How to Safely Get Lash Extensions While Using Tretinoin: What You Need to Know

If you’ve been paying attention to skincare trends lately, you’ve probably noticed dermatologists talking a lot about tretinoin.  It’s considered the gold standard for anti-aging, the prescription retinoid that actually has decades of research backing up its benefits for mature skin.

And if you’re using it (or thinking about starting), that's great news for your skin. 

But here’s something you might not have considered: tretinoin changes how your skin behaves, and that matters when you’re getting services like lash extensions.  Not because there’s anything dangerous about the combination, but because I need to adjust my approach to protect your more sensitive skin.

Let me explain what tretinoin does, why it matters for your lash appointments, and what you should know before you come in. 

What Tretinoin Is (And Why It Works)

Tretinoin is a prescription-strength retinoic acid, essentially a more powerful version of the over-the-counter retinol you might already be familiar with.

The difference?  Retinol has to convert into your skin to become retinoic acid, which makes it milder and slower-acting.  Tretinoin is already retinoic acid, so it’s significantly stronger and works faster.  That’s why it requires a prescription.

What makes tretinoin the gold standard for anti-aging is what it does at the cellular level.  It speeds up cell turnover, stimulates collagen production, fades hyperpigmentation, and improves overall skin texture.  For mature skin dealing with fine lines, age spots, and uneven tone, it’s one of the most effective treatments available.

How Tretinoin Changes Your Skin

Here’s what most people don’t realize about tretinoin: when you start using it, your skin goes through an adjustment period called “retinization.”

During this time, typically the first 2-6 weeks of use, your skin becomes more sensitive. You might experience redness, dryness, peeling, or that “raw” feeling.  This isn’t an allergic reaction.  It’s your skin adapting to the increased cell turnover tretinoin creates.

The area around your eyes is particularly vulnerable.  The eyelid skin is thinner and more delicate than the rest of your face, which is why dermatologists specifically advise keeping tretinoin away from the eye area, including the lash line.

Even if you’re not applying tretinoin directly to your eyelids, it can migrate during sleep or through touch.  And even after that initial adjustment period passes, your skin remains more reactive than it was before you started tretinoin. 

This is where lash extensions come into the picture. 

Why This Matters for Lash Extensions

When your skin is more sensitive from tretinoin use, the products and techniques I use during your lash appointment can affect you differently than someone who isn’t using it.

Let me give you a real example.  I have a 26 year old client who uses tretinoin.  During one of her early appointments, I used the hydrogel eye pads I typically use on everyone.  Within minutes, she felt a burning sensation.

She wasn’t allergic to the eye pads.  Her skin was just more reactive because of the tretinoin.  Now when she comes in, I use non-gel foam pads instead, and the problem is completely solved.

I also have to be more careful when working with LED technology on clients using tretinoin.  The eyelid area needs extra protection with shields to prevent any potential irritation from the light exposure.  

These adjustments aren’t complicated, but I can only make them if I know you’re using tretinoin. 

What You Need to Know Before Your Appointment

If you’re using tretinoin and getting lash extensions, here’s what I need you to do:

Tell me you’re using it. This is the most important step.  I can’t adjust my approach if I don’t know your skin is more sensitive.

Keep tretinoin away from your eye area.  Dermatologists recommend avoiding application near your eyes, lash line and inner corners.  Even if you’re careful, tretinoin can migrate during sleep, so just be aware.

Pay attention to your skin’s condition. If your eyelids are actively red, peeling, or feeling raw, let’s reschedule.  I’d rather wait until your skin calms down than risk irritation during your appointment.

Expect the first few weeks to be the most sensitive. If you’re just starting tretinoin, the first 2 to 6 weeks are when your skin is adjusting.  This doesn’t mean you can’t get lash extensions during this time, but we need to be extra cautious.

Keep your skincare simple during retinization. Your dermatologist can guide you on what products to use or avoid while your skin adjusts to tretinoin.  In general, layering multiple strong actives can increase irritation, especially around the delicate eye area. 

The Bottom Line

You don’t have to choose between tretinoin and lash extensions.  Both can work beautifully together when I know what I’m working with.

Tretinoin is an excellent choice for mature skin, and I want you to be able to enjoy both your skincare results and beautiful lashes.  The key is simple communication.

Let me know you’re using tretinoin before your appointment, and I’ll make sure your experience is comfortable and your skin is protected.

Curious about lash extensions but concerned about your skincare routine?  Schedule a consultation and we’ll create a plan that works for your skin.