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- เผยแพร่เมื่อ 27 ม.ค. 2022
- #retinoid #retinol #tretinoin #adapalene #acne #antiaging #skincare #drsugaiskincare #skincaremistakes #skindoc #boardcertifieddermatologist #howtouseretinol
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Dr. Daniel Sugai
Board Certified Dermatologist
It looks like he put the same amount on his finger both times
Lol righhttt
Exactly what I thought lol
The second time was a bit less. But maybe he just didn't want to waste it lol
Right !lol
Not the same amount
That was literally the same amount 😅
Right!! it looked like it was actually more 😂😂
🤣
Are you blind....
@@nono-fb8trno, are you?
Yeah was thinking the same 😂😂
I swear a pea size amount doesn't cover my whole face lol
I wet my finger to spread it.
I got a football head
I would definitely say the same too ❤️
Same..
I need that much for one cheek alone. 😂
Me too lol
Go for your neck! I include my neck in my skincare! I include it with sunscreen. I’m 59 and I look in my early 40’s! My neck is as smooth and tight as it was in my 30’s! Your lips and neck age you fast! Take care of them too
Ma'am...are you saying you can use TRETINOIN or other strong retinoids on your NECK?!?!🤯 If only I could tolerate that! I have to put an ointment or balm on my neck BEFORE applying any non-prescription actives to it or I am in paaaaaaaain.😭
I also use it on my neck every night . It took me 4 months for my skin to get use to it . Redness and irritation went away and slowly increased the amount I use and higher prescription. My skin looks good for 43 years old . No Botox ever and people think I look younger than my real age .
@@karatalksaboutstuff7333 I buffer with a moisturizer before, but u can maybe try applying retinol to that area for awhile to build tolerance and than try tretinoin, maybe even with buffering? I did that exact same thing and now my neck can handle it perfect, it took many many weeks though
@@anom6707 Weeks? I've tried many, many different retinoids with/without a buffer for over a decade.😕 Thanks for the suggestions, but anything stronger than my current 0.05% retinal 2x/week is just not gonna work for me. Honestly, it's fine, though.
Thank you
I use a bunch of pea size amounts on my forehead and my skin loves it, not everyone’s skin is sensitive
Moisturizer before, moisturizer after, TADAAAA now you don’t have to worry 🤣 I feel like those of us who have been using it for years and years have become accustomed to the effects, and know what needs to be added or removed as the weather/skin changes. I tried the pea size amount for my whole face, and ended up rubbing my face raw, and seeing ZERO effects. Went back to using “too much” and my skin returned to normal 🤪
@@-MaryPoppins- it is said that retinoid doesn't need to cover the entire face.. it will spread itself even if you apply only at one point..
It will cover your face.
Like how ink spreads.
@@aadtie5633 yes, but i guess my cystic acne didn’t get the memo, since if I use the amount I need to cover my face keeps any new ones from cropping up, meanwhile using a pea sized amount, let’s them run wild and free 😂 I’ve been using it for over a decade at the strongest percentage possible though, that may have something to do with it!
@@-MaryPoppins- hey! I have started using this ..can you tell me how to apply this ? Like should I apply moisturizer before applying this and should I leave it for whole night? ( Im applying for cystic acne. Scars too )
@@sahiljonglekar7950 have you just started hun?? If so, YES, YOURE going to want to sandwich it in between two layers of moisturizer!!!
1. I wash my face with gentle non acne cleanser (I use glow recipe papaya sorbet enzyme cleansing balm, it’s a mouthful, but it’s such a gentle balm that gets rid of any sunscreen, makeup, and oil!!! You want to use something NOT meant to exfoliate or treat acne!!!)
2. Apply toner first and then essence
3. First layer of moisturizer, enough for my skin to absorb, not enough to wear as a sleeping mask 😂
4. Apply my tretinoin
5. After that’s absorbed (mine goes from whiteish, to clear, yours may not, and it will NOT typically absorb the way everything else did, so don’t worry about that!!) I apply a nice even, thin layer of my moisturizer again, and dab a bit more on the driest spots on my face to prevent irritation. I dab tiny bits of tretinoin onto my healing scars, but that’s only because I’ve noticed the huge difference that makes as far as the speed at which they heal, and I’ve been using it for so many years, so start off gently!!!
And that’s it!! Keep away from corners of mouth, corners of nose, corners of eyes, and around the eyes for now, since those are the areas that are most prone to extreme dryness and cracked skin!!! Just remind yourself that most people have a “purge period where the skin turns over so much faster, that the underlying pimples from the future travel back in time and hit you, essentially all at once 😩 you may break out worse for a week or two, BUT this ends, I promise!!! The end result is less pain from those awful cysts, and you’ll finally be able to smile without having that annoying stinging pain from the new ones :,( be gentle with your face, and above all else, DO NOT PICK AT YOUR FACE. The redness seems to get worse for me if I do!! Also, you will be way more prone to sunburn, which means more scars, SO, SUNSCREEN NEEDS TO BE APPLIED AND REAPPLIED THROUGHOUT THE DAY IF YOURE GOING OUT!!! Good luck hun!!!
that looks like the same amount but the first one was just dripping down lmao 🤣
This is subjective to sensitivity. I have been using prescription strength tretinoin for 15 years now, starting when I was 15 for severe acne.
I am now on the highest strength and have been for years, I am pretty immune to any side effects and so with that being said, I use more then a pea size amount and my skin is continuously in good shape.
Sure but the people that were having those reactions didn’t have the tolerance you do, hence why he’s leaning on the safe side. I don’t think most people have used tret for 15+ yrs
@@veraniaamaton6747 Oh sure!
Me to I used tretinoin for 13 years and this year in winter I stopped using tretinoin only for 5 days and my face turned into an acne central. Then I started using tretinoin again and in 2 weeks my face is clear again but with many pimple marks left behind. I learn this the hard way of never completely stop using it if it is for acne. I had to use so much to get the acne under control.
@@junkfood1991 yes!
@@junkfood1991😭😭😭😭 You cannot imagine how lucky you are if your Acne Central (🙌🏻🤣) reacts to a topical retinoid. My skin, at 50 yo, only surrenders to isotretinoine. Anyways, tretinoine is my second name✨
*and here i am applying retinoid like it was a moisturizer...*
😂😂😂
SAMEE
No!!!!! It will do more damage.
I use to do that as a teenager when I had no knowledge of skincare and the power of prescription retinoids. Not to mention no moisturizer in the am or sunscreen at all 🥺 I legit COOKED my skin in the florida heat. If only I could go back in time, I'm convinced my skin wouldn't have gotten as bad 😭😭😭
I’m heavy handed too lol
🥲 same
I'm using innisfree Retinol Cica Repair Ampoule and I'm generous with it . Depends on the % of retinol in each product
That is for prescription Retinol, you can put more if it's a cream or serum with only 0,1% - 0,3%
You could...but it'd be a waste of product unless it's a moisturizer.
Literally woke up to this irritation this morning. Perfect timing for this video!
Use with ceramide moisturizers
It’s just to prevent the face’s harsh reaction. After few times applying without any reaction, you can measure what amount is good for you face. It doesn’t need to be a pea size. Cuz it depends on people face’s size.
@MarianaCartomancieI used it only 3 days last week my skin is like shedding and irritated and I got acne in my chin what should I do??,please help
@@seharunfunny1520sounds like a purge. Trust the process and keep going
Wish the same could be true for sunscreen as well. Could save so much money..
Derms always telling me to apply less tretinoin than I want to and more sunscreen….
There is no way that is going to spread across my face. Epiduo is so watery it just absorbs instantly
It migrates and gets stored by the skin, it doesn’t need to touch every part of your skin for it to be effective, that’s why it’s recommended to use Vaseline in areas you do not want it to migrate to like eyes and nasal folds
@@danir9736 Interesting interesting
@@danir9736 I’m sure that’s true. BUT the difference between using the “recommended” amount, and enough to cover my face, is immense. Might as well have not applied anything before I actually used enough to go over my face lol
I use Epiduo too, but only in the areas where I have acne.. Should I use it on the whole face?
@@katigonzalez9661 no, only use on affected areas
Basically that is the amount for all serums as well. I don’t understand why people are overusing products. Even foundation should be just 1 pump
I am confused ?is Adapalene a retinoid? So does that mean it can used as anti aging cream? I thought Adapalene it’s only used as to treat acne. Any clarification will be greatly appreciation 👍👍👍
omggggg whyy no one told me about thissss😭😭😭 no wonder whenever i use retinols, my face is super irritated to the point my face is heavily swollen, red, painful, and burning 😭
I know it’s too late but 3 combo of swollen+red+burning is typical inflammation reaction. You should have stopped using retinol.
Just use a moisturizer before and after and you’ll be fine with more
no idea where the “pea sized amount “myth started …no one questions. Yet so many people jump on the myth bandwagon & call it fact. It’s nonsense. The skin builds tolerance with time
Using moisturizer will dilute any aggravation
Go slowly. Use what makes your skin happier & healthier
For those who say it was the same amount - it really was not, it was probably about 3x the amount. Guestimating volumes from these small videos is difficult.
Since everyone has different size faces I always say start small then work towards more it doesn’t need to be drenched. Typically I use a dime size for my neck and face.
May I know how much moisturiser to apply after retinol?
I’ve been using tretinoin for 2years now and my skin got used to it, so 3x the pea size have been just fine.
And mix it in to a moisturizer so it spreads more evenly. That’s what I do. It’s too dry if I try to spread that tiny pea-sized amount all over my face
I use about 3x what he used - and I like the results.
Why 3 times? That’s too much. And by too much I don’t say that out of concern for your skin but rather your wallet..
I understand tretinoin may be difficult to spread to the entire face with pea sized amount because it’s absorbed into the skin so quick… what I found helps is applying after cleansing my face while the skin is still sliiiiiiightttly damp.. it’s easier spread, much easier.
I know they say to wait 30 mins after cleansing before applying tret because it would penetrate deeper into the skin. Which isn’t bad but could cause irritation. But guess what? I do it anyway lol the deeper it penetrates the better… and I get close to 0 irritation/purging/peeling because I’m really good with keeping my face hydrated/moisturised
@@RoflJoker1994 - In the US you need a prescription and even Walmart pharmacy it was about $90+ for 10oz - here in Asia, at least where u live, no prescription needed and $2.25 for 20oz - I can get 90 times the amount for the same price.
Each person is different and can tolerate different amounts.
The best tip I got is only apply with the very tips of your three center fingers. Less area for there to be retinoid left on your hands, and first pat little dabs ALLL over your face and spread out.
Question that anyone may answer:
What is the equivalent of 0.05 retin-A or tretinoin in retinol?
Because where I live, buying retin-A is actually easier and cheaper than retinol.
You mean an OTC retinoid that is strong? Try adapalene.
Both Differin and La Roche Posay Effaclar adapalene gel can be bought over the counter and both contain adapalene (strongest retinoid without needing a prescription in the USA).
I use Tretinoin and it's super thick, it doesn't not spread easily even when warming it up a bit with my fingers. Suggestions?????
Hey doc can you suggest something for hyperpigmentation around the eyes??
Paula’s choice c15 vitamin c serum for the whole face and a little around the eyes!
I never had a reaction for almost two years of using the, "Too Much" being shown.. I guess I was lucky.. Thank you Dr. Sugai.. I use a bit less..
You do have the most adorable eyes and smile.😘💕
Please... I'm also a derm. Wouldn't you argue its the strength? Thank you. Please, let's focus on research papers rather than patronising people on TH-cam.
What is the cure, and when can your patients stop using these medications?
Exactly. The perpetual medications system. SMH
Can you kindly tell us what's the product your using Dr?
It looks like it's La Roche Posay's Effaclar adapalene gel (adapalene is a retinoid).
I put a tiny bit of regular moisturizer (w/o actives) into my palms and moisturize my finger pads before I start applying adapalene or tretinoin so that it spreads easier across the drier areas of my face like cheeks and down my neck.
Smart
I thought you're supposed to apply tret on conpletely dry skin to reduce absorption
Whatever product you want to work the most, use that first! Then wait a few mins before applying moisturizer. 😊
I was told by a plastic surgeon never to apply tret /vit a to your nose as it can cause a lot of trouble and activate very bad cystic issues that he has spent years operating on.
Should we wash it with Plain simple water of mild soap after applying of 20-30 minutes. Plzz answer I couldn't this find answer anywhere on the internet
Sooo I'm back at this video to thank dr daniel for opening my eyes. I used to use retinol just a little less of the 1st example because I feel that recommended pea-size didnt cover my face coz... Well it's pea-size. I've been on retinol for 7 months, went through the purging stage safely even with too much retinol, but my skin kept on getting dry and rough, my hyperpigmentation didnt fade, and I just thought it takes time or something. I tried everything, from sandwich method to hydration, nothing worked.
After seeing this video I tried pea-size for 2 weeks now in reluctance (coz you really didnt feel anything on your skin.. it's pea-size. It didnt feel there at all) and in 2 weeks (6 times) my skin got really soft and nice, and my hyperpigmentation really faded, these 2 weeks made so much difference compared to months when I used more retinol. Thanks doctor!
Then after applying it my fingers peel :( even I wash my hands like crazy immediately after applying. Anybody any advice??!
Never EVER heard of that. Rub the excess on the back of your hands.
@@ruhfate never thought of applying moisturizer! Thank you so much for sharing! It should fix my problem yay!
yes! always two to three days after my fingers would start peeling! best solution for me was to apply with a silicone brush, the ones you would use for applying face masks. hope this helps ;)
Food grade, latex free gloves. You can get a box that will last you forever for less than 8$. You would still have the dexterity in your fingers and be able to spread the product more evenly as brushes tend to wipe away rather than press gently into your skin with your fingers.
(That does not mean you can’t or should not use brushes, I just find that I use less product and get better results with gloves.)
One large box lasts almost three months for me and I use one pair a day. It also works with other products, not just retinol, for my acne situation. I’d also recommend you get gloves without powder inside as using them often can dry out your hands.
My skin is ultra sensitive and the gloves work wonders for me.
Can you mix with night creams or layer them?
Can I apply Tretinoin on My body For example legs Will It be as same as effect on face?
Yo me pongo mucho bueno en toda la cara y sobre todo en las partes que necesito y si funciona. Mi retinol está mezclado con Aloe Vera, por eso no es muy fuerte.
Disculpa,me podrías decir que Marca de Retinol usas? De antemano gracias
Mix with moisturizer to cover every part of your face and neck (if your neck can tolerate it)
currently I am using 1 % Retinol for my whole face and for my neck I use the lower percentage of retinol to avoid irritation. Yes, I need to look after my neck too
I am 53 and started on Tretnoin in June. Starting in September I noticed what seem to be red flaky irritation. It has gotten much worse and I was told it was Dermatitis. I have never had Dermatitis before. I am absolutely miserable.
Love it. Dr Stephens used an actual pea in her demo, lol. Does it matter if you're using a product like the olay cream?
Lol seeing this after i just applied 3 solid pumps to my face
Ugh, I just love some common sense/rational, medically-based, tips from an actual reasonable registered dermatologist.
It's an underrated art. Bravo, thank you.
The first one is a retinol product from LRP and the second one is a true tretinoin product from a chinese manufacturer, since the characrters on the tube look like Chinese. It also makes sense since the doctor didn't want to waste product hence he used more with retinol and less with tretinoin.
You crack me up Dr. Sugai! Your facial expressions are just hilarious!! 😂😂
Great info as always!! 🙏🏽🙏🏽
How do you know when you should upgrade in percentage or strength of the retinol you're using?
If it's not working? Atleast try the product for two months before switching
I use a lot of Retin A 0.05% on top of pure argain oil or vicecersa, and my skin can take it perfectly fine 3-4 times per week. BUT I use vitamin C sporadically and focus on anything that is wound healing for the skin like red light mask, cicaplast, arnica, and lots of moisturizer and sunscreen daily.
I use tretinoin gel because it gives better and faster result’s. Just wear sunscreen and moisturizer because your skin will be dry and flaky
Dr.Sugai then how much do I use for my arms that have KP?
Not true.... I do the most with Tretinoin and my skin is A1.
It’s been 4 months now since I’ve started using tretinoin with 0.025% and I see no results ..I mean no purging no peeling and no difference at all! What would you suggest
Can you please suggest if I can use retinoid during pregnancy and breastfeeding
No! Retinoids are not safe for pregnancy nor breastfeeding. Try bakuchiol instead!
I use a lot more than that and it's prescription Tretinoin Cream and I use it on a dry face I don't put moisturizer on first and I've been using it for quite a while and I'm getting absolutely no irritation whatsoever I even put it on my eyelids and under my eyes my skin is just very resilient but I also have a lot of professional chemical peels and I use a lot of different acids so my skin can handle a lot and that teeny tiny amount that he's putting on his face just doesn't cut it for me so everyone's skin is different if your face can handle it then use it accordingly if you can't handle it then a teeny tiny amount might work for you but that's definitely only one cheek for me!
I needed this! My skin was peeling bc I thought I'd been using it long enough to use more! But I can just do more frequently
you’re gonna peel, it doesn’t matter how much you use. you will peel.
@@alina.2415 You don't really need to peel for it to be effective and working. Every skin is different yes but slow and steady wins the race and more is less.
@@tacoslife6708 This is more to avoid irritation if you're sensitive. I use about 3 pea-size pumps since I have tougher skin
The issue here is not that it's too little but it's how you apply it using both hands so it never actually make it to your face, apply it using 1 finger
Can using any kind of retinol on you face cause hair shedding ?
That stuff will burn you if you’re not careful. Believe them when they say only peasize.
🙏🙏🙏
You’re so handsome 🥰
i think product spreads + sits differently on diff ppl. a pea size amount is uncomfortable for me to use due to the stretching of my skin trying to spread it around, so i use a chickpea amount. black and white thinking is harmful. ill keep in mind intolerance tho!
Is retinoid the same as retinol?
Yes
I swear he used the same amount both times.
Pea size is a good amount to use and if you need more add more, but more is not always better- contrary to popular belief.
Everyone skin tolerance is different and the concentration of your product is also different. I use a 2% retinoid max 2x a month for last 5 months that is all my skin can take without irritation
I’ll let someone else try to smooth that over my entire face. Because when I tried, I was literally rubbing my skin raw trying to get it to go ANYWHERE but where I dabbed it lol.
Put on a moisturizer before to give the skin some slick . I recommend eucerin
@@cnr4eva oh I do! Makes no difference, my face doesn’t look the same as it does when I use “more than” a pea sized amount for my whole face. I HAVE been using it for over 8 years now though, that may have something to do with it!
Maybe need to take a break for a couple week then reintroduce it or change strength
@@cnr4eva a break might be a great idea, thanks hun! Hope you and your loved ones are happy and healthy!
@@-MaryPoppins- xoxo!!
I applied 2wice at night for faster results 😂😂
omg that is not how it works lol
What about your chin? Should you put some as well?
Can I use this routine as a 15 year old boy with Comedonal acne (I also get acne pustules pretty often)
Morning☀️:
1. La Roche Posay Toleriane Foaming Cleanser
2. INKEY Niacinamide Serum
3. La Roche Posay Spot Treat (Only if Pimple)
4. La Roche Posay Toleriane Double Repair 30 SPF Moisturizer
Night🌙:
1. CeraVe 2% Salicylic Acid Cleanser
2. Differen Adapalene Gel 0.1
3. CeraVe PM Moisturizer
Please help!!!! Thank you
Uhhhhh I put that much just for one cheek lol
This is one of those people that no matter what we'll say nope you're doing it wrong. Just so they can try to show you something.
How often to apply it for first time user? Once a day? Once every other day?
Thank you.
The "problem" with this pea size amount advice, is that it doesn't cover the entire face in the slightest. I use the CeraVe retinol resurfacing serum, and in no way would that amount spread thinly and nicely across my whole face. I have to do decent "dabs" and reapply otherwise it's basically pointless.
Hopefully someone answer my questions…
1. Is retinoid the same as retinol? I always hear them in videos grp together.
2. If so, is using moisturizer and night mask with retinol will fuck me up? I just started using it tho I use it every other day or 3rd day…depends on the mood lol
Please hv some respect..
Thank you for showing this. I’ve used it for 10 years and had rash recently and after seeing this, I’ve been using way too much I did go see my dermatologist just in case who also said to limit the trentinoin to pea size! Thanks for all of your wonderful videos
I have a bad habit of using too much, and its a hard habit to break. But my skin definitely looks irritated all the time. I always think more must be better for anti aging, but maybe not if its irritating my skin..
Bayashi is multi talented!!
The amount needed will vastly change based on how moisturized/hydrated your skin is also
That’s absolute transparency right there. I would certainly trust this doctor demonstrating the example that I am working up to be;Excellent.
Some people say you should clean face in morning if you apply retinol in evening? Some say not to..which one is accurate?
What about retinol serum? What should be the perfect amount to use retinol serum??
You can use even less than that, if you just put it around your eyes and wherever else you need to focus on... The whole face does not age the same.
problem was that it wouldn’t spread well otherwise… any tips on that?
What's the difference of Retinoid and Retinol ?
thank you comment section. I was thinking exactly the same thing.
Hello Doc thanks for sharing retinoid and retinol is the same Doc?
Does it cause an increase in hair growth? I've noticed more facial hair since using tretinoin
I have seen a TON of comments on youtube and tiktok that tretinoin causes increased facial hair in females. Is this true?
This man is FINE!
Ew no
Yes, but the same thing happens to me as happened to him (plus he used more, as I have to, than the "pea sized" amount that's always said to be the correct amount)-- he ran out before he got all the skin on his face. He didn't spread it so as to get every area.
Very helpful. Thanks doctor
you have to apply cream first , before retinoid.
Looks like the same size. Thanks.
I know this and yet, two years later, I still want to apply more. 😂 On dry skin I feel like all the dots sink in before I can blend. 🥴
It’s definitely tempting to apply more!!
Can you mix tretinoin into a light aloe moisturizer gel to help spread the medication evenly throughout the face?
Can I add it to my moisturizer so it spreads better?
Which cream it is? And what percent retinol does it contain?
this is the main reason that I use the Roc capsules. I know myself, and I tend to use too much if left to my own devices. 🖤