Exfoliation on retinoids - The best way to do it! | Ask Doctor Anne
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- เผยแพร่เมื่อ 28 มิ.ย. 2024
- What is the best way to use chemical exfoliants when you are using Retin-A, Tretinoin or any other strong retinol? Do you need both in your routine and which chemical exfoliant is best for which skin issue?
Today Doctor Anne answers your frequently asked questions on retinoids and exfoliation.
And if you want to get a vote in the next Ask Doctor Anne Topic, Ingredient Spotlight or product I review, don't forget you can head over to my Patreon account here: / doctoranne to get more involved!
My current favorite exfoliants from each category (affiliate links):
shopmy.us/collections/40941
Biossance Squalane + 10% Lactic Acid Resurfacing Night Serum: go.shopmy.us/p-529598
Paula's Choice Skin Perfecting 2% Bha Liquid Exfoliant: go.shopmy.us/p-402598
By Wishtrend Mandelic Acid 5% Skin Prep Water: go.shopmy.us/p-368157
The Inkey List Pha Toner: go.shopmy.us/p-368158
Geek & Gorgeous Porefectly Clear Serum: go.shopmy.us/p-368160
Shop more of my favorite products here: shopmy.us/doctoranne
Discount codes:
Murad skincare - use DRANNE20 for 20% off Murad skincare on www.murad.com
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Alpha-H skincare - use DRANNE15 for 15% off site wide (excludes kits, starter kits and sale items) on www.alpha-h.com
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Related videos:
Damaged skin barrier - • Damaged skin barrier -...
How to use retinol with minimal irritation - • How to use Retin A - 5...
5 steps to take to repair your skin barrier - • Has Tretinoin damaged ...
Combining retinol with other ingredients the right way - • Combining retinol with...
Ask Doctor Anne - • Ask Doctor Anne
Skincare basics explained Playlist - • Skin care basics expla... .
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Kapitel:
0:00 The most common questions
0:40 Intro
0:50 What can happen if you pair retinoids with chemical exfoliants
2:03 Is tretinoin an exfoliant
2:45 Do you need to use retinol and exfoliants
3:17 The best way to pair retinoids and exfoliants
5:06 Which exfoliant is best for which issue
6:14 TL;DR
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As doctor passionate about skin care that delivers results and about well aging, I want to help you quickly and efficiently pick a skin care regime that works, by explaining the science behind skin and by sharing quick product reviews.
I am a big believer that creating a skincare routine that targets your specific concerns is not a matter of your budget. There are many great affordable brands out there: The Inkey List, Good Molecules, Geek & Gorgeous or pixi skincare to name a few of my favorites, and if you know how to combine them, you are well on your way to healthy and happy skin.
Healthy and happy skin does not mean "flawless" - whatever that might be. I have been struggling with acne, hyperpigmentation and postinflammatory erythema (PIH and PIE) for most of my adult life, and it took me a while to figure out that gentle is key. I went through a retinol damaged skin barrier, acne flare ups and sun damage until I finally reached my happy place: With Tretinoin, sunscreen and of course a red lipstick!
Disclaimer:
I am a doctor, so I do have a good understanding of scientific studies, skin and ingredients.This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this TH-cam channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this TH-cam channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.
Links used above are affiliate links and most products mentioned are PR-Samples/ gifted items.
This is not a sponsored video.
#doctoranne #beautydoctors #askdoctoranne - แนวปฏิบัติและการใช้ชีวิต
Do you have tips you want to share?
I believe that Tretinoin & Salicylic acid pare well together. ♡♡
But you probably need to use one in the morning and the other at night but I'm not absolutely sure because I'm no expert in this field.. 🤷🤦
@@foltz-art They do in terms of helping against acne.
@@foltz-art That would be the cautious approach.
@@____-mg7lr Please don't confuse topical retinoids with oral Roaccutane.
Very helpful summary.
Thank you.
You have one of the most BEAUTIFUL hairs I’ve ever seen! ❤ truly mesmerizing colour and shine!
Oh, thank you. It is all made in the hair salon - that used to be my natural color when I was a child, now I pay for it.
This video needs more views for sure! Such a well done explanation
Thank you so much.
i agree (:
I have been using Alpha-H Liquid Gold once a week and Tretinoin 0.05% the rest of the week nightly for a couple of years now. Best combo I've found for me and I'm not changing it. Hi from Australia
If it works, better stick to it!
You’re amazing
Thank you.
I've been using the Aveeno PHA cleanser in the morning, it's very gentle and I think maybe it helps my vitamin C serum absorb better to exfoliate first?
It surely helps to exfoliate regularly, but I don't think it need to be done right before applying the Vitamin C. If that is what works for you, then great though, keep doing it. PHAs are very mild, so easy to combine with other actives.
Hi doctor! Hope you will answer and give suggestions
Can I use salicylic acid 2% foaming face wash at morning 2-3 times a week as a expoliant , I’m using tretinoin 0.025 every night , I have acne and acne scars
I just use
1-Cetaphil gentle cleanser
2- Bioderma moisturiser
3- sunscreen
You could use a salicylic face wash despite being on Tret if your skin tolerates it. That is something I can't say, as it depends on your individual skin.
Hi Dr. anne, thank you very much for the explanation! I would appreciate it if you could answer a question for me: I am 30 years old with some expression lines on my forehead and neck. I used one tube of 0.025% and after my skin got used to it I immediately switched to a dose of 0.05%. It happened to me Only once with the high percentage I had a red burn irritation on my cheek and I immediately washed my face with soap and applied moisturizer and it went away after a few minutes. I believe it happened to me because I put marine hyaluronic acid and pycnogenal before that. My skin didn't react well to it with the tretinoin. Then when I continued applying the sandwich method with no other ingredients it didn't happen. I will soon finish the tube of the 0.05 as well. Someone who also uses tretinoin who is not a doctor told me I was making a mistake because I didn't let the low concentration do its thing (I only finished one tube of 0.025).He also told me that if I continue with the 0.05% I will have nowhere to increase it if I will need to in future (we don't have a 1% prescription in Israel the 0.05% is the highest) I would appreciate it if you could tell me if I really need Go back to 0.025? Or can I be calm and continue using 0.05 for life safely if i will not get irritation? Without worries of having too many wrinkles or the trettinoin will not working well...
Another question - in the last week I reduced the days I use tretinoin to three to four days a week instead of every night because on the other nights I started using lactic/mandelic acid and salicylic acid (on separate nights not together on the same night) Am I doing it right?
By the way, I want to compliment you that you and Dr. Dray are my favorite doctors on TH-cam! There are many doctors on TH-cam who really see that their goal is marketing products , but you are really not like them, you are honest and trustworthy. I learned a lot from you and you always respond to questions. It is incomprehensible and I thank you for it. It contributes a lot to those who have no knowledge of cultivation.
You deserve many more followers and I'm going to share your channel (: I'm sure it will come with time
First of all: Thank you for your kind words, they really mean a lot to me.
For your questions: It is perfectly fine for you to keep using the 0.05% if that agrees with your skin. If it had led to irritation, it would have been a good idea to go back to 0.025%, but you don't need to worry about increasing the strength with age. It is about consistency, not about "the stronger the better", you are perfectly fine using the concentration that agrees with your skin for the rest of your life.
Will you get wrinkles? Yes. But you will get them with 0.025% as well as with 0.05%, and increasing the strength will not make them go away. No matter the concentration, it will slow down the process, but not stop it. The higher concentration gives results a little quicker, but over a period of 10+ years, it really doesn't matter much.
The only thing were concentration plays a role is if you use it to treat adult acne, here you adapt the concentration based on the results you are seeing after several months of using it.
As for reducing the amount of nights you apply it when introducing acids: It sounds like a good way to reduce the risk of irritation, see how your skin reacts and adapt it from there. I have been using 0.025% every other night for years now. That is all my skin can handle and I don't see a point in trying to increase frequency or concentration and risk irritation.
When I started using g 1% retinol about 6 years ago, I found that AHAs and BHAs aggravated my skin. Once I changed to tretinoin, I started using Paula's Chuce weekly AHA/BHA 10 minute wash off peel, but only in warm weather and only on the night I wasn't using tretinoin.
And that worked better?
@@DoctorAnne It helps the tretinoin work more efficiently on my skin.
@@susanmcf1 That is great to hear.
Hello, doctor!
I have been using tretinoin 0.025% every night and azelaic acid 20% every morning for more than 4 weeks. I've noticed that my skin is improving, but there are still lots of whiteheads and blackheads in my nose area. In addition to that, I have some hyperpigmentation in certain spots on my face, and I also have some acne around my hairline. Is it okay if I add an AHA/BHA toner to my skincare routine to help get rid of these problems?
I would wait at least two weeks more, as the irritation with Tret often appears after the 6 weeks mark. In general 4+ weeks aren't a long time with the issues you describe and you should give it around 6 months to judge how it works. Both acne and pigmentation are incredibly stubborn.
If you introduce an AHA/BHA toner, start slowly and increase, don't go in every night right from the start.
I have interest in adding AHAs to my routine more because of the collagen support rather than the exfoliation. However, I always hear that you should not to use AHA during the day, but at night I use tretinoin, every night. So, not sure how to add AHAs without giving up my nightly tretinoin :(
You can use AHAs during the day - the recommendation for using them at night comes from the fact that they make your skin more sensitive to sun. But that lasts more than 24 hours, so in the end it doesn't matter if you use them morning or night, make sure to use your SPF.
Tretinoin needs to stay at night because here the molecule itself is sensitive to UV exposure.
@@DoctorAnne Thanks Dr. Anne! Indeed, I suspected the sensitivity to the sun would last more than some hours, so it should not matter. But people, including brands, say so categorically that you can not use during the day that makes you confused 🙄 Thanks for clarifying 🙂
@@lindseycassini1560 You are welcome.
I'm using benzoyl peroxide because of pimples that is hard and feels like something inside the skin, although not huge like other pimples type.
I do use 3% adapalene gel 3/4 times a week. And benzoyl peroxide 5% for 2 times a week as a leave on short therapy by cleansing it off after 20/30mins.
Do I need a separate salicylic acid cleanser as exfoliate? I'm just not sure after this one because BP and adapalene both has some exfoliating properties directly or indirectly (including cell turn off accelerations and killing off the P. becteria. But I found no research papers showing dead cell exfoliating results on those. So that's why I'm confused. Thank you.
Btw this video needs to reach more. I wish it also included about benzoyl peroxide 😅.
Are you seeing a doctor with your treatment? If yes, this would be the best person to ask. If you get these products OTC, the best I can say is: It depends. Both have strong irritation potential, and adding a salicylic acid in the mix might be too much. I don't think there are any papers on the exfoliation of dead skin cells with this, but that doesn't necessarily pose a problem - if you don't fee you have a lot of texture and blocked pores, I personally wouldn't risk it.
@@DoctorAnne no I'm on OTC for now. Actually I'm using benzoyl peroxide and adapalene. Those clear out pimples. But then after one to two weeks those again appear. This has happened for a while. But those dries more quickly than before maybe because of active treatments. So I was wondering if I need something or not.
Thank you very much for replying even after a rough day of work. People like you're helping us students indirectly. Many of us won't be able to afford going to a dermatologist.
@@hilmyakatsuki1665 The deep set pimples are often hormonal by nature, so you won't be able to get rid of them with skincare.
Hi Doc, love this video. Im using Differin cream 1% every 3rd day as my skin is extremely sensitive. Should i be washing my face twice a day or only once? I have very oily skin. When i wake up its a total oil slick. But i heard only washing with water in the morning is ok when on a retinoid.
No rule fits everyone, so if you feel water isn't enough to get rid of the oil, try washing it with a gentle cleanser. The goal is to make your skin feel comfortable.
@DoctorAnne thanks Doc Anne. I been on Differin for 7 months now. My skin still gets flakey and some areas gets irrated. Im still getting cysts. Should I keep on it or maybe try switching to retin A at a low strength? I been on it before a long time ago but never stuck with it because I guess I wasn't using it correctly I.e not buffering it with moisturizer. However im just wondering if im one of those folks who can tolerate retinoids. Even 2% salicylic acid face washes irritate me. My skin is super sensitive. Any recommendations? I'm also acne prone.
@@jayeshaw5705 What does your treating doctor tell you? You wouldn't be able to get retin-A without a prescription.
@@DoctorAnne my treating derm doesn't really give much insight. Didn't say if I should switch treatments or not.
@@jayeshaw5705 I would suggest addressing it directly as they know your skin already.
Hi! I use a retinol serum from Mary Kay, which I unsealed in February 2023. The serum expires in May 2023, can I use it until I finish it? I started using it 3 months ago and it is still more than half full....
It will most likely not harm your skin, but the actives will lose their power, so you won't get the same results after it is open for too long.
So yes, you can use it until you finish it, but the question is if you get the effect you are after.
@@DoctorAnne The concentration of retinol is quite high at 0.5%. Does this mean that retinol will have the effect of a 0.2-0.3% serum? (for me it wouldn't be a problem, now I use the serum 2 times a week, if theoretically the effect of the Retinol decreases, I can use the serum one day yes one no). Does what I'm saying make sense? 🙈 I had no problems or irritations
@@stefaniaburghel3669 I don't think it works that way by just the concentration declining, it isn't as straightforward.
I have been using retinol for more than 6 months but didn’t see any difference. I also tried 1% retinol but still didn’t do anything. So I want to switch to tretinoin gel 0.05%, will it be ok? And can I use the paula's choice bha exfoliator while using tretinoin gel?
What was the difference you wanted to see? Do you use it for acne or "just" to prevent premature aging?
I want to use it for acne. I have oily and acne prone skin along with pigmentation and textured skin.
@@mayamaawishe1731 Are you able to see a dermatologist? That is usually the best and most cost effective option.
Retinol is usually not strong enough to treat acne, it is not a medication.
What if I will just use a soft cloth to exfoliate my skin when purging due to tretinoin? To remove the peeling skin? I will soak my face with hydrating oil first, and when it is easy to come off, I will exfoliate it using a very soft and wet cloth.What will happen to my skin? Will it get dark? Or pigmentation? I'm on my 4th week using Tretinoin .05% doctor.
Every skin is different, but even that gentle exfoliation can be too much for some. You can try how your skin reacts and if you feel it getting irritated, stop it. If you stop at the beginning, it isn't very likely you develop pigmentation from that.
@@DoctorAnne Hello doctor! I only did it once. I am always checking my skin nowadays and so far I think it is okay but I will not do it again eventhough I don't see any bad reaction. It is better to be safe. I think I will just use chemical exfoliation next time😊 Thank you doctor! I am always watching your videos❤️
@@rvmg6297 Thank you for being part of this community.
I'm not sure if Tretinoin is a perfect exfoliant I just remember I used it when I was a teen and it basically made me shed like a snake 🐍 then I found out that it was a snake haha 🤣 anyways my doctor told me that it was a normal thing that happens when you are using it. They ended up giving me this Adapalene gel that worked wonders for me. but I'm now sensitive to the sun ☀ so I'm bummed 🥲🥀
The retinoid irritation is real, but there are ways to avoid it. Adapalene is less irritating though, so often the better choice.
With both medications you should be using sunscreen, so yes both drugs will sensitize your skin, but that's one of the reasons why you should use sunscreen.:)
@@DavidTranAnh That is true, sunscreen is always a good idea.