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Crusile
Chicowski
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So over for tret users
@EverythingMattersCel @ngsk8
redditor debunks tretinoin hard
@EverythingMattersCel @ngsk8
redditor debunks tretinoin hard
![pi2rhrN.png](/proxy.php?image=https%3A%2F%2Fi.imgur.com%2Fpi2rhrN.png&hash=ab5cf59630060e1e148bb07126fac278)
There is no study on humans that will straight up confirm that topical ATRA will alter facial fat - only evidence suggesting that it can happen, gathered by other people who have suffered this adverse event + some careful "suggestions" from dissenting doctors/researchers, such as the ones from barefacedtruth. It is broadly known that vitamin A and its derivatives are anti-adipogenic. Those who deny that topical tret can damage your face will say that this can only happen with oral isotretinoin in mice or human cell cultures, despite the fact that no human trial of tret has included the state of subcutaneous fat as a data point in the first place - they look at wrinkle depth and superficial UV damage. To tretheads it's as good as "it can't possibly do anything to your fat".
As you know from SCA adjacent circles, people in general have no clue what creates the impression of an "aged" face. Reddit thinks it's "loss of collagen" and "wrinkles", but it really is not. Dermatologists only see reduction in wrinkles as a measure of success, which retinol does accomplish in old people by thickening the dermis at the expense of everything else. Your derm won't even see structural damage to fat pads as a problem in the first place - that's firmly in the realm of reconstructive surgery. It's generally also hard to describe loss of subcutaneous fat in objective terms if no wrinkling and sagging is present - it's just an overall "impression" of haggardness and "difference" that's undeniably there, but isn't something you can easily convert into an objective parameter for a good adverse event report. As far as everyone is concerned, if tret has reversed your wrinkles, it did its job. Most people with tret damage struggle to describe what happened to them for this very reason, so creating a space would be challenging. You'll see that if you look up something like "tret hollow eyes" instead of "tret destroyed my fat" - people don't even know it's fat that made their eyes look full and youthful, they think it's collagen or (my favorite) "hydration". For example, I've recently found someone who has tried making a subreddit, but, she doesn't seem to pin it on fat at all:
https://www.reddit.com/r/RetinA_Ruined_my_skin/
It can all be pieced together once you learn what role facial fat plays in aging, and there is plenty of research that explains what happens to your fat exactly. For example:
https://sci-hubtw.hkvisa.net/10.2147/CIA.S151599
The presence of white adipose tissue is what defines a more youthful skin phenotype, which in turn is defined by more conversion of dermal fibroblasts into adipocytes and adipocyte progenitors + less scarring during damage repair:
https://www.cell.com/immunity/fulltext/S1074-7613(18)30484-9?_returnURL=https://linkinghub.elsevier.com/retrieve/pii/S1074761318304849?showall=true
ATRA browns your fat and depletes the white adipose tissue levels by "metabolizing" them away, while also preventing new fat from growing back - the article above explains how white adipose tissue is linked to a more "youthful" mode of healing. The subtle onset of "haggardness" that most people report, along with novel inability to heal scarlessly, I'm 99% sure is related to that.