Hola Dr Karam, soy de Chile y quiero comunicarte que hay dos cuentas de Facebook con tus fotos pero con otros nombres, creo que te están estafando y eso es gravisimo, uno me habló y yo creí que era verdad esa persona que me escribía y un día estaba viendo TH-cam y te vi y eras tu un Dr de prestigio y me asuste y le escribí a la persona que te estaba su plantando y le dije que ya había dado cuenta a la policía y nunca más me habló y creo que cerró esa cuenta pero ahora te encontré en otra cuenta falsa con tus fotos y un nombre diferente, quise comunicarte por cualquier estafa que te pudiesen estar haciendo. Yo no te conocía y fue un milagro haber encontrado tus cirugías y cuando te vi quien eras casi me desmaye..
I tried Cerave retinol in small purple bottle for first time and put it on my eye lids but now my eye lids are swollen!! What do I do??? It’s been 2 weeks and they are still swollen. I have stopped the retinol and using castor oil and/or Vaseline. I have tried zyrtec and nothing is working. My eyes feel dry. Help!!
I use CeraVe OTC Retinol serum (with Ceramides and Hylauronic acid). I don't use a lot. That is the key. I apply it each evening with moisturizer before I go to sleep. No purging, no peeling. Great results. In the mornings, I use Vitamin C serum with moisturizer and sunscreen. Love it!
@@ujuonwudiwe7308 I use Retinol at night after I wash my face, with moisturizer. Vitamin C Serum in the morninging after I wash my face. Then apply moisturizer and sunscreen.
In my practice as an ICU nurse I often care for patients who look far older than their stated age and the majority of those are smokers. The effects of smoking are pretty clear on many levels, especially your skin.
I think it's due to genetics. Despite years of heavy smoking, I don't have a single wrinkle on my face, which surprises me. My 90-year-old dad's skin looks better than that of a 40-year-old, and he attributes this to eating avocados daily with a boiled egg, a habit I've also picked up.
@@jessc.8557 I agree about genetics. I am 75 and have several friends in their 80’s who have fewer wrinkles than I do. They spend time outside without sunscreen.
Started Retinol in my early 20’s. Switched to Retin A in my 30’s. Now at 46 my skin is better than most of my friends my age. I do use a bunch of other products/actives but Retin A is always the main course!
Well he’s wrong. Zoe Draelos and the Brother of the guy who invented Tretinojn did a study and proved 0.25% tretinoin achieved much faster results than 0.1% tret
Here’s an overview: There are three general levels of retinoids or Vitamin A derivatives: 1) tretinoin (brand name is Retin A), which IS vitamin A, the strongest and also the most irritating. It can only be acquired through a doctor’s prescription in many countries including the US; 2) retinal or retinaldehyde, which requires an extra conversion by the body in order to become vitamin A. It’s less irritating but will take a little longer to create the effect straight Retin A would; and 3) retinols, which are commonly found in over the counter products and/or mixed in with night creams, etc. These require two conversion steps in order to become vitamin A, so they are the weakest. While tretinoin has been gaining hype as the “golden standard”, if your skin can’t handle it, it’s okay; like Dr. Karam said, use a weaker version that you can tolerate daily (or so) and in time, you will still have the same benefits (it just takes longer). It takes months to grow collagen so you may not see effects for up to a year. Good luck and definitely use sunscreen!😊
@melissalaycak This is the best overview I’ve seen! I’m always trying to explain the difference to friends and I never seem to get it exactly right! I’ll memorize this. Thanks! 😊
Years ago I would get a prescription for Retin A from a dermatologist...if its for acne, its cheap...but if its for anti-aging purposes, the price is ridiculous!
I am 59 years of age and I start using retinol about two years ago. I have season huge improvement in my skin. People say I look younger than what I am. I am 59 and someone thought I was just 49. I’ll take it.😊
I don't understand why he said Retin-A because Retin-A is the brand name for tretinoin. Funny on GoodRx I read recently that the brand name Retin-A is now cheaper than the tretinoin. The problem is finding the pharmacy who carries the brand name.
I have used Retin A 0.05 for over 30 years. Yes 30. Probably started because I had acne after my daughter was born. But now I wonder if the benefits of Glycolic acid. I remember my dermatologist prescribed it for the scars. I am totally scar free and also use hialuronic acid for over 6 years. I’m turning 64 and have wonderful completion.
I'm using .025 Tret for 1.5 yrs. I've also been using OTC retinols for about 15 yrs. I continue to cycle the Tret, with OTC products on other nites. I will confidently say, as I approach my mid 50s, my skin looks 10+ yrs younger than my age. I'm most pleased with the quality of my collagen !🌟
Is there a reason you remain at this dose? I've been a bit more aggressive. I just turned 50 last Oct (2023). Around June 2023, I started looking up 'neck lift' and I've never looked back.😂 I'm now on 2xday routine plus lots of extras and other things I do like use satin pillow cases & run a humidifier.😂 I would Love Love surgery. I have too much skin on my neck. But I've never had the $ for procedures. I didn't even know about the field of skin care. I didn't know what retinol was. Now I use actives, acids, serums, moisturizers, emollients, peptides. I spritz mist for fun lol (product made for this) I don't wear much makeup, only brow pencil & mascara. So I can get away with so much more than people with makeup covering their face. Anyway long story sorry lol I've spent 100's of hours watching videos by Dr Karam & probably another 10 derms on YT. My education is well & so enjoyable! It is so much fun! It took 9 months to get here. I've used .05% tretinoin 1xday. For the last 6 months. I just received the .1%, the big daddy retinoid.😊 I used it last nite & learned a few things. I did just double my strength. So I was just wondering, why have you chose this strength. I was also supplementing extra shelf retinol with my .05% tret. And can't leave out SUNSCREEN! I have about 4 diff ones that i use strategically. 😊 Can't leave out diet & exercise. I do low carb. It makes such a difference but I'm talking about getting enuf protein in your diet. And I supplelent with collagen peptides. My vitamin supplements are vit c, vit e, vit d, magnesium, krill oil, zinc, and more ofc. But I'm trying to help my body with collagen production. I am trying harder to get exercise. Soon I'm joining a gym. I recently learned about Glycation. Check that out.
@staceywest6332 Research is out, there's no reason to be on high dose of Tret! consistency is key💫 I also am 'honoring' the fact that I've never gone thru any intense peeling/ reaction with the .025 dose, & I'm seeing legit results, so why switch?! 🙌🏻
@dianal8387 is it okay to use tret once a week and use a retinol serum like cerave's on the other days of the week. I started using 0.25 tret after using cerave resurfacing retinol for a year but when I use tret more than once a week my skin starts chipping and gets extremely dry. I have to say though, it's only been 3 months since I started using tretinoin.
I have been using Retionol for six years.not only on my face but also on my hands.some of my original dark spots have almost disappeared.it’s really good for me ❤
Using retin a 37 years, now will be 70 years young. I have beautiful skin. Never had a tan that helps. Proper human diet 20 carbs and below. I take no meds, and in great shape, it all works together, not just one thing.
Def don’t be afraid to use it around your eyes!!! Some ppl advise otherwise out of fear of increased dryness/wrinkles, but it’s decreased my wrinkles esp caused by eyeshadow/makeup use. Been using 0.1 prescription since I was 18 for acne. Didn’t help my deep pitted scars as much, so Ive been using a microneedle stamp carefully at home. 10/10 results.
I’ve been using tretinoic acids for almost 40 years and my skin is firm, plump and there is no skin damage. Needlessness to say I have never sat in the sun. Thank you, doctor.
I use Tretinoin every night and my Castor Oil is the last thing I do every night right before bed, also. Why alternate and lose out on one or the other every day?
I have been using Retin-A for 40 years Consistently. I LOVE IT and would not want to he without it EVER! My skin feels like its not being Fed if I don't use it fir even One Day. I am 64 and people say I look nowhere near it. I have been fortunate enough to be Able to get it and I am 🙏 Grateful to The Max!
There is one important factor you haven't mentioned: the effect of vitamin A on the liver. My father was a doctor and when I was teenager he prescribed Retin-A for my acne, however he was monitoring my liver levels closely because he told me right away that the the major concern was liver damage. Can you do a quick video about that?
I'm worried too... It is strong and travels in our body.. i do use it but twice a week and glycolic acid twice a week too... Other 3 days I just apply moisturizer... I use 0.25 on my face and 0.5 on knees, neck and feet to remove hyperpigmentation.... But last night when i applied it, my heart rate was very fast and i was worried... I want to know how it effects our bodies
I’ve started and stopped tretinoin multiple times over the past few years. The thing I couldn’t deal with was the dry, tight, flaky skin. I’ve now been using tretinoin 0.1% for over a year and my skin looks great. I stopped buying expensive moisturizers after seeing another one of your videos… I’ve been using Vanicream and Cerave moisturizer which completely stopped the dry flaky skin. I will never stop using tretinoin now! So thank you Dr. Karam! 🙏
You are absolutely right .From the moment I started using retinol as a night cream in combination with niacinamide but also as an eye mask, I have seen a noticeable difference in my skin.
Hello there! 😊I'm on a similar evening regimen... niacinamide serum, 0.05 retin A, moisturizer, and eye cream. May I ask whether you apply the niacinamide before your retinol? Lately, I've been wondering whether applying retinol first could possibly make it more potent giving us further results? But then I'm unsure about niacinamide not being fully absorbed due to the retin A layer...
I can’t use Retin A too harsh even at low concentrations. I do use Retinaldehyde which has really made a huge difference in how my skin is aging. A must for me!
@@sczybaTruOlogy Advanced Retinal Serum or Osmosis. I prefer the TruOlogy. Its sold on Brianna Stanko’s website. She has a very informative TH-cam channel and works with great doctors and formulators in the skincare industry.
I’ve used Retinals and Vitamin C off and on the last 10 years but once I kicked it up DAILY, I can see the difference! Consistency is key… thank you Dr. Karam~
Thank you for your knowledge. I have been following you for about 2 years or more. My skin has improved phenomenally and so has my self confidence! I can’t tell you how much you have helped me with my aging journey! Again, thanks dr. Karam❤
I use retinol for 10 years and very happy with the quality of my skin. Recently i started using differin, as it is stronger than retinol and can buy over counter. I heard a lot of positive comments about it , but not sure if it is a good replacement to retinol?!
Yes, yes, yes and yes.... I'm 60ish and I use the Vitamin C (with freulic acid & Vit E etc.), retin-A 0.05% nightly, Sunscreen EVERYDAY. I also incorporate glycolic acid twice a week on elbows, knees and my big toe (yeah i have reasons lol) and my skin is constantly getting compliments and I show them photos of me where I was unable to leave my house years before due to my skin flares of redness, and it was out of control Sugar (glucose) levels and when I got that under control and then focused on my skin routine, it has paid off in spades. This is a LONG GAME ladies, at least for me, no overnight miracles. Enjoy you
Hi, I am 70 this year and my skin is really bad... thin skin, lots of deep wrinkles (ex-ski instructor)! Question; am I too late to start using retinol products?
Topical is good, and also take Collagen peptides like vital proteins in coffee in morn and sustained release vitamin c 2x a day and omega 3 oils like carlson elite omega and d3k2 at least 5000 iu daily You will thank thank me in a few years.
Absolutely you can use. it’s not late. But notice that START it at lower concentrate, pea size and only once in a week, then gradually increase the days. You MOST use physical sunscreen every day and reapply every 2 hours. If you had a vitamin C under the sunscreen it gonna work much better. ☺️
Been using Tretinoin for about four years now. Slowly worked my way up to 0.1%, thankfully I don't have super sensitive skin. That, with a solid skincare routine which includes a good ph balancing toner, Vitamin C, hyaluronic acid, EyeMax AlphaRet Overnight Cream formulated specifically for the delicate eye area (results are "WOW!"), growth factor serums (one for eye area, and one for face), and sunscreen. I also use most of the products I use on my face on my neck and chest as well. I dermaplane and use a great exfoliator every so often (just a heads up, don't do these two things together, it's way too harsh) And a BIG one...I've stayed completely out of the sun and tanning beds for almost a decade. My skin looks better now at 45 than it did in my 30's. I had punished the crap outa my skin with the sun and had so much sun damage! It sounds like a lot of work, but it becomes habit and routine, and so worth it when you start seeing and feeling the results!
Vit e aha and Bha are mostly useless The aha and bhas are just exfoliators. They’re literally advanced cleansers nothing more Vit E is just an antioxidant. Vitamin C and Vitamin A is where the magic is
I used obagi on and off because my skin turns red and up to the point of irritation all the time. I continued using it, finished two tubes of 1% retinol with other serums and creams for about two years and half. Then i used kielhs retinol with vit c plus my obagi .5% on top of the kiehl . About 5mos now, my skin looks plumpy, no more creepy lines. I am not going back to my dermatologist anymore for any of those procedures! ❤❤❤❤
Genetics also very important...living near no pollution and eating very well! I am in forties never done retinol but skin of 20s. I am starting know. Eat well: Orange a day, greenleaf veggies, Omega real fish and meat. Bone broth os very good. And exercise moderate also stimulates collagen.
I'm serious about anti-aging and skin care! I'm 63 years old, but think I'm 40.😆 I do use retinol, never had any problem with it. Consistency is the key with our skin care routines. Thank for this great explanation of how retinol works and why we need it. ❤
My skin definitely has benefited from Vitamin C, B5 and, Azelaic Acid and Retinol and SPF. I use a 1% retinol every night without any irritation by putting it on last after moisturizer. Gives my skin a little protection from irritation but the retinol still gets into the skin.
I bought your Trifecta (cleanser, serum and illuminate) last year but was unable to use it because of the strong floral perfume. I see you have changed the packaging; is the new version of the Trifecta without perfume? I would love to use your products, thank you for your answer. Great channel, very clear and informative. Thank you!
Great great job at explaining every topic… Do you have a video on peptides and growth factors? I currently use retinol in my routine and love it. I want to incorporate peptides or growth factors and want your opinion on them. :):)
My approach when I am preparing for a treatment such as microneedling, is change the use of it to every other day from day 10-5 and then stop until the treatment. During the healing proces I apply this same approach, but then the other way around. Works really well in my case and never experience any inconvenience or adjustment from my skin.
For very personal health reasons I’ve been indoors practically the lasts 16 years, rarely being in the sun. I guess because of that I’ve been looking younger than my age for a long time. But two years ago I begun using tretinoin and six months ago I started using red light therapy. That is all I use. And nobody believes me when I tell them my age. I look at least 15 years younger, if not more. My husband and I are the same age and recently someone thought I was his daughter and he doesn’t look old at all. RETINOIDS work!
I went for a facial yesterday and I wrote down that I use tretinoin daily and vitamin C. I am 56 y/o. She told me I was thinning my skin out even more by using tretinoin. She recommended Procel anti-aging cell renewal tx.
I was told same by my facialist and I ran away from her place lol because in my opinion she knew nothing about skin when she said that. I trust a dermatologist more than any aesthetician .
I’ve been using it unknowingly for 20 plus years and mow in my late 50s, my sister, aunt and friends couldn’t stop gushing about how good my skin texture is. People doesn’t believe I’m in my 50s. Because they noticed there’s no wrinkles. I’m so happy I’ve been doing it for years. 😊 And I don’t need to go to those expensive beauty centers for treatment that’s high maintenance and temporary only.
Is it safe to apply retinol around the eyes ? Is retinol cause vision loss? As our eyelids produce natural oil so, retinol can penetrate in our eyes as well
Yes, proper skin care (proper cleansing, retinols, excellent sunscreen and sun protection) and a healthy lifestyle create better skin, but it is also true that genetics and the natural amount of melanin also play a role
I'm like you wife, I've been in retinol since my 18, 56 years old now with very young skin. Have only a lifting last year , more to lift my face skin. Thank you, Dr. I love your videos.
My routine consists of many products. My night routine begins with a double cleanse, and 3 times a week I’ll also use an exfoliating cream cleanse. Then on a dry face I use retinal on face & neck. I protect the area around my eyes & lips with either Vaseline or castor oil. Then after it’s absorbed , I’ll use a moisturizer. In the morning I’ll rinse my face with water, then while it’s still damp I’ll use a vitamin CE serum, then a high SPF sunscreen. If I’m not going out for the day, I’ll skip the sunscreen and use snail mucin after I cleanse & moisturize. 3 times a week I’ll use Glycolic pads after the morning cleanse. I’m considering purchasing a red light mask to also incorporate in my daily routine. Of niacinamides, peptides & ceramides are in my moisturizers. BTW- I had a face & neck lift, upper & lower eyelids, and fat transfer 8 months ago. I will be getting a laser in the near future. I am 68 yrs young, but look like I’m in my early 50’s. So ladies-it’s real 👍🏻 get on the skin care train 😃
I started with differin gel and used that for about 2 years everyday, and then I switched to Tretinoin. I didn’t have any purging with it. I absolutely love it. I’m 41 and I still get ID’d and people think I’m much younger than my age. I’ll use it for the rest of my life!
I stopped facial waxing bcos Im asked to stop all retinol products for 2wks! WHAAAAT!? Its frustrating cos I have heavy facial hair. Now I alternate hair removing creams and electric shavers Frustrating, really!
I just started acclimating my skin gradually and know I use it ever day, don't seem to have the problem with getting back on once I have to get off for a time.
I was recently off tret for two weeks and had no problem picking up where I left off. I'm thinking it might be easy to restart before a skin cycle (~28 days) has passed.
Hello Dr thank you for the information What are your thoughts on Bakuchiol serum I have always issue using retinol but Bakuchiol is something my skin can tolerate
Learn how Dr. Karam treated his wife's Melasma AT HOME here: th-cam.com/video/cHtLR0BlVrA/w-d-xo.html
Hola Dr Karam, soy de Chile y quiero comunicarte que hay dos cuentas de Facebook con tus fotos pero con otros nombres, creo que te están estafando y eso es gravisimo, uno me habló y yo creí que era verdad esa persona que me escribía y un día estaba viendo TH-cam y te vi y eras tu un Dr de prestigio y me asuste y le escribí a la persona que te estaba su plantando y le dije que ya había dado cuenta a la policía y nunca más me habló y creo que cerró esa cuenta pero ahora te encontré en otra cuenta falsa con tus fotos y un nombre diferente, quise comunicarte por cualquier estafa que te pudiesen estar haciendo. Yo no te conocía y fue un milagro haber encontrado tus cirugías y cuando te vi quien eras casi me desmaye..
I tried Cerave retinol in small purple bottle for first time and put it on my eye lids but now my eye lids are swollen!! What do I do??? It’s been 2 weeks and they are still swollen.
I have stopped the retinol and using castor oil and/or Vaseline. I have tried zyrtec and nothing is working. My eyes feel dry. Help!!
Am I the only one that always get distracted by the beautiful and radiant skin of Dr. Karam?
You are not dear, the guy is really good looking with Perfect skin
He really has a perfect skin
It’s my first time watching him but I think his face is timeless. The glowy radiant skin and the gray hair … I am confused! 😂
He is very easy on the eyes. Oh and yes he has great skin. 🙂
He is a fine piece of man😉
I use CeraVe OTC Retinol serum (with Ceramides and Hylauronic acid). I don't use a lot. That is the key. I apply it each evening with moisturizer before I go to sleep. No purging, no peeling. Great results. In the mornings, I use Vitamin C serum with moisturizer and sunscreen. Love it!
Which one comes first between Retinol, Ceramides & hydraulic
@@ujuonwudiwe7308 I use Retinol at night after I wash my face, with moisturizer. Vitamin C Serum in the morninging after I wash my face. Then apply moisturizer and sunscreen.
In my practice as an ICU nurse I often care for patients who look far older than their stated age and the majority of those are smokers. The effects of smoking are pretty clear on many levels, especially your skin.
That's interesting... people would normally be concerned about the effect on their lungs, but few mention the effects on the skin.
@@ocontroversoWell, they're not listening. At 70, I've heard that all of my life: "Smoking causes wrinkles" - It is 110% fact!
Cannot agree more, I am a nurse as well. Saw many patients or colleagues older than their age because because smoking.
I think it's due to genetics. Despite years of heavy smoking, I don't have a single wrinkle on my face, which surprises me. My 90-year-old dad's skin looks better than that of a 40-year-old, and he attributes this to eating avocados daily with a boiled egg, a habit I've also picked up.
@@jessc.8557
I agree about genetics. I am 75 and have several friends in their 80’s who have fewer wrinkles than I do. They spend time outside without sunscreen.
Vitamin C in the morning & Retinol at nighttime 😊
Is Vitamin C better than CoQ10 or do they do pretty much the same thing
Make sure you use sunscreens too 😀
Thank you 😊
That's what I do as well.
It's going to help me a lot if you give a precious prescription
Started Retinol in my early 20’s. Switched to Retin A in my 30’s. Now at 46 my skin is better than most of my friends my age. I do use a bunch of other products/actives but Retin A is always the main course!
Which ones do you use? Thanks
@@dahliarose8466 Prescription strength .05%. Couldn’t tolerate a higher percentage.
@@bnb0510I'm sure. 05% is the highest strength available , I've used it for decades.
I too thought I had to keep pushing for a higher percentage. So helpful to hear that consistency at a lower concentration is more important!!!
Well he’s wrong. Zoe Draelos and the Brother of the guy who invented Tretinojn did a study and proved 0.25% tretinoin achieved much faster results than 0.1% tret
Here’s an overview: There are three general levels of retinoids or Vitamin A derivatives: 1) tretinoin (brand name is Retin A), which IS vitamin A, the strongest and also the most irritating. It can only be acquired through a doctor’s prescription in many countries including the US; 2) retinal or retinaldehyde, which requires an extra conversion by the body in order to become vitamin A. It’s less irritating but will take a little longer to create the effect straight Retin A would; and 3) retinols, which are commonly found in over the counter products and/or mixed in with night creams, etc. These require two conversion steps in order to become vitamin A, so they are the weakest. While tretinoin has been gaining hype as the “golden standard”, if your skin can’t handle it, it’s okay; like Dr. Karam said, use a weaker version that you can tolerate daily (or so) and in time, you will still have the same benefits (it just takes longer). It takes months to grow collagen so you may not see effects for up to a year. Good luck and definitely use sunscreen!😊
@melissalaycak This is the best overview I’ve seen! I’m always trying to explain the difference to friends and I never seem to get it exactly right! I’ll memorize this. Thanks! 😊
I’m on Adapalene as a lower dose retinoid and I tolerated without irritation so I’m ready for tretanoin
Just one thing - tretinoin is available under many, many different brand names. Otherwise a good explanation.
Thank you sooo much
Years ago I would get a prescription for Retin A from a dermatologist...if its for acne, its cheap...but if its for anti-aging purposes, the price is ridiculous!
I am 59 years of age and I start using retinol about two years ago. I have season huge improvement in my skin. People say I look younger than what I am. I am 59 and someone thought I was just 49. I’ll take it.😊
Could you tell me which brand of Retinol, please?
I bet you look amazing 🤩
Same here😊
Could you please tell us the brand name ???? Thank u and have a great day!
I like the fact that no particular brand is recommended. It makes this video trustworthy.
except for his own brand😉
I don't understand why he said Retin-A because Retin-A is the brand name for tretinoin. Funny on GoodRx I read recently that the brand name Retin-A is now cheaper than the tretinoin. The problem is finding the pharmacy who carries the brand name.
Are you serious? LOL the whole video is an advert of his own brand
he's literally promoting his product trifecta
If you scroll down to the bottom of the page you will see that he is selling his own product.
I have used Retin A 0.05 for over 30 years. Yes 30. Probably started because I had acne after my daughter was born.
But now I wonder if the benefits of Glycolic acid. I remember my dermatologist prescribed it for the scars.
I am totally scar free and also use hialuronic acid for over 6 years. I’m turning 64 and have wonderful completion.
Glycolic acid fixed the scars? Even the rolling type? Wow, is this available without Rx? Juts Retin A and GA, no other creams?
Can you mix retin A0.05% with moisturiser
I'm using .025 Tret for 1.5 yrs. I've also been using OTC retinols for about 15 yrs. I continue to cycle the Tret, with OTC products on other nites. I will confidently say, as I approach my mid 50s, my skin looks 10+ yrs younger than my age. I'm most pleased with the quality of my collagen !🌟
Is there a reason you remain at this dose? I've been a bit more aggressive. I just turned 50 last Oct (2023). Around June 2023, I started looking up 'neck lift' and I've never looked back.😂 I'm now on 2xday routine plus lots of extras and other things I do like use satin pillow cases & run a humidifier.😂 I would Love Love surgery. I have too much skin on my neck. But I've never had the $ for procedures.
I didn't even know about the field of skin care. I didn't know what retinol was. Now I use actives, acids, serums, moisturizers, emollients, peptides. I spritz mist for fun lol (product made for this) I don't wear much makeup, only brow pencil & mascara. So I can get away with so much more than people with makeup covering their face.
Anyway long story sorry lol I've spent 100's of hours watching videos by Dr Karam & probably another 10 derms on YT.
My education is well & so enjoyable! It is so much fun! It took 9 months to get here. I've used .05% tretinoin 1xday. For the last 6 months. I just received the .1%, the big daddy retinoid.😊 I used it last nite & learned a few things. I did just double my strength. So I was just wondering, why have you chose this strength.
I was also supplementing extra shelf retinol with my .05% tret.
And can't leave out SUNSCREEN! I have about 4 diff ones that i use strategically. 😊
Can't leave out diet & exercise. I do low carb. It makes such a difference but I'm talking about getting enuf protein in your diet. And I supplelent with collagen peptides. My vitamin supplements are vit c, vit e, vit d, magnesium, krill oil, zinc, and more ofc. But I'm trying to help my body with collagen production. I am trying harder to get exercise. Soon I'm joining a gym. I recently learned about Glycation. Check that out.
@staceywest6332 Research is out, there's no reason to be on high dose of Tret! consistency is key💫 I also am 'honoring' the fact that I've never gone thru any intense peeling/ reaction with the .025 dose, & I'm seeing legit results, so why switch?! 🙌🏻
Tretinoid is the number one ingredient to use
@@dianal8387is .025 the lowest dose?
@dianal8387 is it okay to use tret once a week and use a retinol serum like cerave's on the other days of the week. I started using 0.25 tret after using cerave resurfacing retinol for a year but when I use tret more than once a week my skin starts chipping and gets extremely dry. I have to say though, it's only been 3 months since I started using tretinoin.
Thanks doc I'm starting using retinol now ❤
I have been using Retionol for six years.not only on my face but also on my hands.some of my original dark spots have almost disappeared.it’s really good for me ❤
Thanks for sharing!
I adore this man! What a gift this video has been.
I love your passion for this category
Using retin a 37 years, now will be 70 years young. I have beautiful skin. Never had a tan that helps. Proper human diet 20 carbs and below. I take no meds, and in great shape, it all works together, not just one thing.
Awesome!!!!❤
woww do you have instagram
When I grow up I want to be just like you!
I don’t believe that photo is of you at 70 yrs old and without a filter.
I agree. This is a much younger woman. If it makes her feel good to promote this, let it be. 😊
Def don’t be afraid to use it around your eyes!!! Some ppl advise otherwise out of fear of increased dryness/wrinkles, but it’s decreased my wrinkles esp caused by eyeshadow/makeup use. Been using 0.1 prescription since I was 18 for acne. Didn’t help my deep pitted scars as much, so Ive been using a microneedle stamp carefully at home. 10/10 results.
Just a confirmation to keep doing Retin A. Thank you for your honesty!!
I’ve been using tretinoic acids for almost 40 years and my skin is firm, plump and there is no skin damage. Needlessness to say I have never sat in the sun. Thank you, doctor.
Hi Dr is it possible to get traduction in French please graduation
Which brand do you use?
I've been using it for two years and I'm 54 and haven't seen much difference but I'll continue to use it and hope
You Dr KARAM IS THE ONLY ONE THAT TALKS SENCE
I’ve been using it for the past 26 years for Acne not knowing it helped me look 10 years younger than my age 😊
What age did you start using it??
@@tlazo997 16/17
@@tlazo997 16/17
@@tlazo997 17
It can destroy skin.
We need education when it comes to skin care. Thank you for doing it.
I alternate with Retinol one night and Castor oil the next night. It's truly amazing!
May i ask what kind u use
Thx✨
@@fefetegs8994cold pressed
I use Tretinoin every night and my Castor Oil is the last thing I do every night right before bed, also. Why alternate and lose out on one or the other every day?
@@fefetegs8994 Hexate Free Castor Oil :)
@@jillwyatt4543I put oil on top of
My tretionin
I have been using Retin-A for 40 years Consistently. I LOVE IT and would not want to he without it EVER! My skin feels like its not being Fed if I don't use it fir even One Day. I am 64 and people say I look nowhere near it. I have been fortunate enough to be Able to get it and I am 🙏 Grateful to The Max!
There is one important factor you haven't mentioned: the effect of vitamin A on the liver. My father was a doctor and when I was teenager he prescribed Retin-A for my acne, however he was monitoring my liver levels closely because he told me right away that the the major concern was liver damage. Can you do a quick video about that?
I'm worried too... It is strong and travels in our body.. i do use it but twice a week and glycolic acid twice a week too... Other 3 days I just apply moisturizer... I use 0.25 on my face and 0.5 on knees, neck and feet to remove hyperpigmentation.... But last night when i applied it, my heart rate was very fast and i was worried... I want to know how it effects our bodies
Best doc on TH-cam
I’ve started and stopped tretinoin multiple times over the past few years. The thing I couldn’t deal with was the dry, tight, flaky skin. I’ve now been using tretinoin 0.1% for over a year and my skin looks great. I stopped buying expensive moisturizers after seeing another one of your videos… I’ve been using Vanicream and Cerave moisturizer which completely stopped the dry flaky skin. I will never stop using tretinoin now! So thank you Dr. Karam! 🙏
Where I can I order that tretinoin please?
Same
I’ve been using a thin layer of Vaseline after Retin A at night to help with the dryness.
So helpful, as always. I follow your advice and my skin continues to improve 4 years in.
You are absolutely right .From the moment I started using retinol as a night cream in combination with niacinamide but also as an eye mask, I have seen a noticeable difference in my skin.
Hello there! 😊I'm on a similar evening regimen... niacinamide serum, 0.05 retin A, moisturizer, and eye cream. May I ask whether you apply the niacinamide before your retinol? Lately, I've been wondering whether applying retinol first could possibly make it more potent giving us further results? But then I'm unsure about niacinamide not being fully absorbed due to the retin A layer...
@@christinaoliveira5335 They are together in the same night cream.
I have started using Retin A on my hands.
I suffer from melasma. What about the sunny summer months? Sun protection has never helped me against new spots.
Which retinol do you recommend for the body?
Watching from Anguilla 🇦🇮 in the West Indies
I can’t use Retin A too harsh even at low concentrations. I do use Retinaldehyde which has really made a huge difference in how my skin is aging. A must for me!
What product with Retinaldehyde do you use? TIA
@@sczybaTruOlogy Advanced Retinal Serum or Osmosis. I prefer the TruOlogy. Its sold on Brianna Stanko’s website. She has a very informative TH-cam channel and works with great doctors and formulators in the skincare industry.
I’ve used Retinals and Vitamin C off and on the last 10 years but once I kicked it up DAILY, I can see the difference! Consistency is key… thank you Dr. Karam~
Consistency is KEY! Thanks for sharing and watching.
Amazing information. Can’t wait to start Retin A
Thanks Dr.
From 🇮🇳 India
Thanks for explaining what dermatologist should’ve explained when she wrote the RX. I appreciate your down to earth approach.
Thank you for your knowledge. I have been following you for about 2 years or more. My skin has improved phenomenally and so has my self confidence! I can’t tell you how much you have helped me with my aging journey! Again, thanks dr. Karam❤
I use retinol for 10 years and very happy with the quality of my skin. Recently i started using differin, as it is stronger than retinol and can buy over counter. I heard a lot of positive comments about it , but not sure if it is a good replacement to retinol?!
Yes, yes, yes and yes.... I'm 60ish and I use the Vitamin C (with freulic acid & Vit E etc.), retin-A 0.05% nightly, Sunscreen EVERYDAY. I also incorporate glycolic acid twice a week on elbows, knees and my big toe (yeah i have reasons lol) and my skin is constantly getting compliments and I show them photos of me where I was unable to leave my house years before due to my skin flares of redness, and it was out of control Sugar (glucose) levels and when I got that under control and then focused on my skin routine, it has paid off in spades. This is a LONG GAME ladies, at least for me, no overnight miracles. Enjoy you
This is the most comprehensive explanation for we lay people to date. Thank you doc, and Netta!
Thank you! Another great informative video! I'm 79 n have used Retinol for years n I hv to say, I look great n young!
Love this❤ You’re age positive and so age defiant. Stay great sister. I’m 62 and we need to keep breaking the old beliefs about aging.
Taking care of skin really true worth the expense look younger 20 years young started young consistent moisturizing confidence 🇵🇭🇺🇸
Moisturizing not only face also neck chest nape and hands confidence can still wear exposing neck chest even arms 🇵🇭🇺🇸
Awesome!
You are the best, Dr. at explaining and emphasizing the importance of products that work. Thank you for your direct and straight forwardness.
You have beautiful skin dr ✨ what’s a good one not to aggravate rosacea ?
Hi, I am 70 this year and my skin is really bad... thin skin, lots of deep wrinkles (ex-ski instructor)! Question; am I too late to start using retinol products?
Never is too late
@@pandorajj EXACTLY .... it's never too late!
Topical is good, and also take Collagen peptides like vital proteins in coffee in morn and sustained release vitamin c 2x a day and omega 3 oils like carlson elite omega and d3k2 at least 5000 iu daily You will thank thank me in a few years.
Absolutely you can use. it’s not late. But notice that START it at lower concentrate, pea size and only once in a week, then gradually increase the days.
You MOST use physical sunscreen every day and reapply every 2 hours.
If you had a vitamin C under the sunscreen it gonna work much better. ☺️
Never too late and also get peels (TCA or glycolic) great anti aging
You always explain everything so clearly. Thank you. I feel confident my skin routine is working and will continue to...
So glad it’s helpful. Thanks for watching
Are your products available also in Germany ?
Been using Tretinoin for about four years now. Slowly worked my way up to 0.1%, thankfully I don't have super sensitive skin. That, with a solid skincare routine which includes a good ph balancing toner, Vitamin C, hyaluronic acid, EyeMax AlphaRet Overnight Cream formulated specifically for the delicate eye area (results are "WOW!"), growth factor serums (one for eye area, and one for face), and sunscreen. I also use most of the products I use on my face on my neck and chest as well. I dermaplane and use a great exfoliator every so often (just a heads up, don't do these two things together, it's way too harsh) And a BIG one...I've stayed completely out of the sun and tanning beds for almost a decade. My skin looks better now at 45 than it did in my 30's. I had punished the crap outa my skin with the sun and had so much sun damage! It sounds like a lot of work, but it becomes habit and routine, and so worth it when you start seeing and feeling the results!
for me retinol is the best , compare to vit c , e , or aha , bha. and if you combinate together your skin will glow
Vit e aha and Bha are mostly useless
The aha and bhas are just exfoliators. They’re literally advanced cleansers nothing more
Vit E is just an antioxidant.
Vitamin C and Vitamin A is where the magic is
I so love the way he teaches.
What do you think about adapalene?
I used obagi on and off because my skin turns red and up to the point of irritation all the time. I continued using it, finished two tubes of 1% retinol with other serums and creams for about two years and half. Then i used kielhs retinol with vit c plus my obagi .5% on top of the kiehl . About 5mos now, my skin looks plumpy, no more creepy lines. I am not going back to my dermatologist anymore for any of those procedures! ❤❤❤❤
You are Soooo Good, in describing, advising and that you don't actually recommend a brand. So common sense advice . I'm impressed. Thanks
Glad it was helpful!
What about the neck? Is it also useful to use it there?
Has anyone here ever used his skin care line I’m thinking about trying that even though it is expensive
I love prescription retin a. Using it for 1 year. My skin is amazing
Genetics also very important...living near no pollution and eating very well! I am in forties never done retinol but skin of 20s. I am starting know. Eat well: Orange a day, greenleaf veggies, Omega real fish and meat. Bone broth os very good. And exercise moderate also stimulates collagen.
Can you do a video
demonstrating the application of Retinol, how much cream and where? Thanks😊
I'm serious about anti-aging and skin care! I'm 63 years old, but think I'm 40.😆 I do use retinol, never had any problem with it. Consistency is the key with our skin care routines. Thank for this great explanation of how retinol works and why we need it. ❤
What brand do you use?
What Brand do you use?? It seemed everyone beta about using retinol but when u ask the brand name they don’t tell u :(
My skin definitely has benefited from Vitamin C, B5 and, Azelaic Acid and Retinol and SPF. I use a 1% retinol every night without any irritation by putting it on last after moisturizer. Gives my skin a little protection from irritation but the retinol still gets into the skin.
Hello there from Greece! Thank you for sharing this knowledge, Doc!❤
I bought your Trifecta (cleanser, serum and illuminate) last year but was unable to use it because of the strong floral perfume. I see you have changed the packaging; is the new version of the Trifecta without perfume? I would love to use your products, thank you for your answer. Great channel, very clear and informative. Thank you!
Would you sell me the Treficta products? I would like to try before saving up to get the entire package.
How to use retinol and vitamin c with rosacea ???? Thanks for an answer Dr Karam
Use gentle formulas of both. Like the KaramMD Skin Trifecta is suitable for all skin types. karammdskin.com/products/karammd-trifecta
I would buy your products, but unfortunately not available in Germany.
Great great job at explaining every topic… Do you have a video on peptides and growth factors? I currently use retinol in my routine and love it. I want to incorporate peptides or growth factors and want your opinion on them. :):)
Love the way you explain how to take care of our skin. Thank you so much for caring.
My approach when I am preparing for a treatment such as microneedling, is change the use of it to every other day from day 10-5 and then stop until the treatment. During the healing proces I apply this same approach, but then the other way around. Works really well in my case and never experience any inconvenience or adjustment from my skin.
What happens if you don't stop retinol and then get microneedling?
When do you apply retinol? Before moisturizer? After? Please advise. Thank you 😊
It depends what products you are using and what concentration.
For very personal health reasons I’ve been indoors practically the lasts 16 years, rarely being in the sun. I guess because of that I’ve been looking younger than my age for a long time. But two years ago I begun using tretinoin and six months ago I started using red light therapy. That is all I use. And nobody believes me when I tell them my age. I look at least 15 years younger, if not more.
My husband and I are the same age and recently someone thought I was his daughter and he doesn’t look old at all.
RETINOIDS work!
After watching a lot of your videos, you can tell you have a passion for what you do! Thank you for sharing your knowledge and expertise!
I went for a facial yesterday and I wrote down that I use tretinoin daily and vitamin C. I am 56 y/o. She told me I was thinning my skin out even more by using tretinoin. She recommended Procel anti-aging cell renewal tx.
I was told same by my facialist and I ran away from her place lol because in my opinion she knew nothing about skin when she said that. I trust a dermatologist more than any aesthetician .
What do you recommend for the body ?!!
Very nice explanations considering the research and publications you showed. Congrats
Thanks, doctor. What are your thoughts on Azealic Acid and when to incorporate this with Retinol?
I’ve been using it unknowingly for 20 plus years and mow in my late 50s, my sister, aunt and friends couldn’t stop gushing about how good my skin texture is. People doesn’t believe I’m in my 50s. Because they noticed there’s no wrinkles. I’m so happy I’ve been doing it for years. 😊 And I don’t need to go to those expensive beauty centers for treatment that’s high maintenance and temporary only.
Do you apply it around your eyes? Any recommendations?
Is it safe to apply retinol around the eyes ? Is retinol cause vision loss? As our eyelids produce natural oil so, retinol can penetrate in our eyes as well
I use retinol under my eye but never on the eyelids. I did one time by mistake and got super irritated.
@@LilianaRodriguez-mi2mn yes, it is super irritating especially when apply on eyelids
@@LilianaRodriguez-mi2mn Do u apply any moisturizer after applying retinol under your eyes?
I use it on my lids under the brows but not to the crease, mixed with moisturizer
@@LilianaRodriguez-mi2mn thank you so much for your response
Yes, proper skin care (proper cleansing, retinols, excellent sunscreen and sun protection) and a healthy lifestyle create better skin, but it is also true that genetics and the natural amount of melanin also play a role
❤
Your skin is so glowing doc are you using retinol sir rply must please
Yes he is
How do I get your skin? Without any disrespect, your skin looks amazing!
Trifecta twice a day, everyday and a clean diet/regular exercise! karammdskin.com/products/karammd-trifecta
You always look great. But your skin looks AMAZING! In this video 🤩😎
Thanks so much! I use the Trifecta karammdskin.com/products/karammd-trifecta
I'm like you wife, I've been in retinol since my 18, 56 years old now with very young skin. Have only a lifting last year , more to lift my face skin. Thank you, Dr. I love your videos.
Does lifting helps tighten the skin? Cause I've been experiencing skin sagging lately and I'm only 22😢.
My routine consists of many products. My night routine begins with a double cleanse, and 3 times a week I’ll also use an exfoliating cream cleanse. Then on a dry face I use retinal on face & neck. I protect the area around my eyes & lips with either Vaseline or castor oil. Then after it’s absorbed , I’ll use a moisturizer. In the morning I’ll rinse my face with water, then while it’s still damp I’ll use a vitamin CE serum, then a high SPF sunscreen. If I’m not going out for the day, I’ll skip the sunscreen and use snail mucin after I cleanse & moisturize. 3 times a week I’ll use Glycolic pads after the morning cleanse. I’m considering purchasing a red light mask to also incorporate in my daily routine. Of niacinamides, peptides & ceramides are in my moisturizers. BTW- I had a face & neck lift, upper & lower eyelids, and fat transfer 8 months ago. I will be getting a laser in the near future. I am 68 yrs young, but look like I’m in my early 50’s. So ladies-it’s real 👍🏻 get on the skin care train 😃
I use retinol & vit c 7 days a week
Thank you for this informative video. I'm 58 and have been too scared to use retinols but now will look into the various options.
Pingmation ke liye konsi cream lagana chaiye.,.or laser treatment price kitna hota hai
Thank you doctor. I believe every word you say about retinol and its importance in anti aging. I love you sir.
I started with differin gel and used that for about 2 years everyday, and then I switched to Tretinoin. I didn’t have any purging with it. I absolutely love it. I’m 41 and I still get ID’d and people think I’m much younger than my age. I’ll use it for the rest of my life!
What make do you use?
At what age should i start using retinol? I’m 19 now.
Hey doc, so it doesn’t have cumulative effects, you go back to baseline if stopped.
Thanks for the extraordinary work and videos
You very clear in your explanation since morning have been watching more than 10 of your videos! Learning so much u r the best
Thanks for watching and I'm glad you're finding them helpful!
I stopped facial waxing bcos Im asked to stop all retinol products for 2wks! WHAAAAT!? Its frustrating cos I have heavy facial hair. Now I alternate hair removing creams and electric shavers
Frustrating, really!
Hello.
- Apply after which step?
- On dry skin?
- And after applying retinol, wait till skin is dry, then only apply the other skincare?
Thank you
You look great today doc! More than usual 😊
Agree ❤
NOTICED THAT TOO! WONDER WHAT HE DID RECENTLY? HE'S MORE GLOWY AND SMOOTH LOOKING :)
thanks for explaining with graphics. It makes it so much easier to understand the importance of Retinol from a more scientific perspective.
Glad it was helpful!
I just started acclimating my skin gradually and know I use it ever day, don't seem to have the problem with getting back on once I have to get off for a time.
I was recently off tret for two weeks and had no problem picking up where I left off. I'm thinking it might be easy to restart before a skin cycle (~28 days) has passed.
Hello Dr thank you for the information
What are your thoughts on Bakuchiol serum I have always issue using retinol but Bakuchiol is something my skin can tolerate