a freelance writer with over 15 years of experience, specializing in health, nutrition, fitness, and beauty. She has written extensively about vision care, diabetes, dermatology, gastrointestinal health, cardiovascular health, cancer, pregnancy, and gynecology. She was previously an assistant editor at Prevention where she wrote monthly science-based beauty news items and feature stories.

She has contributed to more than 40 print and digital publications, including Cosmopolitan, O:The Oprah Magazine, Real Simple, Woman’s Day, Women’s Health, Fitness, Family Circle, Health, Prevention, Self, VICE, and more. Migala lives in the Chicago suburbs with her husband, two young boys, rescue beagle, and 15 fish. When not reporting, she likes running, bike rides, and a glass of wine (in moderation, of course).