It took me two years to figure out how to use my prescription without my face falling off, I figured it was only fair to pass on that knowledge so others could get results without the side effects. What were your experiences?
I am an old person with very good skin.But I live in a country with a lot of sun.It almost always sunny here.So I used prescription retinol only in the winter months ,for many years every other night.I had peeling , I was wearing very minimal make up and I believe that it was allright for me.Now I rarely peel.And I still use my acids in the winter months.That's all.I hope you 'll have the same results as me.Nobody guesses my age.It is very funny
@@castadivanorma8478 That is a great point, you of course need to adapt your retinoid strategy to the climate you live in. Here in Germany the sun is pretty moderate all year round, so I don’t need to stop using it in the summer time. And congrats to having such great success, a good routine pays off in the long run.
Thank you Dr. Anne for sharing, these help a lot ! I'm catching up with all your videos after the Retinol related which I have the most questions about, and thanks for answering all my questions!
When you say don’t use it together with aha etc is that the same day or same week or at all? Can I have days when I use my products from the ordinary and no retin a
Great video!! I started my Tretinoin journey about 8 months ago at the age of 39 and it has been quite a ride but well worth it. When I first started I was using Tretinoin every third night and I would buffer it where I would cleanse my face, apply niacinamide, apply moisturizer and wait about half an hour or so. Then I would go and apply my Tretinoin and wait another 20min to half an hour and then I would apply the moisturizer again on top of Tretinoin. Also, right before I went to bed I would put some Aquaphor on my face just to seal everything in. I did that for about a month then I went to using it every other night and now I don’t have to wait all that time in between I can just apply niacinamide, moisturizer then Tretinoin. I would only wait a bit to put another layer over the Tretinoin as I want to give it some time to kind of sink in. I also tried using it on bare skin without anything and I was fine compared to how bad I was peeling at the beginning. The only thing that I notice is some faint redness the morning after the Tretinoin around my mouth but it goes away within an hour or so. I also want to mention that throughout my entire journey I kept using my vitamin C and peptides. I hope that this helps someone but honestly if you stick it out and put up with some horrible peeling and irritation like I have it will be so worth it. With that being said, you don’t have to go through all the peeling or irritation if you do what I have been doing because at the very beginning I went straight to using it once every other day without buffer just straight on dry skin and it took me some time to find out what works as I had to do a lot of research and digging around but overall give it a try and I hope it works for you.
Hey Dr Anne! Really wanted to thank you! It’s been almost a month using tretinoin and by following your great advices I have NO irritation so far! I’ve been using it twice a week (one day tretinoin and three days moisturizer). The third day after I have mild peeling, but that’s it! I had seen lots of videos on tips, but maybe because of the way you talk (very calming), you were the one who gave me courage to finally try tretinoin. Thank you so much! 🌷🥰
Thank you! I’m 34 years old and was using 0.025 Tretinoin mainly for acne but gave up after 2 months. The purging was horrible! Because of this video I realized I was doing many things wrong. I’ve been using 1% retinol with no irritation but no change in acne. I’m scared but your videos have encouraged me to try again. Love your videos wish me luck!
All the best! I still use my Tretinoin only 3-4 nights a week, which is the perfect amount for my skin, so don´t be discouraged if you can´t build it up to every night.
@@DoctorAnne Could you advise what to do with the purging when using retinoics? My acne flared up quite badly and I am not sure what to apply on them because BHA or Benzoyl Peroxide is not encouraged during retinization.
@@cashmerehazel21 To be honest, I think you just have to push through it. Salicylic Acid and Benzoyl Peroxide will most likely only add more flaking to the skin. Maybe try Salicylic Acid as spot treatment in the mornings, some people do benefit from its antiinflammatory component.
Doctor Anne hello doc I’ve been prescribed clindamycin gel and retin a cream is it ok too use it before the retin a cream at night ? Or how could I use it in the AM with hydrating serums and moisturizers ? I’m confused on how to layer it
@@psmith3821 If you have been prescribed those, I recommend you stick to the way you were instructed or talk to the person prescribing them about how to incorporate them in your routine.
Your tips are the questions that a patient ask to her derm. Sadly, my derm just prescribed me the tretinoin and she did not gave me any tips like this. I am thankful that I found you here in youtube Dr. Anne. If I just live near you, you will be my doctor. More blessings to you and your loved ones❤
I think for many terms it has become second nature, so they forget how many questions someone starting can have. That and tie is precious at the office.
Thank you for nice video tips Dr.Anne My skin can tolerate to 0.05 % tretinoin. My steps are after face wash - nicinamide serum (wait 20mims) - tretinoin cream (wait 1 hours) - moisturizer. I know that medicine should be applied first but i had tried to apply tretinoin cream first and wait an hour then apply serum, it was kind a mess because i get creamy from tretinoin cream that mixed with the serum. It was like harder for serum to be absorbed to the skin. What should i do, Dr. Anne i need your help. please correct me. one more question- Does tretinoin will be degraded by artificial lights, indoor light, if i don't turn off the light and go to bed right after apply tretinoin cream?
There is no harm in applying the niacinamide first and then the tretinoin. And Tretinoin is sensitive to light, but that is mainly the UV light, and it won’t degrade within minutes. If you put it on in the evening, the artificial light won’t have a noticeable effect. Just don’t slather it on and go to the beach 😉
Thank you Doctor Anne. I listen to this over and over. I was on .06% retin a for 2 months three times/week. I'm red & irritated all around my nose & mouth. I did what you said & after a week I'm doing better. I now have the 0.025% & trying to use twice a week. I use with Cerave PM. Thanks so much for the great advice.
Thank you Doctor Anne.🙏Once more your videos are straight to the point and extremely informative. I am currently on a Tretinoin & HQ cream treatment. First week in and all good so far 🤞🏼I have been using Retinol and Retinoin before from the Ordinary and I had no issues. Let’s hope that my skin is somehow used to stronger ingredients. I know that a basic routine is the key but is hard not to be tempted to use other products than the recommended ones ☺️ Take care!
I apply it 2 days and wait 2 days and then apply it again for 2 days. Been doing this for 2 weeks and I have no irritation. After the first 2 days of using it my skin was burning when I applied anything. The 2 times every 2 days helps a lot for me and I have no redness or irritation.
hi dr. anne i recently got prescribed 0.05% tretinoin cream for acne and was told to by my dermatologist to use every night. without doing any research on tretinoin, my skin started burning and flaking (purging?) after 3 days of using it every night. i am going to start slowly introducing it into my skin like you recommended! prior to this i was using the inkey list bha serum and a spot treatment every night without irritation. is it okay to still use these products on the nights i don’t use the tretinoin? and since my skin has becoming super dried out (i’m usually oily to combination), is it okay to use a hydrating face mask on nights i don’t use tretinoin? i just found your videos and i love how informative they are and get right to the point!
I would recommend laying off the BHA and spot treatment for now, but yes, do hydrate up on the nights without Tretinoin. And hang in there, the results are worth it!
THIS VIDEO IS AMAZING ! GOD BLESS YOU✨🤍 I started adapalane about a week ago and I’m already starting to love my skin! I’m getting a Hydra-Facial in two weeks is that safe for my skin while using adapalane? I hope your channel grows so much you deserve it !
I recommend talking to the person doing the facial beforehand and see what their experiences are. I personally was very careful and did avoid all other stimulation when introducing Adapalene the first time, but I tend to err on the side of caution.
Hi Dr. Anne. I love your channel. I changed my entire skin care routine with your guidance via your channel. I am using tretinoin 0.5% alone and I am not experiencing any dryness. So do I still need to layer moisturizer after tretinoin? Will adding moisturizer in my case have additional benefits?
@@DoctorAnne thank you Dr. Anne. Also, you mentioned about layering tretinoin with niacinemide. Could you advice how to layer it ? I am using The Ordinary Niacinemide with 0.5% retin A. Which one needs to go first and do we need to wait in between applications?
Hello Dr Anne, am I allowed to use Retinol as a long term treatment? I saw a video on UA-cam. A woman unses tretinoin since 15 years as a long term treatment against aging. Thanks for all your videos!!
I feel like I don’t experience the redness or irritation using the buffer method 3 x a week with Retin A 0.025 but haven’t noticed any real improvements in 8 months but when I applied the gel directly I felt like the difference in my skin right away but then I had so much irritation. Should I try to increase to the strongest strength and use the buffer form? Thank you 🙏
No irritation does not mean no effect, and if you see the results depends on what you are using it for: Do you want to improve acne or is it for improved skin texture and firmness? Maybe try using it once a week without buffering for a start and see how that goes for you.
❤️❤️Thankyou so much for how informative your videos are. I can relate to you on so many levels. I am a medical student. So happy to have found you. I see you as my skincare guru who is patient enough to answer each n every query.
Guru is for me deeply rooted in Hinduism, I much rather think of me as older sister. Or maybe wise crone, if I put my age in relation to that of a medical student 😉 But I am happy to have you here!
@@DoctorAnne Hi Dr. Anne, now I use First Aid Beauty Intense Hydration Ultra repair cream with colloidal oatmeal and Shea butter, before Tretinion 0.025%, now it's changing season and dry in Toronto, would you recommend apply same cream before and after tretinion? Would you recommend any mask on the off nights (cica/centella to calm skin), THANKS!
@@w.w.w.n If you feel like your skin needs it, than you could use the moisturizer before and after. Same goes for masks, I don’t really use that many, I tend to rely on my regular skincare for that. But if you have a mask that works for you, go for it.
@@DoctorAnne sounds good! For the tretinion off night skincare, do you recommend peptide creams (The Ordinary buffet or inkey list) or just basic hydration cream like Cerave/ FAB
Hi Dr Anne. I have started tretnoine about 2 months ago. I started once a week and and now twice a week. Never experienced any side effect. I am doing tge sandwich technique (which means I was my face and apply moisturizer, wsit 20 minutes, apply tretnoine, wsit 20 minutes, then apply another layer of cream). My question is when I apply cream before is it minimizing the efficacy and strength and results of the tretnoine?
Yes, by a little. If you think your skin tolerates it, you can increase the frequency more and then maybe skip the sandwich technique. But take it slow, the irritation often happens quicker than expected when we increase too quickly.
Hi Dr Anne... I just recently purchased Retin A 0.05% cream. While using it at night? Should I stop my other routine( I.e. just cleansing and using the Retin A tube cream) I use clean and clear dual action moisturizer which contains some amount salicylic acid can I still go ahead to use the moisturizer the morning after, Hope it won’t irritate my skin?
Hi Dr anne. I bought 2 0.025% strength at home. Haven't used yet scared the irritation so I only used my indeed lab retinol so far so good. But after watching, I am going to use as a short contact therapy as a mask for 30mins. Then wash off. Then after cleansing off, I would use my good molecules niacinamide serum then follow with a hyaluronic acid mix with my gel moisturizer. :) I can't afford to have purging. I can't be disfigure. Never. Hahaha ❤️ thanks for the recommendation though ❤️
Hello dr Anne 🙋♀️ I am using tretinoin for 8 months now and I am very much comfortable in this now . But my problem is that, I still have oily skin and blackheads and whitehead and my skin is still very oily 🤦🏻♀️ what should I do? I apply salicylic acid gel 2% in the mrg . But still my face is full of oil . Plz help
Have you seen a dermatologist about that? Niacinamide might be helpful, or just blotting throughout the day and relishing in the fact that oily skin ages slower than dry one?
Doctor Anne No I have not consult with the doctor. But yes will add niacinamide to control the oil ☺️ and I am happy that oily skin age slowly than others😬
When you say irritation do you also mean acne? I’ve been using tretinion for years. I’m kind of inconsistent with it because I feel like it makes my face break out worst. I’m using it for acne and then I still break out so I also use a 10% benzoyl peroxide face wash. I have multiple serums, oils, creams, toners. But I feel like the more I try to tackle the acne the worst it gets. I’m also a nurse so wearing the mask for 12 hrs a day 3 days a week has really blown up my chin acne and now along my cheekbones and around my ear lobe. I can’t go to my dermatologist because I treat COVID patients and work a lot of overtime. Please send help and thank you again. 💖
Hi ! It's normal to go throw a purge using retinoids you have to stick with it and use it continuously even of you're breaking out at first because then your skin will get better, good luck and stay safe and blessed 💓🙇
It usually isn´t irritation in terms of breakouts, that is most likely purging, which happens because all the pimples that are waiting to develop come to the surface at once. The slower you introduce the Tretinoin, the less likely this is to appear, but you need to be consistent to get the results. Mask wearing often aggravates acne, I feel you on that. My suggestion would be to strip back most of your other skincare and just introduce the Tretinoin slowly. It usually needs at least six weeks to get results.
I saw this and tried these tips the other night and it’s much better. But I use ADAPALENE because I hate what retinoids do to my skin. …but what I did different was I applied adapalene first and then niacinimide then I moisturized with Avene xera calm. Once my skin felt very resistant and strong I later applied pixie glow tonic, some petrolatum moisturizer on top (it’s extremely cold climate so I need much more moisture than usual ) and on top I spot treated with benzol peroxide spot treatment I know it sounds weird but that order helped me a lot !
Adapalene has less irritation than Tretinoin, so that might help. I wouldn't pair it with pixi Glow Tonic and Benzoylperoxide though, as that might cause trouble over time. Better to adapt to it for 6-8 weeks and then see if you can use the other stuff eventually.
@@DoctorAnne I didn’t at the beginning but I have been using adapalene since October last year . And my skin was drab so I did this after then the benzoyl peroxide but I don’t use it all the time . But my skin was so perfect today so much so that I skipped washing my face and only used eye cream and sunscreen
i started prescription aknimycin plus tretinoid. its been 3 days. doctor told me to apply every evening after cleaning my face. my skin is getting red and it burns specially while applying moisturizer and sunscreen. i am doing my best to protect my skin. i have a lot of acne scars, black heads, uneven skin and some new acnes. my skin is oily but now is very very dry. i hope i dnt need to stop using it.
Hi! I just started using tretinoin and I was wondering if you had any cleanser, moisturizer and SPF to suggest, since my skin is very sensitive and I don’t want to combine things that might make the situation worse. Thanks for the video, you explain things so clearly! 🥰
Gentle and hydrating is the best general recommendation, which brand exactly depends on your budget and where you live. I like some of The Inkey List Cleansers a lot for example.
If that agrees with you skin, yes. I would suggest asking your treating dermatologist, as they can actually see your skin and can offer specific advice.
Hallo Dr. Anne Very informative and nice video. I am planning to start Cordes Vas cream but i can only find 5% strength online. Is that safe for a start?? i live in Germany currently.
In Germany you would need a prescription to buy that, and with that should come individual advice. But in general it is safe, just make sure to introduce it very slowly.
Thank you for this video it is very informative. I have hyperpigmentation so is it ok to use tretinoin 0.05% if I am already using The Ordinary Niacinamide 10% & Zinc, and Alpha Arbutin 2% & HA?
You may get a little irrtated by it, but is personal, in my case i used to use azelaic acid 10%, glycolic acid 7%, aha 30% + bha 2%, Ascorbyl glucoside, and niacinamide 10%, and now in my 3rd week i can only use the ascorbyl glucoside 12% [but i can use tretinoin every night]
I have used 0.05% tretinoin for 20 years. My skin is drier now that I'm older (42) so my derm put me on 0.05% Altreno. I love it b/c much less peeling, but it's not approved for fine lines and wrinkles, only adult acne at this time. Any advice if I should maybe switch to Refissa that is approved for lines and wrinkles? Should the results be the same since they are both 0.05% tretinoin or does the base/vehicle also matter (lotion vs cream)? Thank you for all your amazing education on this topic!
As a beginner guy, can I start it like a mask for 30 minutes after every 4 days and niacinamide serum in rest days? I have 0.5 tretinoin with me from months but I'm scared of purging and peeling as I can't afford it due to my public contact and job nature
That is a very cautious way to start, I think you could use a thin layer every 4 nights and not wash it off as well. Do you suffer from acne or frequent breakouts?
@@DoctorAnne yes I'm having acne on & off, actually currently I'm using a serum containing squalane and 0.5 percent retinyl palmitate (they claim it is equal to the efficacy of 0.5 percent retinol though) and I use it every night with less irritation and I also do use the ordinary peeling solution thrice a month as well and my skin has adjusted it. (I'm 33 years old from Pakistan however with not alot of signs of aging and using sunscreen from years).
@@waqaskhan-zt5yt Retinol Palmitate is usually too weak to give you relevant results. Maybe you want to go in with retinol first if you are scared of the side effects? And have you seen a doctor about your acne?
@@DoctorAnne My skin got cleared with mandelic acid peeling in past few months, & I started retinol for anti aging benefits later on. My acne restarted with 0.2 percent retinyl palmitate and when my skin adjusted then I upgraded to 0.5 percent strength of retinol palmitate last week and it started again little bit. But as you mentioned I should move to at least retinol or short contact tretinoin therapy in order to see the full fledge results for acne and anti aging
Hy Dr. Anne, I have started tretinoin 0.5 percent last week, I applied for an hour during first application as short contact therapy in sandwich method and felt dryness and heat on face that night after washing my face and after three day, I reapplied for one and half hour and not having any irritation after second application, after 3 more days, I reapplied for 2 hours and no peeling or irritation through this short contact sandwich application method so far but having few new pimples although previous pimples dried out 🙏 I have planned to include it through short contact therapy and will increase contact time in each application. I am applying ceramides, hyaluronic acid & squaline based moisturizer, fresh aloe Vera gel, SPF 60 to repair skin barrier and dove sensitive skin bar for cleansing, let see how it goes. Moreover, I'm feeling glow and tight pores straight from this short contact therapy and wrinkles have already smoothen as I'm 33 now.
Loved your video❤️❤️❤️😘😘 Merry Christmas❤️🎄 I just have one thing to ask. Can I use Alpha arbutin with tretinoin? Like layer them together? Alpha arbutin first and then second one alpha arbutin+ha. Please please do answer this. Thankyou! (If any other suggestion please lemme know) lots of love❤️
I've been using Tactupump/Epiduo (adapalene, benzoyl peroxide) for 7 months. This entire time I've been buffering with moisturizer. I'm still suffering from breakouts. Would you recommend applying the prescription on bare skin instead?
Hey doc i apply my retinol during the night and demelan even tone cream during day time and both I apply moisturiser ( ordinary natural moisturizing factors +HA) is that okay or I'm I doing more Damage? I already have breakouts ( white heads that are very itchy and tightness of skin on forehead) PLEASE HELP!!!
If your skin feels tight and itchy, something is probably amiss and it might be that the acids in the cream and the retinol are too much. It might be something else though, so it is hard to tell. Maybe try reducing the frequency of actives and seeing if your skin gets better? If it gets worse, try to see a doctor.
Hey! I was using .025% tretinoin cream but after using it for few days .. my face looked much more oily and and I saw so many new clogged pores ..I used the gel version .05% on my cheeks where I usually get lots of acne ..2 times a week .. seems to work on my clogged pores .. but kinda makes my skin red ! What’s the reason of being oily? Is that the vehicle of that cream? and do I need to apply it on my whole face ? Or concerned area ? And any way to lessen the irritation with gel?
The ways to lessen the irritation are in the video, I suggest you watch it for that. And yes, the vehicle does matter, but it is normal to see a purge aka a phase where the skin actually gets worse before it gets better in the first few weeks, so it could have been both. And yes, it is supposed to go on the whole face, to treat the underlying changes in the skin, it is not supposed to be used as spot treatment.
Dear Dr. Anne, thank you for the well structured video! I have started Tretinoin (Cordes VAS) half a year ago and have been using the smallest amount for every 3rd night. However, I still experience some peeling on the skin and have been debating to use a lower percentage. As I am in Austria and not many option are available here, I was wondering whether 0,3mg/g Tretinoin with 120mg/g urea (Ureotop+VAS) is a good idea? Could you kindly share your thoughts on this? Many thanks!
Hello! I'm curios about something. I very sensitive dry skin, reactive to fragrance and certain ingredients. A few weeks ago I started using The Ordinary Retinol in Squalane 0.2% and Avene's A-oxitive eye cream which contains retinal yet I have minimal dryness and no irritation. I was expecting to get red and dry as I usually do . Do I need a higher percentage or is it working even without the purging/irritation?
Irritation and dryness is NOT a sign that it is working, you are lucky you don‘t get any. But the products you mention are very mild, so with time you might try something stronger.
Started tretinoin treatment with benzoyl peroxide for acne. I have used just a tiny bit under my eyes because I see wrinkles there. In the morning, when I wake up, my whole eye area looks like it has aged 10 years with scores of wrinkles and skin looking drooped. Is it normal ?
Tretinoin and especially bezel peroxide are not recommended for the eye area. It is very irritating on the delicate skin there and will cause dryness and irritation.
@@DoctorAnne Hi! Sorry for the late reply but no, I haven't used it yet. I was using benzoyl peroxide when I commented here and was planning to change to tretinoin but ended up damaging my skin from overusing BP. My skin is back to normal now but I think I need at least a month more before I can use tret. Do you think the ceramides in Cerave Healing Ointment have any effect on the skin since the product is a heavy occlusive? My skincare routine is lacking in ceramide and I just ordered the ointment hoping it would be helpful.
@@amirahputra2818 While Ceramides are branded as perfect for barrier repair, there is not enough data yet to know if you need them or can do without them. They will certainly not hurt though.
But how am I supposed to spread half a fingertip over my entire face🙄 now I know why I had such a strong irritation though, I was using half a fingertip on each of my cheeks and on my forehead😅
I dot it all over my face in the smallest amounts and then distribute that - and yes, you only need a small amount. Whenever I apply it, it feels like the lightest layer on my face, but as the formula spreads well it is more than enough to see results.
Hi doc. I have a concern. I am loving this sunscreen from Cosrx (aloe soothing sun cream) which has fragrance in it and i am planning to use tretinoin. Do you think i should look for other sunscreen substitutes or should i keep using this one and observe?
Dr Anne. What do you think about influencing fetal development by using Tretinoin??? Is it really enough to stop using Tretinoin while being pregnant or breastfeeding only??? Thank you very much for you opinion.
It is advised to stop Tretinoin when you start trying for a baby, but the absorption through the skin is probably not high enough to matter anyway. So yes, I think if you stop the Tretinoin while trying for a baby, being pregnant and breastfeeding, you are fine.
Hello doctor. I have been prescribed retin a 0.05 dand salicylic acid . Is this combination okay?? Will it help clear my acne and darks spots? Please help.
If this is your prescription, I am sure it is okay for you. It sounds very helpful for clearing acne, but as acne is hard to treat no one can say for sure. I´d suggest you follow your prescription and then check back in with your doctor.
Thanks for sharing your advice. I’m struggling with tretinoin. I have been prescribed retin-A 0.025%, it has been 5 months but my purging is still on and on, it didn’t get any better, should I stop using tretinoin, and switching to another opinion. Thanks Dr!!
You sound more knowledgeable than most so called dermatologist. Sorry bit I have limited respect for derms because the 19 year old me had to educate them how to eliminate acne without dumb antibiotics. Yes, there are still derms out there that prescribe antibiotics for acne. For wrinkles though its more of a challenge.
@@DoctorAnne I'm not a doctor but my brother in law is a surgeon in the uk and years back spoke to him about the overuse of antibiotics. He agreed it was irresponsible for any doctors to be prescribing antibiotics for acne; not only because it doesn't tackle the root cause but it just adds to the antibiotic resistance. There is little to no place for antibiotics for acne. Maybe there are exceptions but I had mild to moderate as a kid and certainly shouldn't have been offered them.
@@supgizmo5021 Naturally a surgeon has a different outlook on antiniotics use than a dermatologist has. There are many people involved in writing the guidelines, and while I agree that there are many options to treat acne where an antibiotic is needed, I would recommend listening to the dermatologists rather than the surgeons when it comes to these guidelines. An important reason for antibiotic resistance is the widespread use in animals to make up for poor living conditions on animal farms. Does that mean that misusing antibiotics in humans isn't a big deal? Absolutely not. But unnecessary antibiotics are very common in different medical fields, including surgery, and I am afraid the antibiotic resistance theme is often used to shame people using antibiotics to treat their acne. Again, not saying I disagree with you on that, I just want to point out that it is a very complex topic.
Nice and very informative video! Can a person of skin of colour use tretinoin or adaplene? As irritation can lead to hyperpigmentation for SOC. Thanks xx hope to hear from you.
Hi doc :) im 29 and i want to start to add retinol to my regime. I am asian and have large pores,sensitive skin (its easily gets red). Can i start to use retinol? My mother always said that i am way too young to use anti aging skincare or even retinol. But i want to prevent as early as possible. What do you think about that doc? Should i use over counter products first? Like ordinary or should i consult to doctor and get prescription?
29 is a good age to start antiaging skincare. If you have access to one, I would suggest seeing a doctor, that is aways a good idea, but otherwise retinol is fine for a start as well.
@@DoctorAnne Thanks Dr. Anne. I've been using tret 6 months now. I was using 5% before but it's always out of stock in my country I just used the 0.025. I didnt have any side effects since I use it. Is it okay? I am also worried that it's not working.
I know this will be a silly question but You said a half of fingertip do you mean the length of the fingertip or the top of the fingertip especially when it comes to the full top of the fingertip _ because I always heard to use a pea size amount of tretinoin, so is this fingertip the same? 🌿 And also You mentioned niacin-mide as a good ingredient to use with tretinoin, do you mean to use it at the same time like on top of the tretinoin after half an hour for example? StriVectin cream which is supposed to be for stretch marks and wrinkles it's key ingredient is niacin-mide and peptides, will this be okay to use with tretinoin, or should it be used apart like_ tretinoin at night and StriVectin cream during the day with a sunscreen on top of course?🙄🙂 Thanks by the way for your informative video wish you were my real dermatologist and I hope you can answer my questions soon. 🙏❤️
Not a silly question - haff of the length of your fingertip. Niacinamide is great even at the same time as Tretinoin, I usually use it before I apply my Tretinioin, but in the mornings works just as well. Peptides go with Tretinoin too, with the exception of Copper Peptides, which are not recommended to be used with Tretinoin. And I am not a dermatologist, just a doctor - my specialization is Public Health.
Hi doctor. Thank you so much for the information. I have a question. There are moisturizers with hyaluronic acid in them. Can it be used with tretinoin for moisturization? Will be really glad to get an answer from you. Thank you!
Hello doc my skin type is combination,I have bumps almost all over my face and some stubborn white/blackheads on my nose, also dark spots too recently I have started to use tretinoin gel 0.025 so is it good to use 1% salicylic acid facewash or not?
As I say in the video, I would give your skin time to adapt to the Tretinoin before introducing other "actives", but that is just my opinion. You could try using both and see how it works for you.
I recently clubbed a washoff formulation of salicylic acid 1% AHA2% along with adapalene 0.1% and I have noticed shiny patches of skin on my forehead. What is it? Burnt skin?
That depends on your skin, it can be used every night. Build up your tolerance to whatever works best for you - I use mine every other night. And moisturizer... whichever you like, preferably one that has occlusives and no "actives" of its own.
Hey Doc, I notice that you apply Cordes Vas. Does it contain perfume oil? Because I read at ingredients list on an online pharmacy, and ingredients are different from the packaging picture. Im moving to Germany and I think its the only one available. Thanks!
Hello Dr Anne, I'm just starting with tretinoin 0.03% for antiaging. While waiting for my prescription (it's a compounded formula with 10% niacinamide), I was using Retinal from Geek & Gorgeous A Game 5 for about 5 weeks (gradual introduction), on dry skin (and then, half an hour later, moisturizer). But I'm so scared of tretinoin that I started with the sandwich method now (first week: once, 2nd week, twice). I even put some vaseline on my eye contour, corners of my mouth, sides of the nose just in case. I have sensitive & reactive skin prone to eczema, so that's why I'm over cautious. I didn't notice anything at all, though, would you try applying the tretinoin on dry skin and see what happens? I just want to avoid having a bad reaction and having to give up the tretinoin, but maybe I'm exaggerating now with what I'm doing. Thank you very much in advance! 😊
I don't think there is a problem in taking things slow. The worst that could happen is that it takes you longer to work your way up to the full doseage, and that is much better than having a reaction. Especially as we are heading into winter now, when the skin is more reactive. I'd say keep going like you planned, slow and steady wins the race.
@@DoctorAnne Thank you very much 😊 I think I may try applying the Tretinoin on dry skin (at least once) and see what happens. Wish me luck, I will report back 😅
I have acne/oily skin and perioral dermatitis. My derm recommended tretinoin but I'm terrified of making the perioral dermatitis worse. Oral antibiotics and topicals have not really helped the dermatitis. Your thoughts?
I’m new to this kinda stuff but what kind of moisturizer and spf you recommend and how to use it all for example do you want me to put tretinoin first then put moisturizer after 5 mins then put spf after 5 mins
I recommend the moisturizer and SPF you prefer, but for the order to apply things in: Tretinoin always is applied at night, so don´t pair it with SPF, which goes on in the mornings. And for the moisturizer: That depends on if you want to "buffer" the Tretinoin or not. If not, Treinoin goes first and the moistuizer (if needed) goes on 10 minutes later.
Hi, I was prescribed 0.05 tretinoin and doctor said to use daily . Should I use daily . I’ve had it for a week with no peeling so should I continue daily ?
I always recommend listening to your prescribing doctor, as they know your skin and your situation best. Irritation usually occurs a little later than week one, at around week 3-6.
If my dermatologist told me to use it 5 times a week and then 2 days to use a moistorizer, it's okay? I've been using Tetrinoin for about 3 days and my skin is red, a little bit irritated and when i apply the cream it burns me for about 1 minute, it's a normal thing in the first weeks for this to happen?
Hi! I am using currently Medik8 Crystal Retinal. Could I use Tretinoin every 3rd day maybe? My skin is OK, no peeling or dryness. I used Retinal every night. Thank you and kind regards from Croatia!
If the Medik8 is working so well for you, why do you want to change it? If you want to make the switch, you most likely already have a tolerance for retinoids, so you can start a little more intense, like every other night maybe, but every third night should work as well.
@@DoctorAnne My skin is OK, regarding peeling and dryness. However, my wrinkles, skin texture, dullness...nothing has changed... That's why I want to try Tretinoin... Thank you for your reply! 😊
I’ve been using benzoyl peroxide in the morning and topical treinoin 0.05 at night and my face is extremely irritated and red now :( should I stop them both for a while and restart isotretinoin only? Or should I use a hydrocortisone 17- butyrate cream on my face to alleviate the redness?
I suggest you stop and talk to the doctor prescribing the medication, but yes, slowly starting with one and buliding up tolerance is surely a good idea.
I've been using tretinoin for years as a prescribed acne treatment and even today I prefer using 0.025% every night, 30 minutes after cleansing and moisturizing. This minimizes irritation. It also means that it's not a big deal if I accidentally apply too much, while at a higher strength I risk a few days of irritation with that accident. Research has demonstrated that the strength of tretinoin isn't important with long term use, so there really is no reason to go up in strength unless you aren't seeing results I guess. Maybe for anti-aging the strength is more important, though with long term use I am guessing the results even out. Tretinoin is a true holy grail for me. I don't want to ever have to stop using it! I get anxiety when I think about not having access to it 😂
With Tretinoin the most important thing is to find your individual sweet spot instead of always aiming for the highest strength, you are absolutely right there. 0,025% used daily and consistently is much better than 0,05% that you can’t use because of irritation.
Hallo, wieder mal ein sehr hilfreiches und tolles Video. Mich reizt tretinoin auch und ich überlege mir es von meiner Ärztin verschreiben zu lassen. Ich nutze retinol schon seit Jahren, retinal auch schon länger. Möchte mich aber da langsam steigern. Ich hab mir überlegt mal mit der niedrigsten Konzentration sehr langsam anzufangen. Muss man es dann überhaupt auf jeden Tag steigern um den vollen anti aging Effekt zu erzielen? Ich nutze retinal jetzt auch so 3x die Woche und dachte es auch bei tretinoin dann auf 3x die Woche zu belassen sobald ich es sehr langsam in meine Routine eingefügt habe. Da ich auch sehr gerne abends aha/bha nutze,aber dann an anderen Tagen. Lg
Nein, muss man nicht, aber das ist nur meine Meinung. Das Problem ist ja, das man die "volle Antiaging-Wirkung" ja nur sehr schlecht messen kann, also sind die generellen Empfehlungen die einer täglichen Anwendung. Es gibt aber auch Stimmen, die sagen, ab 3 mal pro Woche steigert sich der Benefit nicht mehr stark, dass wäre auch schon ausreichend. Im Endeffekt muss da glaube ich jeder seinen persönlichen "sweet spot" finden, ich bin zufrieden mit 4-5 mal pro Woche.
@@snesha7739 Pass auf, dass Du kein Adapalen bekommst, das nehmen viele lieber, weil es weniger Irritationen hat, aber die Antiagingwirkung ist nicht so gut belegt.
@@DoctorAnne was denkst du über das tretinoin von louis widmer mit Harnsäure. Das bekommen hier viele verschrieben weil das angeblich auch weniger reizt? Wenn du es kennst. Lg
Doctor, is it alright to continue using 0.1%adapalene fr months or years without any break? Does skin develop any sort of tolerance to it over time? I am 22yrs old. Though hormonal acne and stubborn comedones are my major concerns I do have fine lines on my forehead (even after drinking 2.5-3ltrs of water/d. Could you guide me please.
You don’t need a break and you will not get tolerant to it. If you feel it isnt doing enough for the acne, I would suggest seeing a dermatologist to develop a strategy for you individually. As for the fine lines, drinking will not prevent them. Sunscreen and hydrating skincare as well as an antioxidant are great at your age, but these will not prevent fine lines from appearing over time. They are perfectly normal.
Thank you so much for your indications. I just started Retin-A 2 weeks ago so your recommendations will be so helpful. One question . Can I put retin -A on my neck and chest ? And hands ? Thank you so much
Yes, you can - in theory. It depends on your individual skin. I personally can‘t, as it is too strong, but others can. You will need to experiment a little.
I used Retin -A twice and it dried up as lo my blackheads that I literally just buffed gently with a dry towel and they all came off ! My face looks so much cleaner already !!!!
Hello Doctor Anne. I have recently been using the Bioderma Sebium Global in my skincare routines once a day but i was thinking of starting with tretinoin for my skin and anti againg. Is it okay to use both the products together on different days or should i only use any one first. I has moderate acne issues and my dermatologist had prescribed me adapalene few years ago. I couldn’t continue with it after 3 months because of the major side effects. Should i start with a retinoid again or first just use bioderma? Requesting your help.
Tretinoin has more side effects than Adapalene, so I would recommend you try Adapalene again if you want to introduce a retinoid. If that is to strong for you, try a retinol. If you go the Adapalene route, I wouldn´t recommend pairing it with the Bioderma Sebium in the beginning, as that one contains Salicylic Acid, which might increase irritation.
Doctor Anne Thank you so much for explaining it so nicely. I would definitely try retinoid once again and do it correctly this time. 🙈Thank you for your help. You are too sweet. ♥️
Doctor Anne Also one more question. If i start with adapalene should i switch over to tretinoin after some months for anti aging benefits? As i want to include it in my regimen for a longer time.
Ma'am do we have to wear sunscreen every two hours even when we are at home, is it enough if I stay away from windows n apply sunscreen indoors only once please do reply me ma'am.
There are several factors going into that, like where you live, if your skin is especially sun sensitive or if you suffer from hyperpigmentation. But while I wear SPF every day, even if I am inside the house, I personally do not reapply if I don't leave the house.
Hi doc I really like your videos coz it is very im formative😊 Recently my derma prescribed me benzoyl peroxide for morning and tretinoin for evening is it safe to use them daily? I didn't start to use them coz i'm still thinking if they will both work on my skin type
I think if your dermatologist prescribed them, you should use them. Your dermatologist is an expert and he has had a look at your skin to judge what works best for you.
@2:15 how to wash face gently if the sunscreen you have use during the day is water resistant?How to get rid of that sunsblock creme before applying tretinoin?
Most retinol products do contain water in their ingredient list, so it is hard to avoid that. It is true though that damp or wet skin might increase irritation due to better penetration, so maybe that is what they were referring to?
hi doc, i started using retin a around two weeks ago and my dermatologist didn't provided any instructions (only to use it at night). however, i started applying retin a every single day and i didn't notice any irritation. now i started purging in the spots were i saw visible pimples that have not come to the surface yet (around 4 pimples). also, around 2 days ago i started using niachimide with retin a to see id my hyperpigmentation decreases. i'm wondering if i should keep using it this way or i should change it to every 2-3 days. thank you, have a great day!
Some people don´t experience irritation, so i suggest you carry on and if the irritation occurs you dial it back and space it out a little more. Maybe you are one of the lucky ones that can just use it like this (in which case I envy you!)
Hi, so I was using differin for 4 months and I recently started 0.05 tretinoin. I’m not experiencing redness or peeling . Is it maybe because I already had peeling with differin?
@@kaykay7271 You should discuss that with your ob/gyn. Topical retinoid are cleared for breastfeeding, but anything you administer orally should be discussed with your doctor.
Hey Doctor Anne! I just wanted to ask, is Cordes Vas tretinoin cream as effective as tretinoin from other companies/brands? And if it is written that it contains 0.5mg/g of tretinoin, does that mean that that's 0.05% of tretinoin? ☺️
It is a drug, so it underlies the same drug regulations than other brands, which is why the answer to your question is yes. If it is the perfect vehicle for you in terms of texture is another question that could affect effectiveness in you as an individual. And yes, it is 0,05% Tretinoin.
@@DoctorAnne Thank you so much! I think that the cream texture is more suitable for me because I had irritation when I used gel before (adapalene) so now switching to tretinoin it seems that cream would be better option for me
Doctor Anne do you think "Cordess Vas"has the same amount of tretinoin ingredients as others? (Retin A from Italy). Ihave never had any irritation from tretinoin, but I had some peeling from the Italian version. I miss it:)) (using Cordess Vass) thank you
There are different concentrations in the prescription products, so maybe the Italian version had a higher concentration? Or your skin simply got used to it, the peeling should always be a temporary effect anyway. The formula, meaning the other ingredients the Tretinoin is paired with, has a huge influence as well.
@@DoctorAnne Thank you for your answer Doctor Anne. They both: 0,05%, but Cordess Vas is a "creamier" version. Also interested is it possible that it helped with my eye irritation (just by utting it on my face)?:)
Hi Dra. Anne I have read reviews that "actives" such as BHA which is also salicylic acid should not be paired with retinoid, but I was prescribed by a dermatologist with a facial wash that contains 1.5% salicylic acid along with a .05 tretinoin and I have sensitive skin, just want your opinion about this. Thank you.
My opinion is usually: Listen to your prescribing doctor, they know your skin better than a random person on the internet. But using a wash-off product is usually less irritating than a leave on, so I think you are fine using it.
hi ..... very nice video ... you answer all my question which were in my mind... one thing i couldnt understand ... can i use niacinamid ?? during first 6 weeks of using tretinion??? can you plz clear it??? i have niacinamid powder by ordinary .. if i use it in alternate nights not with tretinion but separately . it will helpful ??? plz guide me
I would recommend you talk to the people at the place you go to for laser hair removal and your prescribing doctor about that. In general you should be cautious with combining them though.
@@videoclipman So I guess there is your answer. How many laser hair removal sessions do you have left? Maybe it would be wise to start your RetinA afterwards.
It took me two years to figure out how to use my prescription without my face falling off, I figured it was only fair to pass on that knowledge so others could get results without the side effects. What were your experiences?
I am an old person with very good skin.But I live in a country with a lot of sun.It almost always sunny here.So I used prescription retinol only in the winter months ,for many years every other night.I had peeling , I was wearing very minimal make up and I believe that it was allright for me.Now I rarely peel.And I still use my acids in the winter months.That's all.I hope you 'll have the same results as me.Nobody guesses my age.It is very funny
@@castadivanorma8478 That is a great point, you of course need to adapt your retinoid strategy to the climate you live in. Here in Germany the sun is pretty moderate all year round, so I don’t need to stop using it in the summer time.
And congrats to having such great success, a good routine pays off in the long run.
Thank you Dr. Anne for sharing, these help a lot ! I'm catching up with all your videos after the Retinol related which I have the most questions about, and thanks for answering all my questions!
@@w.w.w.n You are welcome.
When you say don’t use it together with aha etc is that the same day or same week or at all? Can I have days when I use my products from the ordinary and no retin a
Great video!! I started my Tretinoin journey about 8 months ago at the age of 39 and it has been quite a ride but well worth it. When I first started I was using Tretinoin every third night and I would buffer it where I would cleanse my face, apply niacinamide, apply moisturizer and wait about half an hour or so. Then I would go and apply my Tretinoin and wait another 20min to half an hour and then I would apply the moisturizer again on top of Tretinoin. Also, right before I went to bed I would put some Aquaphor on my face just to seal everything in. I did that for about a month then I went to using it every other night and now I don’t have to wait all that time in between I can just apply niacinamide, moisturizer then Tretinoin. I would only wait a bit to put another layer over the Tretinoin as I want to give it some time to kind of sink in. I also tried using it on bare skin without anything and I was fine compared to how bad I was peeling at the beginning. The only thing that I notice is some faint redness the morning after the Tretinoin around my mouth but it goes away within an hour or so. I also want to mention that throughout my entire journey I kept using my vitamin C and peptides. I hope that this helps someone but honestly if you stick it out and put up with some horrible peeling and irritation like I have it will be so worth it. With that being said, you don’t have to go through all the peeling or irritation if you do what I have been doing because at the very beginning I went straight to using it once every other day without buffer just straight on dry skin and it took me some time to find out what works as I had to do a lot of research and digging around but overall give it a try and I hope it works for you.
Amazing tips. I agree, you can do it without the irritation if you are cautious, and it is so worth it in the end.
For how long did u use it ?and how did u stop it ?
Hey Dr Anne! Really wanted to thank you! It’s been almost a month using tretinoin and by following your great advices I have NO irritation so far! I’ve been using it twice a week (one day tretinoin and three days moisturizer). The third day after I have mild peeling, but that’s it! I had seen lots of videos on tips, but maybe because of the way you talk (very calming), you were the one who gave me courage to finally try tretinoin. Thank you so much! 🌷🥰
I am so glad my tips worked for you.
Thank you! I’m 34 years old and was using 0.025 Tretinoin mainly for acne but gave up after 2 months. The purging was horrible! Because of this video I realized I was doing many things wrong. I’ve been using 1% retinol with no irritation but no change in acne. I’m scared but your videos have encouraged me to try again. Love your videos wish me luck!
All the best! I still use my Tretinoin only 3-4 nights a week, which is the perfect amount for my skin, so don´t be discouraged if you can´t build it up to every night.
@@DoctorAnne Could you advise what to do with the purging when using retinoics? My acne flared up quite badly and I am not sure what to apply on them because BHA or Benzoyl Peroxide is not encouraged during retinization.
@@cashmerehazel21 To be honest, I think you just have to push through it. Salicylic Acid and Benzoyl Peroxide will most likely only add more flaking to the skin. Maybe try Salicylic Acid as spot treatment in the mornings, some people do benefit from its antiinflammatory component.
Doctor Anne hello doc I’ve been prescribed clindamycin gel and retin a cream is it ok too use it before the retin a cream at night ? Or how could I use it in the AM with hydrating serums and moisturizers ? I’m confused on how to layer it
@@psmith3821 If you have been prescribed those, I recommend you stick to the way you were instructed or talk to the person prescribing them about how to incorporate them in your routine.
Can i alternate cerave resurfacing retinol serum (which is a light retinol serum) most of the days and 0.25 tretinoin cream 2/3 days a week?
You could, but I don't think you should. It won't give you added benefits, but increase the risk of irritation.
@@DoctorAnne Thank you for the advice :)
Your tips are the questions that a patient ask to her derm. Sadly, my derm just prescribed me the tretinoin and she did not gave me any tips like this. I am thankful that I found you here in youtube Dr. Anne. If I just live near you, you will be my doctor. More blessings to you and your loved ones❤
I think for many terms it has become second nature, so they forget how many questions someone starting can have. That and tie is precious at the office.
Thank you for nice video tips Dr.Anne
My skin can tolerate to 0.05 % tretinoin. My steps are after face wash - nicinamide serum (wait 20mims) - tretinoin cream (wait 1 hours) - moisturizer. I know that medicine should be applied first but i had tried to apply tretinoin cream first and wait an hour then apply serum, it was kind a mess because i get creamy from tretinoin cream that mixed with the serum. It was like harder for serum to be absorbed to the skin. What should i do, Dr. Anne i need your help. please correct me.
one more question- Does tretinoin will be degraded by artificial lights, indoor light, if i don't turn off the light and go to bed right after apply tretinoin cream?
There is no harm in applying the niacinamide first and then the tretinoin. And Tretinoin is sensitive to light, but that is mainly the UV light, and it won’t degrade within minutes. If you put it on in the evening, the artificial light won’t have a noticeable effect. Just don’t slather it on and go to the beach 😉
Doctor Anne thank you so much Dr.Anne. I love you. This helps me a lot.
Thank you Doctor Anne. I listen to this over and over. I was on .06% retin a for 2 months three times/week. I'm red & irritated all around my nose & mouth. I did what you said & after a week I'm doing better. I now have the 0.025% & trying to use twice a week. I use with Cerave PM. Thanks so much for the great advice.
Thank you Doctor Anne.🙏Once more your videos are straight to the point and extremely informative. I am currently on a Tretinoin & HQ cream treatment. First week in and all good so far 🤞🏼I have been using Retinol and Retinoin before from the Ordinary and I had no issues. Let’s hope that my skin is somehow used to stronger ingredients. I know that a basic routine is the key but is hard not to be tempted to use other products than the recommended ones ☺️ Take care!
The struggle is real indeed, but I have learned the hard way. I have messed up my skin too many times already.
I apply it 2 days and wait 2 days and then apply it again for 2 days. Been doing this for 2 weeks and I have no irritation. After the first 2 days of using it my skin was burning when I applied anything. The 2 times every 2 days helps a lot for me and I have no redness or irritation.
Sounds great.
hi dr. anne i recently got prescribed 0.05% tretinoin cream for acne and was told to by my dermatologist to use every night. without doing any research on tretinoin, my skin started burning and flaking (purging?) after 3 days of using it every night. i am going to start slowly introducing it into my skin like you recommended! prior to this i was using the inkey list bha serum and a spot treatment every night without irritation. is it okay to still use these products on the nights i don’t use the tretinoin? and since my skin has becoming super dried out (i’m usually oily to combination), is it okay to use a hydrating face mask on nights i don’t use tretinoin? i just found your videos and i love how informative they are and get right to the point!
I would recommend laying off the BHA and spot treatment for now, but yes, do hydrate up on the nights without Tretinoin. And hang in there, the results are worth it!
THIS VIDEO IS AMAZING ! GOD BLESS YOU✨🤍 I started adapalane about a week ago and I’m already starting to love my skin! I’m getting a Hydra-Facial in two weeks is that safe for my skin while using adapalane? I hope your channel grows so much you deserve it !
I recommend talking to the person doing the facial beforehand and see what their experiences are. I personally was very careful and did avoid all other stimulation when introducing Adapalene the first time, but I tend to err on the side of caution.
Excellent information, thank you for being so thorough.
Hi Dr. Anne. I love your channel. I changed my entire skin care routine with your guidance via your channel.
I am using tretinoin 0.5% alone and I am not experiencing any dryness. So do I still need to layer moisturizer after tretinoin? Will adding moisturizer in my case have additional benefits?
Not always. Usually Tretinoin comes in a cream/lotion form anyway, so there is no need to use another moisturizer on top if your skin feels fine.
@@DoctorAnne thank you Dr. Anne. Also, you mentioned about layering tretinoin with niacinemide. Could you advice how to layer it ? I am using The Ordinary Niacinemide with 0.5% retin A. Which one needs to go first and do we need to wait in between applications?
@@FAQ_Qureshi I use The Ordinary Niacinamide first and then wait until it is dry and the apply my Tretinoin.
@@DoctorAnne thank you Dr Anne. I will try this routine.
Hello Dr Anne,
am I allowed to use Retinol as a long term treatment? I saw a video on UA-cam. A woman unses tretinoin since 15 years as a long term treatment against aging.
Thanks for all your videos!!
You can use Tretinoin for as long as you want (with the exception of being pregnant and breastfeeding).
I feel like I don’t experience the redness or irritation using the buffer method 3 x a week with Retin A 0.025 but haven’t noticed any real improvements in 8 months but when I applied the gel directly I felt like the difference in my skin right away but then I had so much irritation. Should I try to increase to the strongest strength and use the buffer form? Thank you 🙏
No irritation does not mean no effect, and if you see the results depends on what you are using it for: Do you want to improve acne or is it for improved skin texture and firmness? Maybe try using it once a week without buffering for a start and see how that goes for you.
@@DoctorAnne I will try that for sure. Thank you! My main goal is to decrease pore size and even out a rough texture and some old acne scars.
Can we use face oil or moisturizer after the vitamin A cream? Thanks
Yes, but give it time to absorb first. I tend to wait around 20 minutes.
❤️❤️Thankyou so much for how informative your videos are. I can relate to you on so many levels. I am a medical student. So happy to have found you. I see you as my skincare guru who is patient enough to answer each n every query.
Guru is for me deeply rooted in Hinduism, I much rather think of me as older sister. Or maybe wise crone, if I put my age in relation to that of a medical student 😉
But I am happy to have you here!
@@DoctorAnne 😄 very well then.❤️❤️ Guru was just a synonym. You are doing a great job Ma'am.
Wow! This video was incredibly helpful, thank you!
Do you plan on using a stronger retinoid?
@@DoctorAnne what's the strongest available out there?
And what's the strongest recommened to a person?
@@vminmotivationalcurve88yea64 Usually 0,05 to 0,1% are prescribed.
Hi Dr Anne, I think using a moisturizer with a colloidal oatmeal also helps minimize irritation from retinoid.
Yes, colloidal oat meal is amazing for soothing the skin. Which moisturizer would you recommend?
@@DoctorAnne Hi there! I am currently using the Aveeno Eczema Therapy with 1% colloidal oatmeal as the active ingredient!
@@DoctorAnne Hi Dr. Anne, now I use First Aid Beauty Intense Hydration Ultra repair cream with colloidal oatmeal and Shea butter, before Tretinion 0.025%, now it's changing season and dry in Toronto, would you recommend apply same cream before and after tretinion? Would you recommend any mask on the off nights (cica/centella to calm skin), THANKS!
@@w.w.w.n If you feel like your skin needs it, than you could use the moisturizer before and after. Same goes for masks, I don’t really use that many, I tend to rely on my regular skincare for that. But if you have a mask that works for you, go for it.
@@DoctorAnne sounds good! For the tretinion off night skincare, do you recommend peptide creams (The Ordinary buffet or inkey list) or just basic hydration cream like Cerave/ FAB
Hi Dr Anne. I have started tretnoine about 2 months ago. I started once a week and and now twice a week. Never experienced any side effect. I am doing tge sandwich technique (which means I was my face and apply moisturizer, wsit 20 minutes, apply tretnoine, wsit 20 minutes, then apply another layer of cream). My question is when I apply cream before is it minimizing the efficacy and strength and results of the tretnoine?
Yes, by a little. If you think your skin tolerates it, you can increase the frequency more and then maybe skip the sandwich technique. But take it slow, the irritation often happens quicker than expected when we increase too quickly.
Hi Dr Anne... I just recently purchased Retin A 0.05% cream. While using it at night? Should I stop my other routine( I.e. just cleansing and using the Retin A tube cream) I use clean and clear dual action moisturizer which contains some amount salicylic acid can I still go ahead to use the moisturizer the morning after, Hope it won’t irritate my skin?
Every skin is different, but as I said in the video: I would stop acids and other potentially irritating ingredients when introducing a retinoid.
Hi Dr anne. I bought 2 0.025% strength at home. Haven't used yet scared the irritation so I only used my indeed lab retinol so far so good. But after watching, I am going to use as a short contact therapy as a mask for 30mins. Then wash off. Then after cleansing off, I would use my good molecules niacinamide serum then follow with a hyaluronic acid mix with my gel moisturizer. :) I can't afford to have purging. I can't be disfigure. Never. Hahaha ❤️ thanks for the recommendation though ❤️
Let me know how it goes.
@@DoctorAnne yes I will. Thanks for the recommendation. I am a scary cat for the scary purging. Lmao. Haba
Very informative video.
Thank you🤗
I am glad you found valuable information.
Hello dr Anne 🙋♀️ I am using tretinoin for 8 months now and I am very much comfortable in this now . But my problem is that, I still have oily skin and blackheads and whitehead and my skin is still very oily 🤦🏻♀️ what should I do? I apply salicylic acid gel 2% in the mrg . But still my face is full of oil . Plz help
Have you seen a dermatologist about that? Niacinamide might be helpful, or just blotting throughout the day and relishing in the fact that oily skin ages slower than dry one?
Doctor Anne No I have not consult with the doctor. But yes will add niacinamide to control the oil ☺️ and I am happy that oily skin age slowly than others😬
@@manyasworld1375 A consultation with your treating dermatologist is always a good idea if you have persistent issues.
Doctor Anne Yes definitely I will ☺️Thank you doctor Anne🙏 for your help.
When you say irritation do you also mean acne? I’ve been using tretinion for years. I’m kind of inconsistent with it because I feel like it makes my face break out worst. I’m using it for acne and then I still break out so I also use a 10% benzoyl peroxide face wash. I have multiple serums, oils, creams, toners. But I feel like the more I try to tackle the acne the worst it gets. I’m also a nurse so wearing the mask for 12 hrs a day 3 days a week has really blown up my chin acne and now along my cheekbones and around my ear lobe. I can’t go to my dermatologist because I treat COVID patients and work a lot of overtime. Please send help and thank you again. 💖
Hi ! It's normal to go throw a purge using retinoids you have to stick with it and use it continuously even of you're breaking out at first because then your skin will get better, good luck and stay safe and blessed 💓🙇
It usually isn´t irritation in terms of breakouts, that is most likely purging, which happens because all the pimples that are waiting to develop come to the surface at once. The slower you introduce the Tretinoin, the less likely this is to appear, but you need to be consistent to get the results.
Mask wearing often aggravates acne, I feel you on that. My suggestion would be to strip back most of your other skincare and just introduce the Tretinoin slowly. It usually needs at least six weeks to get results.
@@lilycoeur7714 Agree.
I saw this and tried these tips the other night and it’s much better. But I use ADAPALENE because I hate what retinoids do to my skin. …but what I did different was I applied adapalene first and then niacinimide then I moisturized with Avene xera calm. Once my skin felt very resistant and strong I later applied pixie glow tonic, some petrolatum moisturizer on top (it’s extremely cold climate so I need much more moisture than usual ) and on top I spot treated with benzol peroxide spot treatment I know it sounds weird but that order helped me a lot !
Adapalene has less irritation than Tretinoin, so that might help. I wouldn't pair it with pixi Glow Tonic and Benzoylperoxide though, as that might cause trouble over time. Better to adapt to it for 6-8 weeks and then see if you can use the other stuff eventually.
@@DoctorAnne I didn’t at the beginning but I have been using adapalene since October last year . And my skin was drab so I did this after then the benzoyl peroxide but I don’t use it all the time . But my skin was so perfect today so much so that I skipped washing my face and only used eye cream and sunscreen
@@DoctorAnne I waited in between the glow tonic (which is low percentage) and the spot treatment too instead of piling it on
@@anniesmolkin7685 Ah, I see, you are already adapted to Adapalene. I am sorry I misunderstood.
@@anniesmolkin7685 If it works for you, keep going.
i started prescription aknimycin plus tretinoid. its been 3 days. doctor told me to apply every evening after cleaning my face. my skin is getting red and it burns specially while applying moisturizer and sunscreen. i am doing my best to protect my skin. i have a lot of acne scars, black heads, uneven skin and some new acnes. my skin is oily but now is very very dry. i hope i dnt need to stop using it.
It rather sounds like you maybe need to take it slower in the beginning. But I suggest talking to your doctor about that.
For how long can i use it for anti-aging ? Can I use it daily after my skin get used to it ?
You can use it for the rest of your life if your skin tolerates it, and yes, you can use it daily.
Hi! I just started using tretinoin and I was wondering if you had any cleanser, moisturizer and SPF to suggest, since my skin is very sensitive and I don’t want to combine things that might make the situation worse.
Thanks for the video, you explain things so clearly! 🥰
Gentle and hydrating is the best general recommendation, which brand exactly depends on your budget and where you live. I like some of The Inkey List Cleansers a lot for example.
Doctor Anne thank you very much !
@@alb7596 You are welcome.
Can I use 1% clindamycin 5%benzol every other night that I don't use the Tretnion
If that agrees with you skin, yes. I would suggest asking your treating dermatologist, as they can actually see your skin and can offer specific advice.
Hallo Dr. Anne
Very informative and nice video.
I am planning to start Cordes Vas cream but i can only find 5% strength online. Is that safe for a start??
i live in Germany currently.
In Germany you would need a prescription to buy that, and with that should come individual advice. But in general it is safe, just make sure to introduce it very slowly.
Thank you for this video it is very informative. I have hyperpigmentation so is it ok to use tretinoin 0.05% if I am already using The Ordinary Niacinamide 10% & Zinc, and Alpha Arbutin 2% & HA?
You may get a little irrtated by it, but is personal, in my case i used to use azelaic acid 10%, glycolic acid 7%, aha 30% + bha 2%, Ascorbyl glucoside, and niacinamide 10%, and now in my 3rd week i can only use the ascorbyl glucoside 12% [but i can use tretinoin every night]
Use it in the morning till' you get used to it
I have used 0.05% tretinoin for 20 years. My skin is drier now that I'm older (42) so my derm put me on 0.05% Altreno. I love it b/c much less peeling, but it's not approved for fine lines and wrinkles, only adult acne at this time. Any advice if I should maybe switch to Refissa that is approved for lines and wrinkles? Should the results be the same since they are both 0.05% tretinoin or does the base/vehicle also matter (lotion vs cream)? Thank you for all your amazing education on this topic!
The vehicle does of course matter, but I think not enough to switch to a product you tolerate less.
@@DoctorAnne thank you so much!
Hey dr Anne :) Can I use the cordes vas tretinoin cream also in the morning?
No. Tretinoin reacts to UV light, so it loses some of its effectiveness, so retinoids should bee used at night.
As a beginner guy, can I start it like a mask for 30 minutes after every 4 days and niacinamide serum in rest days? I have 0.5 tretinoin with me from months but I'm scared of purging and peeling as I can't afford it due to my public contact and job nature
That is a very cautious way to start, I think you could use a thin layer every 4 nights and not wash it off as well. Do you suffer from acne or frequent breakouts?
@@DoctorAnne yes I'm having acne on & off, actually currently I'm using a serum containing squalane and 0.5 percent retinyl palmitate (they claim it is equal to the efficacy of 0.5 percent retinol though) and I use it every night with less irritation and I also do use the ordinary peeling solution thrice a month as well and my skin has adjusted it. (I'm 33 years old from Pakistan however with not alot of signs of aging and using sunscreen from years).
@@waqaskhan-zt5yt Retinol Palmitate is usually too weak to give you relevant results. Maybe you want to go in with retinol first if you are scared of the side effects? And have you seen a doctor about your acne?
@@DoctorAnne My skin got cleared with mandelic acid peeling in past few months, & I started retinol for anti aging benefits later on. My acne restarted with 0.2 percent retinyl palmitate and when my skin adjusted then I upgraded to 0.5 percent strength of retinol palmitate last week and it started again little bit. But as you mentioned I should move to at least retinol or short contact tretinoin therapy in order to see the full fledge results for acne and anti aging
Hy Dr. Anne,
I have started tretinoin 0.5 percent last week, I applied for an hour during first application as short contact therapy in sandwich method and felt dryness and heat on face that night after washing my face and after three day, I reapplied for one and half hour and not having any irritation after second application, after 3 more days, I reapplied for 2 hours and no peeling or irritation through this short contact sandwich application method so far but having few new pimples although previous pimples dried out 🙏 I have planned to include it through short contact therapy and will increase contact time in each application. I am applying ceramides, hyaluronic acid & squaline based moisturizer, fresh aloe Vera gel, SPF 60 to repair skin barrier and dove sensitive skin bar for cleansing, let see how it goes. Moreover, I'm feeling glow and tight pores straight from this short contact therapy and wrinkles have already smoothen as I'm 33 now.
Loved your video❤️❤️❤️😘😘 Merry Christmas❤️🎄
I just have one thing to ask. Can I use Alpha arbutin with tretinoin? Like layer them together? Alpha arbutin first and then second one alpha arbutin+ha. Please please do answer this. Thankyou! (If any other suggestion please lemme know) lots of love❤️
I answered this question underneath the other video where you already asked it.
@@DoctorAnne Yes, I just checked it🥺🥺😘😘😘😘thank youuuuuuu❤️❤️❤️😘😘😘😘😘😘
Very nice information Dr
Thank you.
I've been using Tactupump/Epiduo (adapalene, benzoyl peroxide) for 7 months. This entire time I've been buffering with moisturizer. I'm still suffering from breakouts. Would you recommend applying the prescription on bare skin instead?
Do you still experience irritation from the product? If not, try using it on bare skin and see if that brings improvement.
Hey doc i apply my retinol during the night and demelan even tone cream during day time and both I apply moisturiser ( ordinary natural moisturizing factors +HA) is that okay or I'm I doing more Damage? I already have breakouts ( white heads that are very itchy and tightness of skin on forehead)
PLEASE HELP!!!
If your skin feels tight and itchy, something is probably amiss and it might be that the acids in the cream and the retinol are too much. It might be something else though, so it is hard to tell. Maybe try reducing the frequency of actives and seeing if your skin gets better? If it gets worse, try to see a doctor.
@@DoctorAnne thank you so much.
@@ines4578 You are welcome.
Hey! I was using .025% tretinoin cream but after using it for few days .. my face looked much more oily and and I saw so many new clogged pores ..I used the gel version .05% on my cheeks where I usually get lots of acne ..2 times a week .. seems to work on my clogged pores .. but kinda makes my skin red !
What’s the reason of being oily? Is that the vehicle of that cream? and do I need to apply it on my whole face ? Or concerned area ?
And any way to lessen the irritation with gel?
The ways to lessen the irritation are in the video, I suggest you watch it for that. And yes, the vehicle does matter, but it is normal to see a purge aka a phase where the skin actually gets worse before it gets better in the first few weeks, so it could have been both.
And yes, it is supposed to go on the whole face, to treat the underlying changes in the skin, it is not supposed to be used as spot treatment.
Thank you so much ! And yes I did watch the video ❤️
Dear Dr. Anne, thank you for the well structured video!
I have started Tretinoin (Cordes VAS) half a year ago and have been using the smallest amount for every 3rd night. However, I still experience some peeling on the skin and have been debating to use a lower percentage. As I am in Austria and not many option are available here, I was wondering whether 0,3mg/g Tretinoin with 120mg/g urea (Ureotop+VAS) is a good idea? Could you kindly share your thoughts on this? Many thanks!
I think it is worth giving it a try and see how it works for you.
@@DoctorAnne thank you so much!
@@wanyus1730 You are welcome.
Hello! I'm curios about something. I very sensitive dry skin, reactive to fragrance and certain ingredients. A few weeks ago I started using The Ordinary Retinol in Squalane 0.2% and Avene's A-oxitive eye cream which contains retinal yet I have minimal dryness and no irritation. I was expecting to get red and dry as I usually do . Do I need a higher percentage or is it working even without the purging/irritation?
Irritation and dryness is NOT a sign that it is working, you are lucky you don‘t get any. But the products you mention are very mild, so with time you might try something stronger.
@@DoctorAnne Thank you! I will definitely increase the percentage if I don't see any results with these .
Started tretinoin treatment with benzoyl peroxide for acne. I have used just a tiny bit under my eyes because I see wrinkles there. In the morning, when I wake up, my whole eye area looks like it has aged 10 years with scores of wrinkles and skin looking drooped. Is it normal ?
Tretinoin and especially bezel peroxide are not recommended for the eye area. It is very irritating on the delicate skin there and will cause dryness and irritation.
Thank you so much for sharing these tips, you've been a great help with this video!
Thank you. Do you use prescription retinoids?
@@DoctorAnne Hi! Sorry for the late reply but no, I haven't used it yet. I was using benzoyl peroxide when I commented here and was planning to change to tretinoin but ended up damaging my skin from overusing BP. My skin is back to normal now but I think I need at least a month more before I can use tret. Do you think the ceramides in Cerave Healing Ointment have any effect on the skin since the product is a heavy occlusive? My skincare routine is lacking in ceramide and I just ordered the ointment hoping it would be helpful.
@@amirahputra2818 While Ceramides are branded as perfect for barrier repair, there is not enough data yet to know if you need them or can do without them. They will certainly not hurt though.
@@DoctorAnne Ah well, I might as well try it and hope it doesn't break me out. And thank you for your response! :)
@@amirahputra2818 Please report back how it works for you.
But how am I supposed to spread half a fingertip over my entire face🙄 now I know why I had such a strong irritation though, I was using half a fingertip on each of my cheeks and on my forehead😅
I dot it all over my face in the smallest amounts and then distribute that - and yes, you only need a small amount. Whenever I apply it, it feels like the lightest layer on my face, but as the formula spreads well it is more than enough to see results.
Hi doc. I have a concern. I am loving this sunscreen from Cosrx (aloe soothing sun cream) which has fragrance in it and i am planning to use tretinoin. Do you think i should look for other sunscreen substitutes or should i keep using this one and observe?
I think you should keep using that one and observe.
@@DoctorAnne thanks!!!
Dr Anne. What do you think about influencing fetal development by using Tretinoin??? Is it really enough to stop using Tretinoin while being pregnant or breastfeeding only??? Thank you very much for you opinion.
It is advised to stop Tretinoin when you start trying for a baby, but the absorption through the skin is probably not high enough to matter anyway. So yes, I think if you stop the Tretinoin while trying for a baby, being pregnant and breastfeeding, you are fine.
@@DoctorAnne THANK YOU VERY MUCH!!!
Hello doctor. I have been prescribed retin a 0.05 dand salicylic acid . Is this combination okay?? Will it help clear my acne and darks spots? Please help.
If this is your prescription, I am sure it is okay for you. It sounds very helpful for clearing acne, but as acne is hard to treat no one can say for sure. I´d suggest you follow your prescription and then check back in with your doctor.
Thanks for sharing your advice. I’m struggling with tretinoin. I have been prescribed retin-A 0.025%, it has been 5 months but my purging is still on and on, it didn’t get any better, should I stop using tretinoin, and switching to another opinion. Thanks Dr!!
I think you should discuss that with your prescribing doctor, as they can best see how your skin has changed.
You sound more knowledgeable than most so called dermatologist. Sorry bit I have limited respect for derms because the 19 year old me had to educate them how to eliminate acne without dumb antibiotics. Yes, there are still derms out there that prescribe antibiotics for acne. For wrinkles though its more of a challenge.
Antibiotics are still part of the treatment guidelines in many countries and, depending on the individual, might have a place in the treatment regime.
@@DoctorAnne I'm not a doctor but my brother in law is a surgeon in the uk and years back spoke to him about the overuse of antibiotics. He agreed it was irresponsible for any doctors to be prescribing antibiotics for acne; not only because it doesn't tackle the root cause but it just adds to the antibiotic resistance. There is little to no place for antibiotics for acne. Maybe there are exceptions but I had mild to moderate as a kid and certainly shouldn't have been offered them.
@@supgizmo5021 Naturally a surgeon has a different outlook on antiniotics use than a dermatologist has. There are many people involved in writing the guidelines, and while I agree that there are many options to treat acne where an antibiotic is needed, I would recommend listening to the dermatologists rather than the surgeons when it comes to these guidelines.
An important reason for antibiotic resistance is the widespread use in animals to make up for poor living conditions on animal farms. Does that mean that misusing antibiotics in humans isn't a big deal? Absolutely not. But unnecessary antibiotics are very common in different medical fields, including surgery, and I am afraid the antibiotic resistance theme is often used to shame people using antibiotics to treat their acne. Again, not saying I disagree with you on that, I just want to point out that it is a very complex topic.
Nice and very informative video! Can a person of skin of colour use tretinoin or adaplene? As irritation can lead to hyperpigmentation for SOC. Thanks xx hope to hear from you.
Yes, they can, but I would always advise speaking to a dermatologist before trying prescription meds.
@@DoctorAnne Thanks 😁
Hi doc :) im 29 and i want to start to add retinol to my regime. I am asian and have large pores,sensitive skin (its easily gets red). Can i start to use retinol? My mother always said that i am way too young to use anti aging skincare or even retinol. But i want to prevent as early as possible. What do you think about that doc? Should i use over counter products first? Like ordinary or should i consult to doctor and get prescription?
29 is a good age to start antiaging skincare. If you have access to one, I would suggest seeing a doctor, that is aways a good idea, but otherwise retinol is fine for a start as well.
Can I use Stridex 2% Salicylic Acid M-W-F then Tretinoin gel 0.025 Tues-Thurs-Sat? Thank you Dr. Anne. Take care
You can if you skin tolerates that. Mine probably wouldńt, I only use my BHA once a week.
@@DoctorAnne Thanks Dr. Anne. I've been using tret 6 months now. I was using 5% before but it's always out of stock in my country I just used the 0.025. I didnt have any side effects since I use it. Is it okay? I am also worried that it's not working.
@@nint.7327 You don need the side effects for it to work. Countyourself lucky if you dont get them.
@@DoctorAnne Thanks Dr. Anne. You are the best. Take care always.
@@nint.7327 You are welcome.
I know this will be a silly question but You said a half of fingertip do you mean the length of the fingertip or the top of the fingertip especially when it comes to the full top of the fingertip _ because I always heard to use a pea size amount of tretinoin, so is this fingertip the same?
🌿
And also You mentioned niacin-mide as a good ingredient to use with tretinoin, do you mean to use it at the same time like on top of the tretinoin after half an hour for example?
StriVectin cream which is supposed to be for stretch marks and wrinkles it's key ingredient is niacin-mide and peptides, will this be okay to use with tretinoin, or should it be used apart like_ tretinoin at night and StriVectin cream during the day with a sunscreen on top of course?🙄🙂 Thanks by the way for your informative video wish you were my real dermatologist and I hope you can answer my questions soon. 🙏❤️
Not a silly question - haff of the length of your fingertip. Niacinamide is great even at the same time as Tretinoin, I usually use it before I apply my Tretinioin, but in the mornings works just as well. Peptides go with Tretinoin too, with the exception of Copper Peptides, which are not recommended to be used with Tretinoin.
And I am not a dermatologist, just a doctor - my specialization is Public Health.
Hi doctor. Thank you so much for the information. I have a question. There are moisturizers with hyaluronic acid in them. Can it be used with tretinoin for moisturization? Will be really glad to get an answer from you. Thank you!
Yes.
@@DoctorAnne thank you so much for the reply. ❤️
Hello doc
my skin type is combination,I have bumps almost all over my face and some stubborn white/blackheads on my nose, also dark spots too recently I have started to use tretinoin gel 0.025 so is it good to use 1% salicylic acid facewash or not?
As I say in the video, I would give your skin time to adapt to the Tretinoin before introducing other "actives", but that is just my opinion. You could try using both and see how it works for you.
@@DoctorAnne thank you so much ^^
I recently clubbed a washoff formulation of salicylic acid 1% AHA2% along with adapalene 0.1% and I have noticed shiny patches of skin on my forehead. What is it? Burnt skin?
If it didn’t hurt it is probably more dry skin, but if it doesn’t go away by itself, you should have someone look at it.
@@DoctorAnne thankyou
@@ReethuVincy22444422 You are welcome.
Thank you for the great video!
You are welcome.
How many times a week should tretinoin be used also what Mosituriser with be good with it
That depends on your skin, it can be used every night. Build up your tolerance to whatever works best for you - I use mine every other night. And moisturizer... whichever you like, preferably one that has occlusives and no "actives" of its own.
Hey Doc, I notice that you apply Cordes Vas. Does it contain perfume oil? Because I read at ingredients list on an online pharmacy, and ingredients are different from the packaging picture. Im moving to Germany and I think its the only one available. Thanks!
Yes, mine does.
Hello Dr Anne, I'm just starting with tretinoin 0.03% for antiaging. While waiting for my prescription (it's a compounded formula with 10% niacinamide), I was using Retinal from Geek & Gorgeous A Game 5 for about 5 weeks (gradual introduction), on dry skin (and then, half an hour later, moisturizer).
But I'm so scared of tretinoin that I started with the sandwich method now (first week: once, 2nd week, twice). I even put some vaseline on my eye contour, corners of my mouth, sides of the nose just in case. I have sensitive & reactive skin prone to eczema, so that's why I'm over cautious. I didn't notice anything at all, though, would you try applying the tretinoin on dry skin and see what happens? I just want to avoid having a bad reaction and having to give up the tretinoin, but maybe I'm exaggerating now with what I'm doing.
Thank you very much in advance! 😊
I don't think there is a problem in taking things slow. The worst that could happen is that it takes you longer to work your way up to the full doseage, and that is much better than having a reaction. Especially as we are heading into winter now, when the skin is more reactive.
I'd say keep going like you planned, slow and steady wins the race.
@@DoctorAnne Thank you very much 😊 I think I may try applying the Tretinoin on dry skin (at least once) and see what happens. Wish me luck, I will report back 😅
@@Hvitlys All the best!
@@DoctorAnne Thank you! 🤗
I have acne/oily skin and perioral dermatitis. My derm recommended tretinoin but I'm terrified of making the perioral dermatitis worse. Oral antibiotics and topicals have not really helped the dermatitis. Your thoughts?
I would always suggest you follow your derms advice - they do know you and your skin.
Thank u for the tips. My face is so red atm I guess it needs time to adapt. Gotta use my make up skills to go to work next days.
Make sure to take it slow!
I’m new to this kinda stuff but what kind of moisturizer and spf you recommend and how to use it all for example do you want me to put tretinoin first then put moisturizer after 5 mins then put spf after 5 mins
I recommend the moisturizer and SPF you prefer, but for the order to apply things in: Tretinoin always is applied at night, so don´t pair it with SPF, which goes on in the mornings. And for the moisturizer: That depends on if you want to "buffer" the Tretinoin or not. If not, Treinoin goes first and the moistuizer (if needed) goes on 10 minutes later.
Hi, I was prescribed 0.05 tretinoin and doctor said to use daily . Should I use daily . I’ve had it for a week with no peeling so should I continue daily ?
I always recommend listening to your prescribing doctor, as they know your skin and your situation best. Irritation usually occurs a little later than week one, at around week 3-6.
@@DoctorAnne ok thank you!
Dr Anne, can you combine Retinol (tretinoin 0.0025%) with collagen (Genacol cream)?
Yes, but I wouldn´t expect the collagen to have much effect on the skin.
If my dermatologist told me to use it 5 times a week and then 2 days to use a moistorizer, it's okay? I've been using Tetrinoin for about 3 days and my skin is red, a little bit irritated and when i apply the cream it burns me for about 1 minute, it's a normal thing in the first weeks for this to happen?
It is not unusual to experience that, but I still suggest you spread out the days you use it a little more so it doesn´t get worse.
@@DoctorAnne Okay, thanks for your advice :)
Hi! I am using currently Medik8 Crystal Retinal. Could I use Tretinoin every 3rd day maybe? My skin is OK, no peeling or dryness. I used Retinal every night. Thank you and kind regards from Croatia!
If the Medik8 is working so well for you, why do you want to change it? If you want to make the switch, you most likely already have a tolerance for retinoids, so you can start a little more intense, like every other night maybe, but every third night should work as well.
@@DoctorAnne My skin is OK, regarding peeling and dryness. However, my wrinkles, skin texture, dullness...nothing has changed... That's why I want to try Tretinoin...
Thank you for your reply! 😊
@@nivesslezinger7653 I see.
Dr Anne, how often do you use Tretinoin. Thank you.
Every other night now.
@@DoctorAnne Thank you for that. I just need a maintenance dose to keep up all the good work.. Every other night sounds good to me. Cheers
@@mariehope2399 You are welcome.
I’ve been using benzoyl peroxide in the morning and topical treinoin 0.05 at night and my face is extremely irritated and red now :( should I stop them both for a while and restart isotretinoin only?
Or should I use a hydrocortisone 17- butyrate cream on my face to alleviate the redness?
I suggest you stop and talk to the doctor prescribing the medication, but yes, slowly starting with one and buliding up tolerance is surely a good idea.
I've been using tretinoin for years as a prescribed acne treatment and even today I prefer using 0.025% every night, 30 minutes after cleansing and moisturizing. This minimizes irritation. It also means that it's not a big deal if I accidentally apply too much, while at a higher strength I risk a few days of irritation with that accident. Research has demonstrated that the strength of tretinoin isn't important with long term use, so there really is no reason to go up in strength unless you aren't seeing results I guess. Maybe for anti-aging the strength is more important, though with long term use I am guessing the results even out. Tretinoin is a true holy grail for me. I don't want to ever have to stop using it! I get anxiety when I think about not having access to it 😂
With Tretinoin the most important thing is to find your individual sweet spot instead of always aiming for the highest strength, you are absolutely right there. 0,025% used daily and consistently is much better than 0,05% that you can’t use because of irritation.
Hallo, wieder mal ein sehr hilfreiches und tolles Video. Mich reizt tretinoin auch und ich überlege mir es von meiner Ärztin verschreiben zu lassen. Ich nutze retinol schon seit Jahren, retinal auch schon länger. Möchte mich aber da langsam steigern. Ich hab mir überlegt mal mit der niedrigsten Konzentration sehr langsam anzufangen. Muss man es dann überhaupt auf jeden Tag steigern um den vollen anti aging Effekt zu erzielen? Ich nutze retinal jetzt auch so 3x die Woche und dachte es auch bei tretinoin dann auf 3x die Woche zu belassen sobald ich es sehr langsam in meine Routine eingefügt habe. Da ich auch sehr gerne abends aha/bha nutze,aber dann an anderen Tagen. Lg
Nein, muss man nicht, aber das ist nur meine Meinung. Das Problem ist ja, das man die "volle Antiaging-Wirkung" ja nur sehr schlecht messen kann, also sind die generellen Empfehlungen die einer täglichen Anwendung. Es gibt aber auch Stimmen, die sagen, ab 3 mal pro Woche steigert sich der Benefit nicht mehr stark, dass wäre auch schon ausreichend. Im Endeffekt muss da glaube ich jeder seinen persönlichen "sweet spot" finden, ich bin zufrieden mit 4-5 mal pro Woche.
@@DoctorAnne ja das denke ich auch. Werde es mal beim nächsten arztbesuch ansprechen und hoffen dass ich es mit 39 verschrieben bekomme😀. Lg
@@snesha7739 Pass auf, dass Du kein Adapalen bekommst, das nehmen viele lieber, weil es weniger Irritationen hat, aber die Antiagingwirkung ist nicht so gut belegt.
@@DoctorAnne ooh gut. Ja danke für die info. Lg
@@DoctorAnne was denkst du über das tretinoin von louis widmer mit Harnsäure. Das bekommen hier viele verschrieben weil das angeblich auch weniger reizt? Wenn du es kennst. Lg
What should l do if l get blistering, crusting?? I hv stop fr 20days nw, still dryness, itchyness & irritation. Can u recommend anythg to heal it?
You should see your prescribing doctor.
Thank you Doctor Anne--this is very helpful.
You are welcome. Do you use a retinoid?
@@DoctorAnne Yes, tretinoin .06%--starting at 3x/week--redness around nose/mouth.
@@juliemann3243 That nose/ mouth area is always the first to show irritation.
Doctor, is it alright to continue using 0.1%adapalene fr months or years without any break? Does skin develop any sort of tolerance to it over time?
I am 22yrs old. Though hormonal acne and stubborn comedones are my major concerns I do have fine lines on my forehead (even after drinking 2.5-3ltrs of water/d.
Could you guide me please.
You don’t need a break and you will not get tolerant to it. If you feel it isnt doing enough for the acne, I would suggest seeing a dermatologist to develop a strategy for you individually.
As for the fine lines, drinking will not prevent them. Sunscreen and hydrating skincare as well as an antioxidant are great at your age, but these will not prevent fine lines from appearing over time. They are perfectly normal.
@@DoctorAnne thankyou ❤️ xx
@@ReethuVincy22444422 You are welcome.
Hi
Do you consider that retin a i to be the best antiaging skincare if tolerated well?
I consider anti-aging to be a multistep approach, but sunscreen and retinoids are among the top things I would suggest.
@@DoctorAnne Thankyou for the prompt reply.
@@sha8392 You are welcome.
Why does my face is darker while using tret, like a tan dark with red shade. I am using my spf always
Maybe you have an irritation - I recommend you talk to your prescribing physician about it.
Thank you so much for your indications. I just started Retin-A 2 weeks ago so your recommendations will be so helpful.
One question . Can I put retin -A on my neck and chest ? And hands ?
Thank you so much
Yes, you can - in theory. It depends on your individual skin. I personally can‘t, as it is too strong, but others can. You will need to experiment a little.
@@DoctorAnne Great I will start tonight! Thank you for responding .
@@sharondamongeot1439 You are welcome.
I used Retin -A twice and it dried up as lo my blackheads that I literally just buffed gently with a dry towel and they all came off ! My face looks so much cleaner already !!!!
@@sharondamongeot1439 Just make sure to go slowly so you don‘t get irritation.
Hello Doctor Anne. I have recently been using the Bioderma Sebium Global in my skincare routines once a day but i was thinking of starting with tretinoin for my skin and anti againg. Is it okay to use both the products together on different days or should i only use any one first. I has moderate acne issues and my dermatologist had prescribed me adapalene few years ago. I couldn’t continue with it after 3 months because of the major side effects. Should i start with a retinoid again or first just use bioderma? Requesting your help.
And i ask this because you said i should not mix actives together. And also i have quite an oily skin.
Tretinoin has more side effects than Adapalene, so I would recommend you try Adapalene again if you want to introduce a retinoid. If that is to strong for you, try a retinol. If you go the Adapalene route, I wouldn´t recommend pairing it with the Bioderma Sebium in the beginning, as that one contains Salicylic Acid, which might increase irritation.
Doctor Anne Thank you so much for explaining it so nicely. I would definitely try retinoid once again and do it correctly this time. 🙈Thank you for your help. You are too sweet. ♥️
Doctor Anne Also one more question. If i start with adapalene should i switch over to tretinoin after some months for anti aging benefits? As i want to include it in my regimen for a longer time.
@@ishikadikshit9189 Wait at least six months before you switch and only do it if you get along with the Adapalene very well.
Ma'am do we have to wear sunscreen every two hours even when we are at home, is it enough if I stay away from windows n apply sunscreen indoors only once please do reply me ma'am.
There are several factors going into that, like where you live, if your skin is especially sun sensitive or if you suffer from hyperpigmentation. But while I wear SPF every day, even if I am inside the house, I personally do not reapply if I don't leave the house.
@@DoctorAnne thanks for ur reply.
@@amrinshehnaz3094 You are welcome.
Muchas gracias por los subtitulos y por la informacion
You are welcome.
Hello Doc can I use The Ordinary 10% niacinamade with zinc while using retinoic acid cream?
Yes, I like to pair them as well.
Hi doc I really like your videos coz it is very im formative😊 Recently my derma prescribed me benzoyl peroxide for morning and tretinoin for evening is it safe to use them daily? I didn't start to use them coz i'm still thinking if they will both work on my skin type
I think if your dermatologist prescribed them, you should use them. Your dermatologist is an expert and he has had a look at your skin to judge what works best for you.
@@DoctorAnne okay doc thank you so much😊😍
@2:15 how to wash face gently if the sunscreen you have use during the day is water resistant?How to get rid of that sunsblock creme before applying tretinoin?
Use an oil based cleanser, that will break it down without scrubbing too hard.
@@DoctorAnne thank you
@@cloverajazz6743 You are welcome.
A cosmetician told me to never use retinol with a product that contains water as it would irritate more. Do you have a view on that?
Most retinol products do contain water in their ingredient list, so it is hard to avoid that. It is true though that damp or wet skin might increase irritation due to better penetration, so maybe that is what they were referring to?
@@DoctorAnne It is useful. Thank you!
@@missj.4760 You are welcome.
hi doc, i started using retin a around two weeks ago and my dermatologist didn't provided any instructions (only to use it at night). however, i started applying retin a every single day and i didn't notice any irritation. now i started purging in the spots were i saw visible pimples that have not come to the surface yet (around 4 pimples). also, around 2 days ago i started using niachimide with retin a to see id my hyperpigmentation decreases. i'm wondering if i should keep using it this way or i should change it to every 2-3 days. thank you, have a great day!
Some people don´t experience irritation, so i suggest you carry on and if the irritation occurs you dial it back and space it out a little more. Maybe you are one of the lucky ones that can just use it like this (in which case I envy you!)
Doctor Anne TYSM !!!!
Hi, so I was using differin for 4 months and I recently started 0.05 tretinoin. I’m not experiencing redness or peeling .
Is it maybe because I already had peeling with differin?
Yes, that is possible.
@@DoctorAnne ok, thank you .
Also , is it safe to use tretinoin , doxycycline and spironolactone while breastfeeding? My child is 11 months old .
@@kaykay7271 You should discuss that with your ob/gyn. Topical retinoid are cleared for breastfeeding, but anything you administer orally should be discussed with your doctor.
@@DoctorAnne thank you !
@@kaykay7271You are welcome.
Hey Doctor Anne! I just wanted to ask, is Cordes Vas tretinoin cream as effective as tretinoin from other companies/brands? And if it is written that it contains 0.5mg/g of tretinoin, does that mean that that's 0.05% of tretinoin? ☺️
It is a drug, so it underlies the same drug regulations than other brands, which is why the answer to your question is yes. If it is the perfect vehicle for you in terms of texture is another question that could affect effectiveness in you as an individual. And yes, it is 0,05% Tretinoin.
@@DoctorAnne Thank you so much! I think that the cream texture is more suitable for me because I had irritation when I used gel before (adapalene) so now switching to tretinoin it seems that cream would be better option for me
@@Nina_220 Might be. I never tried the gel version, so I can‘t say how it acts on the skin.
@@DoctorAnne Thank you! ☺️
@@Nina_220 You are welcome.
Thank you very much ,lovely lady
You are welcome.
Maam can we apply tretinon cream in summers please reply.
Yes. I talk more about it in this video: ua-cam.com/video/RkWWWLU9YbY/v-deo.html
It's helps to remove pimple spot?
Yes.
Doctor Anne do you think "Cordess Vas"has the same amount of tretinoin ingredients as others? (Retin A from Italy). Ihave never had any irritation from tretinoin, but I had some peeling from the Italian version. I miss it:)) (using Cordess Vass) thank you
There are different concentrations in the prescription products, so maybe the Italian version had a higher concentration? Or your skin simply got used to it, the peeling should always be a temporary effect anyway. The formula, meaning the other ingredients the Tretinoin is paired with, has a huge influence as well.
@@DoctorAnne Thank you for your answer Doctor Anne. They both: 0,05%, but Cordess Vas is a "creamier" version. Also interested is it possible that it helped with my eye irritation (just by utting it on my face)?:)
@@juditkadar3975 Might be, but I would guess it was coincidence.
Hi Dra. Anne I have read reviews that "actives" such as BHA which is also salicylic acid should not be paired with retinoid, but I was prescribed by a dermatologist with a facial wash that contains 1.5% salicylic acid along with a .05 tretinoin and I have sensitive skin, just want your opinion about this. Thank you.
My opinion is usually: Listen to your prescribing doctor, they know your skin better than a random person on the internet. But using a wash-off product is usually less irritating than a leave on, so I think you are fine using it.
@@DoctorAnne yay got it, thank u so much for your response u are such a big help more power to your channel!
@@liliandy9821 I take all the power I can get. Have a great day.
Hi, Soo i use moisturizer then tretinoin and end it with sunscreen ?
You should use your Tretinoin in the evenings, so no need for sunscreen. That is for the mornings.
hi ..... very nice video ... you answer all my question which were in my mind... one thing i couldnt understand ... can i use niacinamid ?? during first 6 weeks of using tretinion??? can you plz clear it??? i have niacinamid powder by ordinary .. if i use it in alternate nights not with tretinion but separately . it will helpful ??? plz guide me
Niacinamide usually helps tolerate Tretinoin better, so yes, you can use them together.
can I use 1 drop of glycerin mixed with retinoid to make it more spreadable. thanks again
Yes.
How can i buy this stuff, Doctor?
In most countries it is a prescription.
Thanks Doc, really like your soothing voice and your gentle way towards Yourself!
Thank you - I never thought of my voice as soothing, but you are not the first to comment on that.
Hi. What is your recommendation if I am doing laser hair removal. Should I stop the laser if i want to use retin A
I would recommend you talk to the people at the place you go to for laser hair removal and your prescribing doctor about that. In general you should be cautious with combining them though.
@@DoctorAnne they recommeded to stop the treatment minimun one week before and after the laser session.
@@videoclipman So I guess there is your answer. How many laser hair removal sessions do you have left? Maybe it would be wise to start your RetinA afterwards.