[Routine Help] 35F in Southern Ontario. Melasma, "white plug
Hi everyone! I’m 35, living in Southern Ontario, and looking for some routine and retinoid advice.
My current skin concerns:
- Melasma: Darker patches that I need to address.
- Adult Acne/Texture: Rare breakouts, but they don't look like typical pus-filled acne. They are mostly bumps filled with a hard, white material (maybe sebum plugs/closed comedones?).
- PIH: Darkened spots left behind by past acne.
- T-Zone: Occasional blackheads.
- Aging: Wanting to target fine lines/wrinkles alongside my texture issues.
My past experience:
In February 2026, a doctor prescribed Aklief (trifarotene). Unfortunately, it caused a massive breakout/purge of more acne, and my skin just couldn't tolerate it, so I had to stop. Right now, I am using the SVR Ampoule A (retinol/palmitate), but it feels a bit too soft and isn't doing much for my concerns.
I want to switch to a standard, reliable retinoid that everyone uses for overall aging, texture, and pigmentation—not just a hyper-specific acne treatment.
Since I'm in Ontario, what do you recommend?
- Should I ask a GP for standard Tretinoin (and what formulation/percentage is best for melasma/plugged pores)?
- Are there any reliable Canadian retinoids you suggest I will ask my doctor to prescribe?
- Any extra product recommendations available at Shoppers, Rexall, or Sephora that pair well for the "white material" bumps and melasma?
Thank you so much!