I have scarring from mechanical exfoliation together with tretinoin. Small, shallow, line atrophic scars that look like ice-pick acne scars. My skin never acclimated to daily usage of 0.05 tretinoin, and i kept on trying to "gently" remove peeling skin 9 months after using tretinoin. I got used to irritation so much that i felt like my skin got used to it, then i noticed scarring on cheeks, informed my dermatologist and we jumped from daily usage of tretinoin to every other night on top of cerave moisturizer. No more irritation, very little peeling and my skin texture is still "exfoliated" and smooth, gentle because of tretinoin. But the scars are still there to stay unfortuantely. Luckily they are not big and i learned my mistakes: no exfoliation at all for me anymore, only tretinoin and sunscreen with moisturizer. I think it's great you talk about this, there is too much on the internet in skincare, and exfoliation seems to be the biggest nonsense, especially with all the advertised walnut and other harsh scrubs. It's like "detox" hoax in health.
Es3iya, hi. Yeah, the Internet can be a skincare enthusiast's worst nightmare, especially the "influencers". I'd say, stick with Dr Sam's channel. I truly feel she has our best interest at heart.
Have you tried bakuchiol? It's a natural alternative to tretinon that is more gentle. Start slow and layer over a serum/moisturizer with no actives to help buffer it further.
I agree - sometimes people ask me about their routine and I wonder how on earth they still have any skin left on their face with the amount of exfoliation (brush + scrub and then an acid daily) they are doing!
It is easy to do too much in skincare. It feels like "more is more," but it is not. When my most gentle products like Cerave start stinging, that it one of my first clues that I have gone too far again. I used to tolerate BHA every day, but now I don't need it with tretinoin .05%
@@zerotwosixty7416 no really cause it's still right, in this context the "more" obviously means "more clean skin, faster results etc". from the sentence, the second "more" has a positive connotation. "more is good" works too like, but what she's saying is still fine... it's just different syntax...
Thank you for addressing this element of skin care - I really value your analysis :) I'm 65 years old - aging skin with some pluses. My skin has always been oily down the T, very few pimples over the years. Basically pretty problem free! I've been applying sun screen since 1984 (I was born in 1954) mostly because of a terrible burn I suffered at the beach and my aunt's stern advice (she's a now retired ER nurse). In my late '30's I visited a dermatologist here in Victoria BC Canada because of a rash on my breast which he misdiagnosed - a later visit to a dermatologist for a plantars wart on my foot said the rash was something completely different :) I realized skin problems are difficult to diagnose! The first dermatologist in answering my question, "What creams should I be using on my face now I'm in my late '30's?" He said, "I've got just the right cream for you and it's cheap!" I was all ears :) He dashed out of the room and came back in with one of his textbooks and turned to photos of Brigid Bardot in her fifties I believe who had always been a "sun worshipper" and I was just shocked! Having grown up with Brigid Bardot's very famous beauty I honestly didn't recognize her in these photos. She looked like a mummy dug up from an Egyptian tomb. "Sun block and avoiding the sun will be the best thing you can do. If you use fancy creams on your face but go unprotected into the sun they will all be to waste." After that I was more diligent than ever never to go into the sun without protection and I never sat in the sun or even walked down the sunny side of the street. I wore hats all year round and sometimes would carry an umbrella. I think parasols should come back! I've seen how the sun has changed over the past 30 years as well. It's much stronger, brighter, hotter. I've always had a relatively easy routine but have always used decent facial care products - cleanser and moisturizer and sometimes toners. "Exfoliation" was never in my vocabulary until I started seeking advice for aging skin :) I started using the Clarisonic brush which I love to be honest. And I have a Foreo too. I do use some AHA's and occasionally do a "mild peel" but if any of these causes burning I take them off immediately and put peptide rich serum on to sooth and avoid AHA's for days. I do use a very mild retinol (the Ordinary or Garden of Wisdom Granactive) 3 X per week. I have to say that these "ramped" up processes have done wonders for my skin. It glows and looks rather luscious. I certainly do have wrinkles but it does seem as though some of the finer ones have done down or disappears. My colour is more even across my face - I don't wear foundation but I do sometimes mix a BB or CC SPF with my SPF which gives me a slightly more even skin tone. I do think the more attention I've paid to my skin has paid off. People have commented that I'm looking, "Amazing!" so it's not just me :)
Kathleen thanks for your thoughts they were very informative and your skin looks great! I was thinking of trying a retinol soon (I'm 40). Did you have any irritation with the Ordinary retinol? What concentration is it? Do you put a cream moisturiser over the top of your retinol serum?
@@kathrynwatt6615 I didn't have any problem at all with the Ordinary Retinol - ie peeling or irritation. I used their Toner (Glycolic 7% I think) right after cleansing and then put the retinol on top and sometimes it would feel slightly "hot" so I applied the Buffet on top and then a few hours later just before bed I would put on a moisturizer. So far no problem. I did stop using it every day - now I use it about 3 - 4 times a week. Garden of Wisdom has a similar retinol too and I bought that to see if there's a difference between the two :)
I'd be very interested in hearing about dealing with flaking skin, possibly as a response to tretinoin even when applied very gradually, sparingly, and with much moisturizing. Physical exfoliation becomes appealing in this scenario.
LolaRockn there is a product called Texturista that I learned about from Penn Smith Skincare. This has been a game changer for me in dealing with the retinol uglies. It dissolves flakes without exacerbating dryness or compromising the barrier.
The secret to using tretinoin really is exfoliating enough. I am an experienced nightly .08% tretinoin AND 2.5% benzoyl peroxide user. I use a 2% salacylic acid face cheap grocery store fCe wash morning and night. I remove my makeup with cheap cold cream and a warm moist facecloth that I gently scrub with.. Sometimes I’m tired and just use SA pads. Twice a week or so I HAVE TO to use a good quality microdermabrasion scrub because I’m getting RAPID turnover and my skin needs this. I would get flaking AND PEELING if I used the SA once a day. My skin looks amazing and dewy and fresh.
I’ve found the act of applying and rubbing in a cleansing balm pretty effectively removes flakes. You can concentrate, although gently, on the flaking areas and should be able to massage them off. This seems like the safest and healthiest way to exfoliate
this is so true, once.i stopped exfoliating for a while I became compliments on my skin.. it should be done sparingly. What a glowing dr. by the way. wish she could look at my skin
Great advise!! After years of fighting retinA flakes with Clarisonic, scrubs, and microdermabrasion... I finally found chemical exfoliation and never looked back. Pixie Glow Tonic Daily and a weekly Ordinary AHA/BHA treatment mask....no more peelies! Just smooth, glossy, glowy skin ❤️❤️❤️
You shouldn't be exfoliating while using using retinA though, because retina A already creates new skin cells, I daily glow tonic which has acids is alot and on top of that aha bha weekly mask is too much. It could harm your skin in the long run causing it to be thinner.
Currently 42 but I use to use the St Ives apricot scrub. 😩 luckily i got smarter in my mid to late 20’s and really started focusing on good skin care and sunscreen. Growing up I was never taught anything about taking care of my skin. Changing that with my 8 & 9 year olds.
I have used tretinoin 0.1% for many years and I dont feel that I need additional exfoliation. That being said, maybe once a month I might have a tiny bit of flaking around my chin especially in winter. I use a very soft microfiber baby washcloth in the shower when my skin is wet and soft and very very gently buff any loose hanging flakes off. That works fine and doesnt irritate my skin.
I use exfoliating three times a week. An acid night, with aha toner from Ordinary and bha from Dr Jelte Ultee or Paula’s choice. Both with soothing ingredients. Then i end with a rich hydration. For the nescesarry TLC. Seldom i use my clarisonic with softest brush, although it feels great afterwards. 😎
Guy here. Work at a spa doing massage. Esthetically compliment my skin regularly. Dry washcloth exfoliate 2x week, straight razor shave, tweeze any ingrown, jojoba.
I used to use a physical exfoliant - a microdermabrasion paste with salt and sugar as key ingredients. I used to really scrub my skin with it thinking I was helping! Man, I'm glad I gave that up after finding you and Dr. Dray to steer us all in the right direction! Thank you for this!!! ❤
At 62, with melasma and hyperpigmentation post 2 children, living in the tropics and now menopause, exfoliation (Andalou's wonderful fruit enzyme once a week, glycolic once a week) seems the only thing that makes my skin glow now. Vit C (GoW) in the morning definitely works slowwwwwly to diminish those problems. But nothing's getting rid of them (6 months of consistent routine now). And I'm not sure if that's what's given me what looks awfully like pilaris keratosis (tiny pimples and red blotchy skin) or if that's simply another delight of ageing! However, the advice about physical exfoliants is so welcome. My flannel is going out! Great idea for a series!
I think of exfoliation like hot oil treatments for hair you do it once in awhile to give your skin a boost! No more than twice a month at the very most once a week but that's pushing it.
I physical exfoliate only like 2-3 times a week, after I take a long showe/bath. On a daily basis I use a foam cleanser with thermal water, very gentle and it doesn't break my skin barrier. I use AHAs on a daily basis though
I started using a stronger tretinoin prescription 2 weeks ago and use an enzyme peel (Theraderm) once a week to help with flaking skin. As long as I’m careful rubbing with my finger pads this routine has worked for me. Exfoliating definitely helps my moisturizers penetrate better.
Hi Doc!! Pls do a video talking about which would be the benefit of using a chemical exfoliator by day and a retinoid by night. As I understand retinoids already exfoliate by acelerating skin cells turnover, is it really necesary? Also it would be nice another one talking about the comparative benefits of different AHA such as glycolic acid, mandelic, lactic, etc. Thanks and love from Argentina ❤
I just started to get into body exfoliating and I only go into this routine when I want to treat myself or on a special occasion which it isn’t often because I avoid overdoing exfoliation First I exfoliate my whole body I cleanse my skin with dove soap Then I shave and just rinse and then I moisturize and that is it
During my college time, many of my friends start including physical exfoliator into their skincare routine every single day... which most of us believe that would help our skin looking brighter & flawless. Unfortunately, I never been better but worsen my oily + dry + eczema skin. What a poor thought of being whiten or brighten skin just because of exfoliator.
I'm going to start using the gloves. I'm 64 and getting alot of dry flaky skin. I'll exfoliate gently,then use moisturizer. I think showering and exfoliating twice a week will be sufficient.
I pretty much stopped using physical facial exfoliants a few years ago. I like glycolic acid alongside hydrating ingredients. I have really robust, normal skin, so physical exfoliants don't irritate, I just prefer something more controlled.
I just purchawed a Trophy MD microdermabrasion tool. I have used it twice a week for a couple of weeks for the purpose of reducing fine lines and hyperpigmentation that dry brushing, salicylic acid, dark spot lighteners, etc, have not much helped. I do see a small change in all the areas in three sessions, and am surprised I have so little debris on the tool compared to those I've seen on others' tutorials, but that may be user error or beginners' sensitive skin setting which is most like what i have done on my own before this. I'm not a good candidate for more serious topical acid type treatments, and I've gotten 'religion' about layering sunscreens, reapplying them, and making sure I get enough natural vitamin D3 for all the other important reasons. Your caution about physical/physical exfoliation makes sense. I started dry brushing body skin in 1987, and face brushing probably 20 years later; keeping the hydration up has become easier as I forget to drink when i don't feel thirsty, but brain fogginess, depression and dull skin are my indicators of not enough good water to run the system and cool inflammation. I'm not a makeup maven (though I love watching tutorials) and just recently invested in a couple of things to minimize dark circles and discoloration. Simple has been my jam most of my life, but I find it so helpful to hear and see your reminders. I don't have moles or cancers, but any time i've had a zit or scratched an itch, i end up with a scar/freckle/discoloration that either takes years to fade or never goes away. Even fine white scars adorn my arms when I didn't break skin, just from bumping into a sharp edge. Some is probably hereditary, some may be related to gut issues I'm in the process of learning to maintain smart food choices about, and I added Great Lakes hydrolized collagen powder to my daily regimen about a year ago almost, and my nails, hair & skin have improved along with making sure I get enough ionic minerals. Glad I found you.
I only started skincare few months back, main skin concern is acne scars(deep ones), textured and uneven skin. I used vitamin C for 3 months and didn't notice anything. However I recently introduced an AHA (Cosrx Whitehead power liquid) and I have been using it for a few weeks 2-3 times per week. I noticed that the scars don't feel as deep now, so I am hoping that the improvement continues. I have introduced BHA (Cosrx blackhead power liquid) as well, but have only used it a couple of times. I am planning to incorporate AHA 3 times and BHA 2 times every week for a couple of months before I introduce my skin to Retinoids. (40 yrs old, South Asian Male).
I have felt that my skincare game was not up to par because I do not exfoliate. I have rosacea and generally sensitive skin so I have found that physical exfoliation only causes problems. I am currently trying to incorporate tret into my routine, via Curology, at a current strength of .35. My skin seems shiny and clear so I'm reticent to add more actives. Thanks for tackling this topic.
Watching your videos has changed my skin cleansing routine; I use lactic acid as my main exfoliant once a week and if I absolutely have to, a washcloth to gently spot-exfoliate for those extra flaky areas.
I get RAPID TURNOVER from my 0.08% gel at night. I have very nice fresh moist dewy skin.I have to use salicylic acid face wash TWICE a day and about TWICE A WEEK a nice microdermabrasion scrub. And clean face with cold cream and a somewhat rough facecloth EVERY night. Things that cause peeling once I’m used to the tretinoin: sun, inconsistent tretinoin use, using it around nose and mouth, inconsistent exfoliation., inconsistency in any step. I always find balance after a few days if I over exfoliate. I don’t use soaps. I MOISTURIZE EVERY NIGHT and morning BEFORE applying anything else. I use grocery store everything. Retain A comes from Dr. In US.
So how should I deal with the constant flaking from Retin A? I've been on the 0.1% for over year so my skin is no longer irritated by it, but the flakes cause my makeup to look horrid within an hour or two even when using a mineral foundation.
Lindsay- I use a gentle, emulsifying facial cleansing oil (I love Etude House Real Art Moisture Cleansing Oil) and gently massage my skin for a few minutes before showering to loosen up all the flakes. When I add the water, the dead skin rinses away. I also occasionally use a konjac sponge from The Konjac Sponge Co if I need a little extra help - it's much gentler than a wash cloth or any sort of grainy scrub and it very lights buffs off any remaining dead skin. Hope this helps!
I do prefer to keep it simple. But I had combination skin and could never get rid of the blackheads. Then I discovered salicylic acid. Please don't underestimate the pure joy of looking into clean pores. I still have scarring but clean pores are life. I think the pressure on young people must be awful. Thank you and all the derms who give this advice.
The only times I use physical exfoliants is when I’ve had a flair of dermatitis, heals and than my whole face flakes. Doing it extremely gently, I’ve found its less abrasive on my skin than using my fingers tips with either cream or water. But its just for a second, never rub twice on the same area and barely pressing. Anything harder just flairs the flaking the next day
This is so fascinating-thank you so much for sharing! There is a particular medical grade skincare brand that promotes using a polish, a glycolic/salicylic acid pad, and then a retinoid daily...all at once! I was told my skin is "waking up" and the reaction I had was wanted. I couldn't take the redness, endless breakouts and stopped. My skin then improved!! Ahh!!
Thank you again Dr. Sam! This is such an important topic because many of us tends to over exfoliate. I am on my 7th week of using my Retinoid ( Flawless Nightly Serum ) still using it every other night and my best friend Azeleic Acid ( Paula's Choice ). We love you so much. Can't wait to try Flawless Lip! 😍😘
I'm so glad to hear you're doing a series on exfoliation. I used to use that St Ives apricot scrub for years, but have since been using a much gentler one from Yves Rocher. Once that's done I'll give lactic acid a go. I have The Ordinary 0.5% lactic acid. Your thoughts? Thanks for all you do 😙
Thnx Dr Sam!! Love your products! Can you please share some info about facial tools like the Nuface and Conture? Is there data showing these can actually benefit the skin? And what is the best treatment against sagging skin?
Oof physical exfoliation definitely always makes my acne/texture worse, even when it's a very fine exfoliant. But there was this face wash/scrub/clay mask in one and it was with plastic microbeads, I used to use it every day without much problem and it would help my acne for some reason but it got discontinued. I started using a hydrating face wash alone but it didn't work, my skin realllllly needed something more so I turned to chemical exfoliants and I'm slowly getting my skin back to normal
I use a Clarisonic head brush... I guess it is kind of like physical exfoliation if i think about it, and if you dont clean them or replace then regularly you’re pretty much implanting bacteria onto you’re exfoliated skin.
I use tretinoin .05% every night and alternate a BHA/AHA toner every other morning, and do a clay mask 1x a week. That seems to be the right balance for me.
Please can you advise on very dry flakey (not chapped) lips? I have tried numerous lip balms over the course of around 18 months but nothing is working. I hate leaving the house without lipstick but my lips are so bad I just can't wear lipstick anymore.
Christine yes thank you I did hear that. I do listen to the videos I watch. I would just love to know more about why Dr Bunting doesn’t have any use for it.
I have super sensitive/eczema prone skin which is always dry/dehydrated. After over a year building up to it I'm now on tretinoin 0.05% for anti aging (I'm 48). I stopped using AHA's and vitamin c as my skin won't tolerate both and doesn't need both. If I feel I want to exfoliate due to flakes, I use a gentle lactic acid toner for one night and miss out my tretinoin that night. I do have a Foreo but it is the ultra sensitive version without nubs - this gives the sonic cleansing with no manual exfoliation. When I hear people using clarisonics (which definately manually exfoliate) with acids, scrubs, retinols, vit c and enzymes I cringe. They must have very thick skin for it not to be falling off. I think the really strong acids that seem to be increasing in popularity, can be potentially very damaging for some people and may cause real problems. Also all these active ingredients in products full of colourants and fragrances are going to cause real issues. Exfoliation can cause instant improvements in some situations, without the knowledge of long term repercussions. Sometimes the internet, although often a wonderful source of information can also be full of misinformation and cause a lot of skin issues. Best wishes.
I recently got into exfoliation when I treated myself to a spa day last Saturday. My skin felt soo good. Now I am wondering how long I should wait for another treatment. A month, two weeks? As for chemical exfoliation, my skin hates it! I have combination oily sensitive skin. I find that mechanical exfoliation when done once in two weeks is the best for me.
I recently purchased the Mandalic Acid from The Ordinary and it's been sitting on my shelf untouched because I'm terrified to use it 🤣 I had a horrible reaction to Glycolic acid and never want to go through that again. It was totally self inflicted because I jumped in with both feet but learned a valuable lesson. I haven't used a physical exfoliant in 5 months and I threw them all in the trash least I have a moment of weakness.
I still haven't bought any of the chemical exfoliators because of the same fear of skin reaction, especially since I have recently started with Retinol.
Thanks for the video series, I still couldnt find the answer to my question though - So how many times per week should we exfoliate? (Normal skin, using retin-a every third evening) And I would like to use 10% Lactic acid, how many times per week would be optimal? Thank you:)
I wasn’t factoring in the use of my flannel along with my topicals! I have mild rosacea .....Guessing I shouldn’t use a cleansing flannel to remove my balm in the evenings and then follow with retinol serum? I do use Japanese enzymes to exfoliate however I’ve decreased their usage also....They become too harsh for my extremely sensitive skin! I also limit my use if ur Nightly serum to once a week, twice maximum because I’m fearful of exacerbating my rosacea. Xoxo 😘 Deborah
I started using Tretinoin 0.05% 2 years ago at 26. And I've never experienced any redness, drying, peeling, etc. Is it still working for me? My sister used the cream as well, and she looked like her skin lifted off her face after 3 days.
I have been guilty of over exfoliating more times than I can count. I still have confusion as I have recently (4 weeks ago) started a low-dose Trentinoin and and doing great but I'm now trying to figure out how to add my acid exfoliation back in.
I used to be the queen of over exfoliating! It was bad. I have also been on trentinoin for two months now. Prior to getting on it, I was using paulas choice 2 % bha liquid and loved it! Unfortunately I had to stop, because even using the trentinoin on separate days i was extremely raw and red! I've also been sad wondering about when I can add it back in Lol. Have you had any luck now at this point incorporating it back in?
I was hoping she'll talk more about chemical exfoliation. Like is it safe to chemical exfoliate daily? Is it safe to use 2 % salicylic acid or 7% glycolic acid every day? I have those products from Paula's Choice and it says in the direction to use "twice daily". Isn't that too much? I figure it's just a marketing tool use by them to make you buy their products more often.
A mud mask will deliver exfoliation. It's less damaging than a scrub product and less likely to cause red patches than a chemical exfoliation product. Just be sure not to get a peel off mask. Get the stuff that is designed to be rinsed off after hardening.
I was really hoping the I wouldn't need to do a chemical exfoliation because of the cost. I guess I will just have to save some money. Thanks for the advice.
I do a physical exfoliating cause I’ve got dry skin and it’s the only thing that will give me immediate results. I’ve tried all other even dermaplaning and that only got a very small amount. I use a mitt from turkey and I saw immediate results😀 when I touch my skin I can feel the difference and yes I’m very careful.
Okay so can you please explain, how many days a week should i chemical exfoliate with Salycic acid- Cera ve? As well as can i apply vitamin C and suncreen for mornings, and retinoid at night?
You say physical exfoliation is irritating to acne prone skin. But so is chemical! They are both just as irritating, chemical might even be more. Tingling, redness, more acne etc.
So is your suggestion that chemical exfoliation removes enough of your dead skin for a nice healthy texture, even though we really don't see it happening? Sometimes I'll get a bit flaky, or I notice that my skin doesn't feel at all smooth and I'll use a physical exfoliator and then a heavy moisturizer and things look better in the morning.
What about a silicone brush, like the one clean? Could you use chemical in the morning and a silicone brush at night? Or is that still too much? And what about chemical exfoliation daily? I like Paula’s Choice Daily 2% BHA, but is it actually ok to use daily? Or do you recommend just sticking with 2-3 times a week?
If you don’t care for microdermabrasion, how do you feel about the hydrofacials offered at some clinics? The hydrofacial machine feels like it’s using suction as well as a kind of rough tool that is supposed to put in hydration, etc., and suck out the pore gunk and dead skin cells. Is this good for my melasma or making it worse?
I use 20% aselaic acid 2-3 times a week at night, when not using retinol. And Tatcha rice enzyme polish maybe once a week or once every two weeks. Is that considered chemical exfoliant? It’s probably not doing anything particularly great, but I just love the ‘ritual’, the feel, the smell of it! It’s a very calming and satisfying process. 🤷🏻♀️
So the worst kind! 😂 oh well, still like it though for an occasional use! Always foam it up completely in my hands first as well before bringing it anywhere near my face.
Hi Dr Sam, I exfoliate every other day. One day it is a sonic device (like Foreo but the Amazon version £15), Paula's Choice 2% BHA and Indeed Lab. powder exfoliator and back to the sonic device. I really love your Flawless cleanser and your moisturiser is beautiful. I need to try the light version but will wait until spring. Shelley x
I’ve been using tretinoin for a while (9 months) and tolerate it ok even in the everlasting UK winter but still feel myself tempted by physical exfoliation as there is still some congestion and black and whiteheads and it feels like they need ‘agitating’ in some way
Hi Dr Sam, Can you please do a video on Psoriasis and how best to treat it/what products to use? As it's something my Mum is plagued by. She can't use almost Anything on her skin, her face is often so inflamed and red it looks like burns, and she never leaves the house without make up, Would love to hear you talk about this subject as I think it would be so informative for so many people! =D all the best
I have oily skin that tends to be sensitive with regular hormonal acne flare ups and visible pores. I tried leave on salicylic acid but it irritated the heck out of my skin with just one use. I have had some success tolerance-wise with the salicylic acid washes (inkey list) but I really limit the use to once or twice a week and keep it well away from the eye and lip areas. Not sure if it is really helping though. I feel like I'd be better off with retinol but terrified of upsetting my skin barrier again. Otherwise I just use unfragranced gentle cleansers and moisturiser, as you say just with the fingertips, and sunscreen of course.
My oily/combo skin used to tolerate BHA, but going through menopause it also irritates my skin (badly!) if I leave it on overnight. So to get the benefit, I use my BHA products as a mask for a few minutes before showering.
Hi Dr Sam. I manually exfoliate & I love how my skin feels afterward however I am concerned about how this may affect the quality of my skin long term. What are your thoughts? Love your videos! From Australia x
I bought a cream for my acne is it gonna hurt me?, I've been using it for a while now every friday and it feels kind of better, what do you guys think?
#1- overdoing physical exfoliation
#2- trying to combine physical and chemical exfoliation
#3- physical+physical exfoliation (facial brushes & scrubs)
#4- combination of retinoids and acids
#5- avoid physical exfoliation everyday
Thank you dear ❤😊
You the o. G.
Exfoliate 3 times a week usIng chemical . Alternate with retinol .Day 1,3,5 aha bha . Day 2,4,6 retimol day .
God bless you
Bless you😂
Every beauty editors, bloggers and so called experts and gurus should watch this.
I have scarring from mechanical exfoliation together with tretinoin. Small, shallow, line atrophic scars that look like ice-pick acne scars. My skin never acclimated to daily usage of 0.05 tretinoin, and i kept on trying to "gently" remove peeling skin 9 months after using tretinoin. I got used to irritation so much that i felt like my skin got used to it, then i noticed scarring on cheeks, informed my dermatologist and we jumped from daily usage of tretinoin to every other night on top of cerave moisturizer. No more irritation, very little peeling and my skin texture is still "exfoliated" and smooth, gentle because of tretinoin. But the scars are still there to stay unfortuantely. Luckily they are not big and i learned my mistakes: no exfoliation at all for me anymore, only tretinoin and sunscreen with moisturizer.
I think it's great you talk about this, there is too much on the internet in skincare, and exfoliation seems to be the biggest nonsense, especially with all the advertised walnut and other harsh scrubs. It's like "detox" hoax in health.
Es3iya, hi. Yeah, the Internet can be a skincare enthusiast's worst nightmare, especially the "influencers". I'd say, stick with Dr Sam's channel. I truly feel she has our best interest at heart.
Have you tried bakuchiol? It's a natural alternative to tretinon that is more gentle. Start slow and layer over a serum/moisturizer with no actives to help buffer it further.
@@littlevoice_11 I've heard good things about bakuchiol. In fact, Dr Sam included it in her nightly serum.
@@kendallstark4302 me too
Any sunscreen recommendation?
I agree - sometimes people ask me about their routine and I wonder how on earth they still have any skin left on their face with the amount of exfoliation (brush + scrub and then an acid daily) they are doing!
Doctor Anne ikr. Especially after doing the scrub they just swiped aha 5% on their face. Dangggggg it hurts my eyes
It is easy to do too much in skincare. It feels like "more is more," but it is not. When my most gentle products like Cerave start stinging, that it one of my first clues that I have gone too far again. I used to tolerate BHA every day, but now I don't need it with tretinoin .05%
You meant more is good not more is more.
@@zerotwosixty7416 no really cause it's still right, in this context the "more" obviously means "more clean skin, faster results etc". from the sentence, the second "more" has a positive connotation. "more is good" works too like, but what she's saying is still fine... it's just different syntax...
Thank you for addressing this element of skin care - I really value your analysis :) I'm 65 years old - aging skin with some pluses. My skin has always been oily down the T, very few pimples over the years. Basically pretty problem free! I've been applying sun screen since 1984 (I was born in 1954) mostly because of a terrible burn I suffered at the beach and my aunt's stern advice (she's a now retired ER nurse).
In my late '30's I visited a dermatologist here in Victoria BC Canada because of a rash on my breast which he misdiagnosed - a later visit to a dermatologist for a plantars wart on my foot said the rash was something completely different :) I realized skin problems are difficult to diagnose! The first dermatologist in answering my question, "What creams should I be using on my face now I'm in my late '30's?"
He said, "I've got just the right cream for you and it's cheap!" I was all ears :) He dashed out of the room and came back in with one of his textbooks and turned to photos of Brigid Bardot in her fifties I believe who had always been a "sun worshipper" and I was just shocked! Having grown up with Brigid Bardot's very famous beauty I honestly didn't recognize her in these photos. She looked like a mummy dug up from an Egyptian tomb. "Sun block and avoiding the sun will be the best thing you can do. If you use fancy creams on your face but go unprotected into the sun they will all be to waste." After that I was more diligent than ever never to go into the sun without protection and I never sat in the sun or even walked down the sunny side of the street. I wore hats all year round and sometimes would carry an umbrella. I think parasols should come back! I've seen how the sun has changed over the past 30 years as well. It's much stronger, brighter, hotter.
I've always had a relatively easy routine but have always used decent facial care products - cleanser and moisturizer and sometimes toners. "Exfoliation" was never in my vocabulary until I started seeking advice for aging skin :) I started using the Clarisonic brush which I love to be honest. And I have a Foreo too. I do use some AHA's and occasionally do a "mild peel" but if any of these causes burning I take them off immediately and put peptide rich serum on to sooth and avoid AHA's for days. I do use a very mild retinol (the Ordinary or Garden of Wisdom Granactive) 3 X per week. I have to say that these "ramped" up processes have done wonders for my skin. It glows and looks rather luscious. I certainly do have wrinkles but it does seem as though some of the finer ones have done down or disappears. My colour is more even across my face - I don't wear foundation but I do sometimes mix a BB or CC SPF with my SPF which gives me a slightly more even skin tone.
I do think the more attention I've paid to my skin has paid off. People have commented that I'm looking, "Amazing!" so it's not just me :)
Kathleen thanks for your thoughts they were very informative and your skin looks great! I was thinking of trying a retinol soon (I'm 40). Did you have any irritation with the Ordinary retinol? What concentration is it? Do you put a cream moisturiser over the top of your retinol serum?
@@kathrynwatt6615 I didn't have any problem at all with the Ordinary Retinol - ie peeling or irritation. I used their Toner (Glycolic 7% I think) right after cleansing and then put the retinol on top and sometimes it would feel slightly "hot" so I applied the Buffet on top and then a few hours later just before bed I would put on a moisturizer. So far no problem. I did stop using it every day - now I use it about 3 - 4 times a week. Garden of Wisdom has a similar retinol too and I bought that to see if there's a difference between the two :)
@@PsychicKathleen thank you for replying 😁 youre obviously very well informed so I will do the same as your routine ♥
Oh boy have I sinned 😩. I learned the hard way. I was just trying to get rid of the dry Tretinoin skin! 🙈
Oooh oooh)l))))l)letlet let)l)
I exfoliate with light brown sugar twice a week and I’m fine
I'd be very interested in hearing about dealing with flaking skin, possibly as a response to tretinoin even when applied very gradually, sparingly, and with much moisturizing. Physical exfoliation becomes appealing in this scenario.
LolaRockn there is a product called Texturista that I learned about from Penn Smith Skincare. This has been a game changer for me in dealing with the retinol uglies. It dissolves flakes without exacerbating dryness or compromising the barrier.
LolaRockn I’m sorry it’s called Clearista!!! Sorry about that. Long week!!!
The secret to using tretinoin really is exfoliating enough. I am an experienced nightly .08% tretinoin AND 2.5% benzoyl peroxide user. I use a 2% salacylic acid face cheap grocery store fCe wash morning and night. I remove my makeup with cheap cold cream and a warm moist facecloth that I gently scrub with.. Sometimes I’m tired and just use SA pads. Twice a week or so I HAVE TO to use a good quality microdermabrasion scrub because I’m getting RAPID turnover and my skin needs this. I would get flaking AND PEELING if I used the SA once a day. My skin looks amazing and dewy and fresh.
I’ve found the act of applying and rubbing in a cleansing balm pretty effectively removes flakes. You can concentrate, although gently, on the flaking areas and should be able to massage them off. This seems like the safest and healthiest way to exfoliate
@@caleb-kun what if i dont have a cleansing balm? Can i use miscellar water
this is so true, once.i stopped exfoliating for a while I became compliments on my skin.. it should be done sparingly. What a glowing dr. by the way. wish she could look at my skin
Great advise!! After years of fighting retinA flakes with Clarisonic, scrubs, and microdermabrasion... I finally found chemical exfoliation and never looked back. Pixie Glow Tonic Daily and a weekly Ordinary AHA/BHA treatment mask....no more peelies! Just smooth, glossy, glowy skin ❤️❤️❤️
You shouldn't be exfoliating while using using retinA though, because retina A already creates new skin cells, I daily glow tonic which has acids is alot and on top of that aha bha weekly mask is too much. It could harm your skin in the long run causing it to be thinner.
Currently 42 but I use to use the St Ives apricot scrub. 😩 luckily i got smarter in my mid to late 20’s and really started focusing on good skin care and sunscreen. Growing up I was never taught anything about taking care of my skin. Changing that with my 8 & 9 year olds.
I have used tretinoin 0.1% for many years and I dont feel that I need additional exfoliation. That being said, maybe once a month I might have a tiny bit of flaking around my chin especially in winter. I use a very soft microfiber baby washcloth in the shower when my skin is wet and soft and very very gently buff any loose hanging flakes off. That works fine and doesnt irritate my skin.
did you use after putting on Tretinoin at night or morning? Because I am just starting to use it at 0.025. at night. Lisa Vayssie :) CA.
I use exfoliating three times a week. An acid night, with aha toner from Ordinary and bha from Dr Jelte Ultee or Paula’s choice. Both with soothing ingredients. Then i end with a rich hydration. For the nescesarry TLC.
Seldom i use my clarisonic with softest brush, although it feels great afterwards. 😎
Guy here. Work at a spa doing massage. Esthetically compliment my skin regularly. Dry washcloth exfoliate 2x week, straight razor shave, tweeze any ingrown, jojoba.
I had a micro derma from GROUPON
not needed and now my skin gets dryer now!!!
Stay clear...
I use a prescription Tretinoin nightly and once a week I use the CeraVe SA cleanser to exfoliate
Looking forward to learning more!
I used to use a physical exfoliant - a microdermabrasion paste with salt and sugar as key ingredients. I used to really scrub my skin with it thinking I was helping! Man, I'm glad I gave that up after finding you and Dr. Dray to steer us all in the right direction! Thank you for this!!! ❤
At 62, with melasma and hyperpigmentation post 2 children, living in the tropics and now menopause, exfoliation (Andalou's wonderful fruit enzyme once a week, glycolic once a week) seems the only thing that makes my skin glow now. Vit C (GoW) in the morning definitely works slowwwwwly to diminish those problems.
But nothing's getting rid of them (6 months of consistent routine now). And I'm not sure if that's what's given me what looks awfully like pilaris keratosis (tiny pimples and red blotchy skin) or if that's simply another delight of ageing!
However, the advice about physical exfoliants is so welcome. My flannel is going out! Great idea for a series!
I think of exfoliation like hot oil treatments for hair you do it once in awhile to give your skin a boost! No more than twice a month at the very most once a week but that's pushing it.
I physical exfoliate only like 2-3 times a week, after I take a long showe/bath. On a daily basis I use a foam cleanser with thermal water, very gentle and it doesn't break my skin barrier. I use AHAs on a daily basis though
What would you suggest as an exfoliant in a safe effective way
I started using a stronger tretinoin prescription 2 weeks ago and use an enzyme peel (Theraderm) once a week to help with flaking skin. As long as I’m careful rubbing with my finger pads this routine has worked for me. Exfoliating definitely helps my moisturizers penetrate better.
I have been on tretinoin for 15 plus years and never felt The need to exfoliate. This series will be great to hear.
Hi Doc!! Pls do a video talking about which would be the benefit of using a chemical exfoliator by day and a retinoid by night. As I understand retinoids already exfoliate by acelerating skin cells turnover, is it really necesary?
Also it would be nice another one talking about the comparative benefits of different AHA such as glycolic acid, mandelic, lactic, etc. Thanks and love from Argentina ❤
I just started to get into body exfoliating and I only go into this routine when I want to treat myself or on a special occasion which it isn’t often because I avoid overdoing exfoliation
First I exfoliate my whole body
I cleanse my skin with dove soap
Then I shave and just rinse and then I moisturize and that is it
During my college time, many of my friends start including physical exfoliator into their skincare routine every single day... which most of us believe that would help our skin looking brighter & flawless.
Unfortunately, I never been better but worsen my oily + dry + eczema skin.
What a poor thought of being whiten or brighten skin just because of exfoliator.
I'm going to start using the gloves. I'm 64 and getting alot of dry flaky skin.
I'll exfoliate gently,then use moisturizer.
I think showering and exfoliating twice a week will be sufficient.
I’m here from Wayne’s channel and I’m loving your content!
Hi Dr Sam
What skincare would you recommend for rosacea patients? Is chemical exfolient too harsh as well?
Junaidah Rasheed yes!
I pretty much stopped using physical facial exfoliants a few years ago. I like glycolic acid alongside hydrating ingredients. I have really robust, normal skin, so physical exfoliants don't irritate, I just prefer something more controlled.
I just purchawed a Trophy MD microdermabrasion tool. I have used it twice a week for a couple of weeks for the purpose of reducing fine lines and hyperpigmentation that dry brushing, salicylic acid, dark spot lighteners, etc, have not much helped. I do see a small change in all the areas in three sessions, and am surprised I have so little debris on the tool compared to those I've seen on others' tutorials, but that may be user error or beginners' sensitive skin setting which is most like what i have done on my own before this. I'm not a good candidate for more serious topical acid type treatments, and I've gotten 'religion' about layering sunscreens, reapplying them, and making sure I get enough natural vitamin D3 for all the other important reasons.
Your caution about physical/physical exfoliation makes sense. I started dry brushing body skin in 1987, and face brushing probably 20 years later; keeping the hydration up has become easier as I forget to drink when i don't feel thirsty, but brain fogginess, depression and dull skin are my indicators of not enough good water to run the system and cool inflammation. I'm not a makeup maven (though I love watching tutorials) and just recently invested in a couple of things to minimize dark circles and discoloration.
Simple has been my jam most of my life, but I find it so helpful to hear and see your reminders. I don't have moles or cancers, but any time i've had a zit or scratched an itch, i end up with a scar/freckle/discoloration that either takes years to fade or never goes away. Even fine white scars adorn my arms when I didn't break skin, just from bumping into a sharp edge. Some is probably hereditary, some may be related to gut issues I'm in the process of learning to maintain smart food choices about, and I added Great Lakes hydrolized collagen powder to my daily regimen about a year ago almost, and my nails, hair & skin have improved along with making sure I get enough ionic minerals. Glad I found you.
I only started skincare few months back, main skin concern is acne scars(deep ones), textured and uneven skin. I used vitamin C for 3 months and didn't notice anything. However I recently introduced an AHA (Cosrx Whitehead power liquid) and I have been using it for a few weeks 2-3 times per week. I noticed that the scars don't feel as deep now, so I am hoping that the improvement continues. I have introduced BHA (Cosrx blackhead power liquid) as well, but have only used it a couple of times. I am planning to incorporate AHA 3 times and BHA 2 times every week for a couple of months before I introduce my skin to Retinoids. (40 yrs old, South Asian Male).
I have felt that my skincare game was not up to par because I do not exfoliate. I have rosacea and generally sensitive skin so I have found that physical exfoliation only causes problems. I am currently trying to incorporate tret into my routine, via Curology, at a current strength of .35. My skin seems shiny and clear so I'm reticent to add more actives. Thanks for tackling this topic.
Watching your videos has changed my skin cleansing routine; I use lactic acid as my main exfoliant once a week and if I absolutely have to, a washcloth to gently spot-exfoliate for those extra flaky areas.
I was the queen of physical exfoliation, I cringe when I think about it! 😬😳
I get RAPID TURNOVER from my 0.08% gel at night. I have very nice fresh moist dewy skin.I have to use salicylic acid face wash TWICE a day and about TWICE A WEEK a nice microdermabrasion scrub. And clean face with cold cream and a somewhat rough facecloth EVERY night. Things that cause peeling once I’m used to the tretinoin: sun, inconsistent tretinoin use, using it around nose and mouth, inconsistent exfoliation., inconsistency in any step. I always find balance after a few days if I over exfoliate. I don’t use soaps. I MOISTURIZE EVERY NIGHT and morning BEFORE applying anything else. I use grocery store everything. Retain A comes from Dr. In US.
So how should I deal with the constant flaking from Retin A? I've been on the 0.1% for over year so my skin is no longer irritated by it, but the flakes cause my makeup to look horrid within an hour or two even when using a mineral foundation.
Yes please address this Dr. !!!!
Seems like the only option for us (re: the flakiness from Retin A or other prescriptions)... is a wash cloth??? Not sure!!!
Maybe reduce the concentration to 0.05%
Use non phototoxic quality facial oil prior
Lindsay- I use a gentle, emulsifying facial cleansing oil (I love Etude House Real Art Moisture Cleansing Oil) and gently massage my skin for a few minutes before showering to loosen up all the flakes. When I add the water, the dead skin rinses away. I also occasionally use a konjac sponge from The Konjac Sponge Co if I need a little extra help - it's much gentler than a wash cloth or any sort of grainy scrub and it very lights buffs off any remaining dead skin. Hope this helps!
I do prefer to keep it simple. But I had combination skin and could never get rid of the blackheads. Then I discovered salicylic acid. Please don't underestimate the pure joy of looking into clean pores. I still have scarring but clean pores are life. I think the pressure on young people must be awful. Thank you and all the derms who give this advice.
The only times I use physical exfoliants is when I’ve had a flair of dermatitis, heals and than my whole face flakes. Doing it extremely gently, I’ve found its less abrasive on my skin than using my fingers tips with either cream or water. But its just for a second, never rub twice on the same area and barely pressing. Anything harder just flairs the flaking the next day
This is so fascinating-thank you so much for sharing! There is a particular medical grade skincare brand that promotes using a polish, a glycolic/salicylic acid pad, and then a retinoid daily...all at once! I was told my skin is "waking up" and the reaction I had was wanted. I couldn't take the redness, endless breakouts and stopped. My skin then improved!! Ahh!!
Thank you again Dr. Sam! This is such an important topic because many of us tends to over exfoliate. I am on my 7th week of using my Retinoid ( Flawless Nightly Serum ) still using it every other night and my best friend Azeleic Acid ( Paula's Choice ). We love you so much. Can't wait to try Flawless Lip! 😍😘
I'm so glad to hear you're doing a series on exfoliation. I used to use that St Ives apricot scrub for years, but have since been using a much gentler one from Yves Rocher. Once that's done I'll give lactic acid a go. I have The Ordinary 0.5% lactic acid. Your thoughts?
Thanks for all you do 😙
Thnx Dr Sam!! Love your products!
Can you please share some info about facial tools like the Nuface and Conture?
Is there data showing these can actually benefit the skin?
And what is the best treatment against sagging skin?
Please Dr. Sam would you address how often one should use acid exfoliation?
Yes plz...... more in depth info on different type of exfoliating for different age groups, skin types, skin conditions .......
Oof physical exfoliation definitely always makes my acne/texture worse, even when it's a very fine exfoliant. But there was this face wash/scrub/clay mask in one and it was with plastic microbeads, I used to use it every day without much problem and it would help my acne for some reason but it got discontinued. I started using a hydrating face wash alone but it didn't work, my skin realllllly needed something more so I turned to chemical exfoliants and I'm slowly getting my skin back to normal
I use a Clarisonic head brush... I guess it is kind of like physical exfoliation if i think about it, and if you dont clean them or replace then regularly you’re pretty much implanting bacteria onto you’re exfoliated skin.
James ,I just purchased one myself I might just return it after watching this video 🥺
I use tretinoin .05% every night and alternate a BHA/AHA toner every other morning, and do a clay mask 1x a week. That seems to be the right balance for me.
is cooked oatmeal as a facial cleanser an exfoilator? Can cooked oatmeal be used as an everyday cleanser?
Please can you advise on very dry flakey (not chapped) lips? I have tried numerous lip balms over the course of around 18 months but nothing is working. I hate leaving the house without lipstick but my lips are so bad I just can't wear lipstick anymore.
I’d love to hear more about your thoughts on microdermabrasion.
If you listen to this video she says she personally has no use for it in her toolkit.
Christine: 👏 👏 👏
Christine yes thank you I did hear that. I do listen to the videos I watch. I would just love to know more about why Dr Bunting doesn’t have any use for it.
Help, I have extremely sensitive skin and rosacea, I am too scared to exfoliate and don’t know where to start!
I use a skin scrubber and a chemical exfoliator, I use a chemical exfoliator like 1 day a weej
I have super sensitive/eczema prone skin which is always dry/dehydrated. After over a year building up to it I'm now on tretinoin 0.05% for anti aging (I'm 48). I stopped using AHA's and vitamin c as my skin won't tolerate both and doesn't need both. If I feel I want to exfoliate due to flakes, I use a gentle lactic acid toner for one night and miss out my tretinoin that night. I do have a Foreo but it is the ultra sensitive version without nubs - this gives the sonic cleansing with no manual exfoliation. When I hear people using clarisonics (which definately manually exfoliate) with acids, scrubs, retinols, vit c and enzymes I cringe. They must have very thick skin for it not to be falling off. I think the really strong acids that seem to be increasing in popularity, can be potentially very damaging for some people and may cause real problems. Also all these active ingredients in products full of colourants and fragrances are going to cause real issues. Exfoliation can cause instant improvements in some situations, without the knowledge of long term repercussions. Sometimes the internet, although often a wonderful source of information can also be full of misinformation and cause a lot of skin issues. Best wishes.
AHA are good at giving combination and oily skin seborrheic dermatitis. That's where physical is much more preferable.
why is the skin around my mouth getting darker, also can i use baby lotion on my skin
I recently got into exfoliation when I treated myself to a spa day last Saturday. My skin felt soo good. Now I am wondering how long I should wait for another treatment. A month, two weeks? As for chemical exfoliation, my skin hates it! I have combination oily sensitive skin. I find that mechanical exfoliation when done once in two weeks is the best for me.
I recently purchased the Mandalic Acid from The Ordinary and it's been sitting on my shelf untouched because I'm terrified to use it 🤣 I had a horrible reaction to Glycolic acid and never want to go through that again. It was totally self inflicted because I jumped in with both feet but learned a valuable lesson. I haven't used a physical exfoliant in 5 months and I threw them all in the trash least I have a moment of weakness.
I still haven't bought any of the chemical exfoliators because of the same fear of skin reaction, especially since I have recently started with Retinol.
Thanks for the video series, I still couldnt find the answer to my question though - So how many times per week should we exfoliate? (Normal skin, using retin-a every third evening) And I would like to use 10% Lactic acid, how many times per week would be optimal? Thank you:)
I wasn’t factoring in the use of my flannel along with my topicals! I have mild rosacea .....Guessing I shouldn’t use a cleansing flannel to remove my balm in the evenings and then follow with retinol serum? I do use Japanese enzymes to exfoliate however I’ve decreased their usage also....They become too harsh for my extremely sensitive skin! I also limit my use if ur Nightly serum to once a week, twice maximum because I’m fearful of exacerbating my rosacea. Xoxo 😘 Deborah
I started using Tretinoin 0.05% 2 years ago at 26. And I've never experienced any redness, drying, peeling, etc. Is it still working for me? My sister used the cream as well, and she looked like her skin lifted off her face after 3 days.
I have been guilty of over exfoliating more times than I can count. I still have confusion as I have recently (4 weeks ago) started a low-dose Trentinoin and and doing great but I'm now trying to figure out how to add my acid exfoliation back in.
I used to be the queen of over exfoliating! It was bad. I have also been on trentinoin for two months now. Prior to getting on it, I was using paulas choice 2 % bha liquid and loved it! Unfortunately I had to stop, because even using the trentinoin on separate days i was extremely raw and red! I've also been sad wondering about when I can add it back in Lol. Have you had any luck now at this point incorporating it back in?
You don't need to exfoliate that's what the retinol is already doing
I was hoping she'll talk more about chemical exfoliation. Like is it safe to chemical exfoliate daily? Is it safe to use 2 % salicylic acid or 7% glycolic acid every day? I have those products from Paula's Choice and it says in the direction to use "twice daily". Isn't that too much? I figure it's just a marketing tool use by them to make you buy their products more often.
A mud mask will deliver exfoliation. It's less damaging than a scrub product and less likely to cause red patches than a chemical exfoliation product. Just be sure not to get a peel off mask. Get the stuff that is designed to be rinsed off after hardening.
I was really hoping the I wouldn't need to do a chemical exfoliation because of the cost. I guess I will just have to save some money. Thanks for the advice.
I do a physical exfoliating cause I’ve got dry skin and it’s the only thing that will give me immediate results. I’ve tried all other even dermaplaning and that only got a very small amount. I use a mitt from turkey and I saw immediate results😀 when I touch my skin I can feel the difference and yes I’m very careful.
Okay so can you please explain, how many days a week should i chemical exfoliate with Salycic acid- Cera ve? As well as can i apply vitamin C and suncreen for mornings, and retinoid at night?
You say physical exfoliation is irritating to acne prone skin. But so is chemical! They are both just as irritating, chemical might even be more. Tingling, redness, more acne etc.
So is your suggestion that chemical exfoliation removes enough of your dead skin for a nice healthy texture, even though we really don't see it happening? Sometimes I'll get a bit flaky, or I notice that my skin doesn't feel at all smooth and I'll use a physical exfoliator and then a heavy moisturizer and things look better in the morning.
Morgan Hill: Don’t exfoliate your exfoliated skin. Too harsh/risky.
@@jt8142 How would you go about removing the flakiness though?
Rosebud let it fall off itself
I exfoliated 7 days in a row and my skin got oily and I broke out in small pimples😮☹ I used oxy 10 to clear up the breakouts
What about a silicone brush, like the one clean? Could you use chemical in the morning and a silicone brush at night? Or is that still too much? And what about chemical exfoliation daily? I like Paula’s Choice Daily 2% BHA, but is it actually ok to use daily? Or do you recommend just sticking with 2-3 times a week?
How often should you chemically exfoliate with salysilic acid?
If you don’t care for microdermabrasion, how do you feel about the hydrofacials offered at some clinics? The hydrofacial machine feels like it’s using suction as well as a kind of rough tool that is supposed to put in hydration, etc., and suck out the pore gunk and dead skin cells. Is this good for my melasma or making it worse?
Excellent video. Agree 2020 I’m exfoliating a lot less. Focus on other actives.
I use 20% aselaic acid 2-3 times a week at night, when not using retinol. And Tatcha rice enzyme polish maybe once a week or once every two weeks. Is that considered chemical exfoliant? It’s probably not doing anything particularly great, but I just love the ‘ritual’, the feel, the smell of it! It’s a very calming and satisfying process. 🤷🏻♀️
The Tatcha Rice Polish Enzyme Powder is a combined physical and chemical exfoliant.
So the worst kind! 😂 oh well, still like it though for an occasional use! Always foam it up completely in my hands first as well before bringing it anywhere near my face.
Tranquility Tranquility, hopefully Dr Sam will reply to you. You never know she might like the formula 😊
Hi Dr Sam, I exfoliate every other day. One day it is a sonic device (like Foreo but the Amazon version £15), Paula's Choice 2% BHA and Indeed Lab. powder exfoliator and back to the sonic device.
I really love your Flawless cleanser and your moisturiser is beautiful. I need to try the light version but will wait until spring. Shelley x
I’ve been using tretinoin for a while (9 months) and tolerate it ok even in the everlasting UK winter but still feel myself tempted by physical exfoliation as there is still some congestion and black and whiteheads and it feels like they need ‘agitating’ in some way
Thankyou Dr. Sam for explaining the different types of exfoliation 🧐
I am interested in learning your expertise on using enzymes for exfoliation.
Hi Dr Sam,
Can you please do a video on Psoriasis and how best to treat it/what products to use?
As it's something my Mum is plagued by. She can't use almost Anything on her skin, her face is often so inflamed and red it looks like burns, and she never leaves the house without make up,
Would love to hear you talk about this subject as I think it would be so informative for so many people! =D all the best
Another great video Dr Sam. What woukd be the best approach though for congested skin in a 48 year old? Big thanks x
So basically only use 1 exfoliating product in your skincare routine? So if i have azaleic acid retinoid, Bha/aha serum....just choose 1?
I have oily skin that tends to be sensitive with regular hormonal acne flare ups and visible pores. I tried leave on salicylic acid but it irritated the heck out of my skin with just one use. I have had some success tolerance-wise with the salicylic acid washes (inkey list) but I really limit the use to once or twice a week and keep it well away from the eye and lip areas. Not sure if it is really helping though. I feel like I'd be better off with retinol but terrified of upsetting my skin barrier again. Otherwise I just use unfragranced gentle cleansers and moisturiser, as you say just with the fingertips, and sunscreen of course.
My oily/combo skin used to tolerate BHA, but going through menopause it also irritates my skin (badly!) if I leave it on overnight. So to get the benefit, I use my BHA products as a mask for a few minutes before showering.
Thanks for your videos, they are so organized in the playlist. I'm about to binge
I want to know is it ok to exfoliate hands and neck????
If physical exfoliation is bad, then the derma pen should be a caution..... right?
I use philosophy microdelivery exfoliating facial wash twice a week, it’s easy on the skin.
Is it ok to use a chemical exfoliate daily?
Hi Dr Sam. I manually exfoliate & I love how my skin feels afterward however I am concerned about how this may affect the quality of my skin long term. What are your thoughts? Love your videos! From Australia x
I bought a cream for my acne is it gonna hurt me?, I've been using it for a while now every friday and it feels kind of better, what do you guys think?
Also, how do you get the blackheads OUT after faithful application of salicylic acid? Is there another treatment - perhaps periodic?
LolaRockn aha and niacinamide
I have rosacea and I am afraid of using Retinol. I bought Exuviance 1.0 but still can't commit using it. Maybe I should start slowly?
What do you recommend for strawberry legs ?
What about exfoliating in the skin condition like keratosis pilaris?
Is the ordinary lactic acid good for beginners % or 10%
WE LOVE YOU
How can you repair your skin barrier that has been compromised by glycolic peels that were too strong?
how ofter should i scrub my body in a week??
Research the Lancer Skincare Method and his book Younger, Harold Lancer MD
Thank you. Looking forward to the next download.