TIP FOR 2022. START using a retinol and STOP looking in the mirror every second EXPECTING overnight results. 2 years in and my skin texture is as smooth as butter.
Don’t look in the mirror take good well lit photos and look at them in 3 months and wow will you see a difference. I am 54 and started this journey at 52 the morning before I started took pictures and even just using .004 Tretinoin from Curology for 30 days saw remarkable difference. Now up to .07% and it is amazing to look back at the 1st pictures and compare every 3 months
@@i.c.4095 Hi there I started off with differin gel over the counter for one year. Now I’m on 0.025% prescription strength. Also sunscreen EVERYDAY regardless of whether you are indoors or outdoors. Start off slow. No need to rush it will take its course and work. Allow the shit phase to happen. It will subside. Remain positive and just think of the great things that will come with it.
Best thing she said “don’t go to the internet and ask bunch of influencers on what you should do”. 😅. 💯 agreed. Everybody on social media is a skin care expert all of a sudden 🤔
I remember when I was 3-4 months in using tretinoin, I really really wanted to give up, I was so sad about my dry, flaky skin, when I smiled I had fine lines around my eyes which I neved had before... my skin looked so much worse than before. Now at year 3, I am so so so glad I didn't give up🙂
Omg this comment saved my worries. I just started back up on tret. I stopped for many years bc of having a baby and bf. So I'm seeing fine lines I didn't see last month. So I'm hoping this is just temporary. 36 female.
1.Gotta use it a long time. 2.use more moisturizer. 3.Use consistently. 4.hyperpigmention needs more time to reduce.5. Big pores need more time.6.Acne is gonna get a bit worse then clear.7. Looking oily? Get a gel form of the retinol.8.Retinoids help reduce of sun damage.9.The better product is prescription form.10. If you have stubborn acne u may need additional prescription meds.
I find that the older I get, the more consistent my skin care routine. At 30 I was sporadic. I didn't get any lines and wrinkles until it hit 52, and it really made me find ways to be VERY consistent with my skin care and I've seen a big difference in the results to my skin. Even if one is tired, set alarms and reminders if you need to, but be consistent and don't skip nights and days no matter what... I've had results from lower strength retinols, so I am gradually upping my strengths. I know results will take a lot of time, so I keep a journal with photos. To be honest, without that journal, I wouldn't really know how much better my skin actually has become. Great video Dr. Dray
Yes!! Consistency is key! I turned 60 last September so I was one of the kids at the beach baking in baby oil, we just didn't know how bad it was for us!! In my 20s I had cystic acne which left very minimal scarring. Luckily I don't have any damage or skin cancer from the sun. I have tiny lines for crow feet and smile lines but other than that my skin is in great shape because I'm consistent with my skincare. Keeping a journal is a great idea!!
My dermatologist told me that, for aging purposes, the Tretinoin 0.01% is better that the Tretonin 0.1%. The higher dose just gives you more irritation. She said consistency is the key and at one year out you can’t tell who used what. Having said that, over the counter retinols will be just as useful as prescription the longer you use it
Early in 2021 I was going through the worst, sudden spout of acne in my entire life at 23 and for months I convinced myself that NOTHING was or is ever going to work. It’s been a little less than a year and I’m so glad I made video diaries on my phone of my skin progress because whenever I feel like my skin isn’t getting better or my products aren’t working, I look at them to see where my skin was months ago and it makes me calm down. Patience is a virtue.
I used to apply retinol right after cleansing my skin but even after 1.5 - 2 years later, my skin was painfully red and burning all the time. I changed the routine and started to apply ALL my skin care products first (serums, lotion, etc) then retinol as my LAST STEP, and now, I am enjoying the anti aging benefits of retinol without the burn and unsightly peelings.
You should do the sandwich method. Do what you have been doing then moisturize, retinol and moisturize again. Really helped me with dryness. And I don’t use retinol daily.
@Jojo Moa i have oily skin Started using tre 0.025 since 2 months only to reduce open pores instead got many as within few min of tretenion application my skin is becoming too oily tried with many moisturizers cerave simple excela aveeno skin relief cetaphil lotion dot and key probably i should find a gel kind of moisturizer at the same time moisturising enough... Guilt of too much should have been happier with lesser open pores dont know will tre recorrect it or not
I think a big reason why people think any particular product or ingredient isn’t working is because they’re not tracking their progress in a more objective way. I never took before/after photos until I started tret with Curology, and WOW did I see a difference after a few months. But I didn’t really see that difference in the mirror, only in the pictures. When changes are gradual, you just don’t see them as easily unless you can compare the before and after side by side.
These are common concerns from our teen patients when using tretinoin, and I thank you so much for the very thorough explanation how to answer each of them. Sending this out to our whole pediatric group! You're amazing.
@abartha2010 hi Can you please elaborate she told for tretinoin causing the skin tone to get darker. My skin tone has gotten 2 tone darker since I’ve started using tretinoin.. I am a brown person.
My 40 year old skin was so used to AHA/BHA that it was just a simple two week adjustment when I started retinol. I stopped all other resurfacing and used only retinol. I had some purging and some slight redness and tightness on my cheeks but with adding a heavier moisturizer cream that is focused on barrier health and incorporating a cleansing balm I was set to go! Don’t give up ladies and gentlemen retinol is amazing stuff and it was definitely the one thing that was missing from my regime. Consistency is key with skin care
Honestly vitamin A derivatives have been THE best thing I've done to my routine in terms of anti-aging. Tretinoin for my face, Neutrogena Rapid Wrinkle Repair for my neck. You have to get through the retinization process, don't give up! Moisturize constantly!
I am 64 years old and I started using full strength prescription Retin A when I was 34. I had sun damage and I was concerned about the fine lines. Now at my age, I do not have a single line or wrinkle anywhere on my entire face. The dermatologist said I have the skin of a 15 year old.
I am 34 now and just started using Retin A (been using sunscreen religiously for some months now but normally I just avoid the sun anyway). I thought I might be little late.. You are giving me hope! :) (Not that I had any bad skin issues or major signs of aging by the age of 34.)
@@Lexis001 I am 34 too and just started 3 weeks ago. My skin is already in great condition and hoping to just keep it there long term! My skin seems to be tolerating it well so far
People generally want "now" results, whatever the active. I'm 49. Thanks to my longtime dermatologist who taught me patience and consistency my skin is healthier than in my 30s. Wouldn't change my healthy skin for any "wonder" instant results serum, active, high percentage of anything. Thank you for educating people on that!
Thank you Dr. Dray! For the last 12 months I have been using tretinoin on a nightly basis over my night cream & have noticed major improvements to my skin. I am now 43. My forehead lines have diminished, my laugh lines are now non existant & my undereye wrinkles significantly reduced. I apply a small amount of vaceline around my eyes prior to applying tretinoin & enough still penetrates the area without the dreadful dryness. First thing in the morning prior to washing my face I also apply a few drops of Argan oil to my face & softly massage in circular motions & it removes any flaky/dry skin without having to mechanically exfoliate. Every second day I do use a chemical exfoliating, Glycolic acid & the dryness is kept at bay. It has been a trial & error journey for me but I've reached that sweet spot. For anyone on the journey struggling with dryness & flakiness, I can assure you, it will improve, stay with it, it's just finding what works for you.
Is your tretinoin prescription ? I would like to be able to try that. Right now I’m using La Roche-Posay Effaclar Adapalene Gel 0.1% now up to three times a week at night. I hope to get to a daily PM routine . I’m taking it slow .
@@akhiker01 I started, twice/week & worked my way up to every night. The quantity also makes a big difference on the tolerance. You really only need a small amount to see results & a reduction in dryness allowing you to be able to use it more regularly. I use also use it on my neck & have had no reaction. Yes mine is prescription. I live in Europe & luckily the price is very reasonable for generic tretinoin, €3.50 for 30ml compared to the astronomical prices in some parts of the world. Good luck
After years of using tretinoin, I still don’t use it daily. Probably every other day in warmer months and every third day in winter . At 56, I get a lot of compliments on my skin, so I guess it’s working :)
In the last few months, since starting acid washes and Differin, I've noticed more obvious pores. However, I think it's because my skin and pores are cleaner, hence more obvious. Now, some of my older, thick skin has now begun sluffing off. The skin and pores underneath looks so much better. Thanks for your encouragement to continue!
Hey dwohio ,I have just started using tretenoin 0.5 percent .I use it on Fridays and Tuesday. Almost 3 weeks now that I have started .I am glad that I didn,t experience any purging uptill now but I think my pores have gotten bigger.i never had issue with pores before .and I don,t want them whatsoever .I kinda want to quit but knowing how beneficial it is long term I want somebody to encourage me to continue its use especially someone that has faced the same problem like me...
Great video Dr. Dray! If I didn’t follow you I would have such different expectations for skincare products and probably do a lot more damage trying to find a bunch of different things.
Good morning from NY. I have Tren. 0.5 Do I put Tren on first? Or does a moisturizer go on the face first? Thank u. My face is white and peeling after I wash everything off. Thank u for any help. Be well. Edit:Just came across ur vid which says moisturizer first. Thank u very much!!! Appreciate the advice
I started using retinol, 0.5% from SkinCeuticals, a week ago. A lot of skin irritation especially around the chin, mouth, and nose area. 😢 Today, I reapplied the retinol for the second time. After, applying it, I cut fresh aloe vera and smeared it all over my face to act as a natural moisturizer. My face feels great and def loves it. Hardly NO irritation. Do try!
Dr. Dray looks glowy 😊and healthy in this video. I don't typically like to comment on appearance but this time decided to comment because on the surface she looks like she's thriving more at this time in her life than In her other videos-really stood out.
I've been using Retinol for two years strike with Cerave Moist, and be consistent with sunscreen too, and it works. 32 years old with no wrinkle, well I do have one line because I have dark circle eyes. Other than that I'm glad I found this channel two years ago. Lifesaver!!!
So helpful Dr Dray. I’m two years into the retinoid journey and have only just started the 0.1% tretinoin dosage. I started with Paula’s Choice 1% retinol, then OTC generic adapalene, then 0.025% tretinoin, then 0.05% tretinoin, and lastly 0.1% tretinoin . Several months at each stage. This is a marathon, not a sprint!
How often do you apply Tretinoin ? I use a 0.1 strength 3 times a week. I’am wondering if I should do it everyday to to better and faster results. It can be very drying tho.
@@joelfelix3914 I use it about 5x per week and have the prescription cream version from Costco pharmacy, which I find pretty moisturizing. I think increasing the dosage and frequency very gradually over a long period of time is key. I do also use moisturizer over the tretinoin in the winter months.
@@MyMaria1224 I use tretinoin about 5 nights a week. I use either Differin Restorative Night Moisturizer or Paula's Choice Omega+ Complex moisturizer over the top...they're both very nourishing.
Good morning Dr. Dray, after watching your videos I have been very diligent applying sunscreen. Thank you for making these videos!! So glad I found them😊
@@DrDrayzday I've been going between retinaldehyde, retinol and adapalene, depending on availability, but I have been constant in my daily use. Moderate acne gone, smoother healthier younger skin.. but after more than half a year there's a bit of a plateau. I mean, it won't make me into a fetus again LOL People have to be realistic as well. I think I'll have to settle for maintaining the results now. I also ordered a body retinol from iHerb you haven't mentioned, so I'm a bit suspicious of it. It's called Medix Retinol and Ferulic Acid. The Advanced Clinicals had a very thin consistency so maybe this one will be better for me during winter.
Thanks Dr dray I was so scared that tretinion was causing me to age faster I'm so glad you said that because my wrinkles are the only reason in using this treatment
Ive been on tret for 6 months and started to see results recently after i added azalaic acid to my routine. Patience is key! My acne heals very fast and the texture i had is almost gone
I definitely second reason #10! I'd been using prescription tretinoin (with increased dosages) for a couple of years and I thought it was working fine. Then during my regular follow-up with my board-certified dermatologist, she thought I could do better and switched me to prescription trifarotene. WOW. It was like the effect was put on hyperspeed--in 1 month I got the results that took me 3 months on my previous prescription retinoid, and well over a year when I wasn't using any retinoid at all. Granted, I also started getting irritation around the nose and mouth, but I used the Dr Dray trick of applying the retinoid over a thin layer of moisturizer (thanks, Dr Dray!) and it worked like a charm! I can't wait for my next appointment so I can wow my doctor as well. 🙂(Mind you, I'm not saying trifarotene is better than tretinoin--every patient is different and some prescriptions work better on some than others.) I feel like I tried every trick every skincare influencer all over the world had recommended, and not a single one got me ANY results until I started seeing my current dermatologist. There's a reason they spend a decade of their lives in school! Even she's been amazed by how much my skin has changed since my first visit. I know not everyone has the option to see a great dermatologist, nor are dermatology prescriptions (topical or systemic) easy to pay for, even if you have good insurance. But mine was worth every penny and every sacrifice. And, for me at least, cheaper than spending hundreds of dollars on skincare. Now if only I could buy the sodium hyaluronate lotion that came with my Nicaprin in a store, I'd be all set!
you are funny, your doctor put u on Trifarotine ..it is the highest dose of Retinol .. if u use low dose, it takes 3 months for it to work ..if u use high strength, it takes 5 weeks.. that is why u see the big different ..u need to learn the strenght of retinol ..
Very informative! I’m in camp “I don’t see any difference” (using it for anti-aging). I’ve been using it for a year but will keep on doing it. Thank you!
Same here. I began with .025, then .05. I've been using .1 for about a month. Not sure I see any wrinkle improvement but will continue using for the other benefits. Who knows, maybe I will start to notice a change soon.😊😊
Keep going! I experienced everything she talked about. For anti-aging its a life long commitment but worth it. Im on year 2 and finally seeing some small but noticeable improvement. Youll thank yourself in ten years😁
I stopped tret 0.05 a year ago because it made my eye wrinkles worse and some online 'expert' said to stop and let my skin heal, and it stayed sensitised until recently. I wish I'd kept going, I'll get back onto it but kaybe just 0.025. Thank you Dr Dray!
I have a top tip for you if you are suffering the dry skin and flaking which you dont seem to be able to get past. I was really struggling with this for a long time and nothing seemed to help. Then i started to use castir oil as the kast layer in the sandwich method. No more dryness or flaking. You can mic the castor oil with a less thick oil to help it absorb but it has truly nade all the world of difference for me. Hope this can help someone out there 😊
Have been using precribed trentinoin since in my 30's,now 65 and only in this last year have all my wrinkles showed up! When Covid started I stopped for 6 months and my skin thickened and stated getting acne back so now back on a rigid regimen! Yes it works! I use a Cerave night moisturizer about 2 hrs before application,pea size to help with irratation.I hate sunscreen but force myself to use it in Fla.
Also, Australian Gold Botanical Sunscreen Tinted Face BB Cream SPF50 Mineral, available on Amazon, is a dream. I wear the Fair/Light. Love it...holy grail. I'm in Florida as well. 🌴
Use Trentinoin not just retinol for acne. And use altreno for irritation and hyperpigmentation use triluma for hyperpigmentation. Use ceraphil clay mask for oiliness
I was reading Dr. Ben Bickman's book Why We Get Sick. He says that every person with acne has higher insulin levels than every person without acne. So I went keto and boom! Acne that has plagued me for 20 years gone. I threw away my spironolactone. I do not have diabetes, and my glucose was always normal. My C peptide prior to keto was 1, which is normal, but dropped to 0.6. Now no acne.
I had been using Olay Retinol 24, not seeing much results, but it hasn't been 3 months yet. I don't have any wrinkles, but I have a light case of melasma on my forehead that I am desperately trying to get rid of. Be sure I won't be out in the sun this summer and I will make sure to wear a cap or something at all times. And of course, suncream. :)
I absolutely love your videos. You are such a great source of information. I found you during the pandemic and I can’t stop watching your videos. I have learned so much. No one does it better. I love your honesty and knowledge. Thank you!
I'm thinking maybe taking a before photos of your face can help too. If changes happen gradually you may not notice those changes and assume nothing is working. Even a 20 percent change could be noticeable if someone hasn't seen you in a few weeks.
This video was really helpful. I'm only able to tolerate Tretinoin 3 days a week, and haven't noticed much difference in the 2 yrs I've been using it, but I'll keep the faith and continue my usage. Hooe 3 days a week is enough.
I am fair skinned (really fair) and have sensitive skin. I was successful in adjusting to Tretinoin only by going very slowly. I used one night a week the first month, two nights the second month etc. I still got dry and flaky but preserved. I am glad I did. I now use Tretinoin six nights a week, one night I just cleanse and moisturize. I’ve been using Tretinoin 0.05 for three years now, have seen good results but it took a long time before I saw any results at all, about ten months.
I used Retin A for many years and it worked great for decreasing the appearance of wrinkles or actually got rid of some of them. I had 3 fairly deep lines across my forehead and over time they disappeared. However after menopause, my skin became more sensitive and I had to cut down on the frequency. I found a new skin care line back in 2017 and it works great and doesn't irritate skin.
I had severe acne. I have been treating it for 1 year. At first I started with benzoyl peroxide(evenings), then I switched to salicylic and niacinamide serum in combination.(mornings) For 1 month, I included retinol serum in the evenings with niacinamide, and in the mornings I stayed on salicylic serum and niacinamide serum. while I'm applying it, it has an effect, if i stop, the acne appears. that's why I don't stop, I have an established habit. I'm satisfied with the result I achieve.
Hey Dr. Dray! Great video, I’ve always wondered about why retinol doesn’t seem to work for me - it turns out I’m just a really impatient acne sufferer. Have a great rest of your week
there are many strengh of retinol..if it does not work then tell your doctor to put u on Trifaretone bc it is the highest strengh of retinol .. there are 4-5 strengh of retinol ... u want to start low strengh first ..if it does not work then use high one
I have a very oily skin and this is my routine: Night 1. Cerave Foaming Facial Cleanser 2. Differin Gel Adapalene 0.1% 3. Cerave PM Moisturizer Lotion Morning 1. Cerave Foaming Facial Cleanser 2. QuickFx Sunscreen Am I doing it correctly? What can I add on my routine to improve my skin texture and hyper pigmentation? I have acne for 12 years so I'm suffering from scars and large pores.
I bought the Cerave resurfacing retinol serum. I don't think it claims to help acne, but actually pih. I didn't get it to use as my long-term retinol, but as a first step bc it seemed gentle. I think it's done that pretty well so far Thank you for the video. It was very informative and helpful!
I started with Neutrogena Retinol Pro 0.3% night cream 5 weeks ago and love the product. I am 42 and use it only at nights. I notice that when I apply under my eyes it will cause minor dryness or more visible wrinkles, so I apply an eye cream first and then I use the retinol in the rest of my face, followed by a Cetaphil moisturising cream. In just 5 weeks I notice my skin looks amazing, smooth specially on my cheeks close to the bone, pores are definitely smaller, and there is an even skin tone. I am so in love that I also started to apply to my hands and neck, on my neck though I can only use 2 o 3 times a week.
This is such important info on how retinol works, and I think applies to most skincare ingredients as far as being patient and consistent with use. Thank you Dr. Dray. 😊
I just started tretinoin a month and a half ago. I started at every 4 nights, now I'm every other night, and I'll just stay there. My doctor drove home the take your time message. More is not better, and don't expect dramatic results overnight like I get from botox and Filler. I take pictures to show progress. I find that helps a lot. I'm able to see results that otherwise I may not have.
Very informative and I just want to add to the commentary from the perspective of years of usage of retin A. I’m 67 and started using Tretinoin cream at age 55, prescription strength starting lower, graduating to 1% strength. I’m Canadian and it’s cheaper to buy RX strength here rather than from some cosmetic company at the lesser strength. Bottom line, I think Dr Dray is right, even if hard to accept, that over time it makes a difference, my 34 year old daughter has made the comment that I have fewer wrinkles than she has which has started her on the path of also using it! If you live in Canada and have extra health care coverage, the cost would be covered but not sure about the US?
My derm added winlevi in the AM because the tretinoin wasn't taking away all of my acne. It's been pretty great as far as getting rid of hormonal breakouts. I'm not a fan of how thick it is (its hard to put sunscreen on after without streaks), but it doesn't lower my blood pressure like spironolactone did, so that's a win. She told me that I had really nice skin otherwise, and I said that your channel is the reason 🙂
I'm on my 5th month of differin's adapalene, and all my comedones/ acne is cleared! I haven't had any lesions in months! Thanks to your advice, I'm very grateful. After so much disappointment in the past, I've had doctors trying to treat my acne with vitamin c supplements! With very expensive peels! With differin as a spot treatment! Azelaic acid, microdermabrasion .. you name it.. nothing worked. But definitely adapalene or tretinoin (not an otc retinol) used all over and consistently is the true magic. Please keep on educating yourselves you guys, and don't lose hope. May God protect us from any scammers in the way. :) Ps: hydroquinone 4% is working wonders on my hyperpigmentation ;) . So happy! Thanks again.
Yassss, girl!!!! YAAAAAS!!! That' s the story of my life. I am sooo glad to read your journey 🖤 You didn' t give up in spite of the desperation we feel sometimes. Enjoy your ✨skin and have a healthy and blessed life 🧛🏻♀️🖤
@@jaymichan5766 hey Jay, I didn't experience any hair loss. The best way to treat hair loss is by getting the right diagnosis. & Trust me it could be treated.
It took a year for me to see results but I had realistic expectations. I have no regrets, it is just amazing! And I love that my skin is not that oily anymore.
@@mmariabd Salut! Nu as recomanda ce folosesc eu pentru ca sunt cam inconștienta si puțin sărită de pe fix :)) am folosit Tretinoin gel 0,1%, deci concentrație foarte mare. Nu e o marcă anume ci Tretinoin simplu cumpărat random de pe net. Am inceput de două ori pe săptămână. Acum am ajuns la o zi da, una nu. Folosesc cam o picătură cat un bob de mazare pe față si una pe gât si piept. Dar, din nou, nu iti recomand sa faci asta. Am avut multa răbdare si noroc ca lucrez de acasa pentru ca o vreme am aratat oribil. Si se si cojeste pielea ceea ce e destul de vizibil când porți fond de ten. Eu nu prea port dar si cand o fac e ciudatel cum se vede. Hope that helps :)
Mersi! Eu am folosit Mask gel, tot asa, in cantitate mica si doar o data pe saptamana si imi ieseau niste cosuri uriase sub piele extrem de dureroase, de-mi amortea jumatate de fata de durere si am renuntat sa mai folosesc in cele din urma
Also--Dr Dray, I'm so glad you mentioned retinoids/retinols can unmask dermal pigments. I'm finding this is happening with me in the thinner skin at my temples. Does the retinol eventually get rid of the dermal pigment or is there something else we need to do? I've just been diligently applying sunscreen over it and hoping for the best.
Brightening face masks have really helped me with hyperpigmentation. I especially like kose clear turn vitamin C whitening and jayjun baby pure shining mask. There are others but these 2 I see a difference right away.
One year qui ne retinol after my skincare routine and I am not using make up anymore. Suffered from acne when I was younger, and now my skin is smooth and the pores reduced. Thank you so much 😊
Dr. Dray, thank you. Question…which is stronger: The Ordinary 5% Retinol in Squalene or The Ordinary 5% Granactive Retinoid? I seem to read conflicting information. Thank you!
Absolutely love this, and many of your videos. I have been watching, so EDUCATIONAL.. TY...I have been just using an over the counter retinol for about a month in a half and have just gotten up to doing it 4-5 times a week. I had to take it REALLY slow, and I am glad I have. However, so far so good. My skin has been extra smooth.
Dr. Dray, thank you!!! My skin looks the best that it ever has, and that is greatly thanks to you and your informative videos. I was using Vanicream, Squalane oil and mineral SPF 50 sunscreen, but recently I added Differin to my routine, and it has been a game changer for me. My skin texture has been much smoother, even and hydrated; even my expression lines on my forehead and smile lines appear less deep and obvious. I used to feel like I had to wear foundation or powder daily, and lately, I rarely ever do. Thank you so much for everything you do. You really are out here changing people’s lives and boosting people’s confidence. 💗
@@coffeegirl697 Hi! I use the Banana Boat BABY Mineral Sunscreen. I saw somewhere that it’s formulated for babies so it’s safe for the sensitive skin on our face (I might’ve heard that from Dr. Dray herself, actually. I can’t remember.). It can definitely leave a white cast if not blended well. I have a lighter complexion, so if I take my time and blend it really well, it doesn’t leave a white cast on me. I apply my oil and moisturizer first, massage them into my face, and while my face is still somewhat slick, I apply my sunscreen. Alone, it can be hard to rub in. I’m not sure if it’s the best routine, but it works for me.
@@jaymichan5766 Hi! I’ve been using it for about 3 months, and thankfully, no. I haven’t noticed any increased hair loss or thinning. I looked it up just now, because I didn’t realize that was a thing, and it seems that those that have experienced hair loss were using tretinoin or accutane. I also read that taking Vitamin A supplements while applying these topically could be the possible issue. But as I mentioned before, with Differin, I haven’t noticed increased shedding/hair loss. I apply it every other night and only a tiny drop, because Dr. Dray said in a video that a little goes a long way.
Hello. A subject rarely addressed: After a longer period with use of the same percentage of retinol, with good results. Can I continue using the same percentage ? Or do the effectiveness fade and I need to switch to a stronger one for maintaining these ? Thanks in advance for your answer.
the efficacy doesn't really "fade". the common advice to start low is mostly to avoid unnecessary irritation. if you use a low % and find that your skin tolerates it, you can up the dose if you so choose. i used to use 0.1 adapalene for half a year and experienced no irritation or even any changes so i changed to 0.1 tretinoin. it has worked wonders for me after using it nightly for 2 months.
I use hyluronic acid while the face is still wet. Then apply niaminicide. Then use a mister to mist my face really good with purified water. Immediately apply my oil. Then mix my tretanoin with my moisturizer lotion as the last layer. Then use the mister as needed before bed. My skin never gets too dry or peels too dramatically. 2 years and my skin looks amazing. 42 no wrinkles at all.
There should be more awareness on what you CAN'T do while using retinoids! 😩😩 Unfortunately I waxed my moustache 2 weeks after starting prescription Epiduo (adapalene with benzoyl peroxide) and I reaped off all my skin! Now I am suffering in 2nd degree antibiotics burn cream... 😭 I DID NOT KNOW THIS! My doctor did not warn me, and I watched so many videos about retinoids like this one to be prepared but nobody talks about this!! But if you search for moustache wax burn you will see that all the people with ripped skin had this issue because they waxed when using retinoids... I waxed my moustache every month for 8 years by myself with the same brand of wax strips and never had any problem until I started Epiduo....
Since I have been using Tretinoin.consistently for over six months, my skin doesn’t look dull. I use it after I apply my moisturizer, I wait a half hour & then apply the Tretinoin. My skin looks dewey. I’m pleased & have begun using it on my chest which is sun damaged. I’m hoping it I’ll even out the skin discoloration.
I have been using curology for 3 years. As I look back over the pictures it has really made a difference in my aging skin. The texture of my skin is alot better. I use it every other day.
I’m not a slacker! I’ve just started applying for acne (still at age 52😫), I’m on day 17… my breakout last week was the worst I’ve had in a long time BUT I’ll continue because of your advice. I’m hoping the reaction means it’s working. 3 months seems daunting but I’ll keep at it.
Don't know what is going on in this video but you look absolutely lovely. Maybe the light, filter, makeup, I don't know! The ear rings also are a lovely compliment. Been watching and following you for years for no nonsense skin care. And I appreciate your down to earth personality. Don't change!
Needed to hear this, I’ve been stressed over my skin breaking out more than usual :( I feel like got consistent with my tretinoin recently so maybe it’s the purging like you say, but going to dermatologist to bring up concerns as I think I’m passed that 4-6 week mark that you mentioned.
I have been using retinA 0.01% for the last 30 years every night. I live in Miami my dermatologist Dr. Leslie Baumann recommended to slow to three nights a week. I love the way my skin looks. Of course there are pores but I can’t see them. No I don’t have wrinkles around my eyes. And my skin has a glow that I love. I never had acne. And I use the cream. Thank you for this video.
I tried prescription retinoids some years ago, and some over the counter options since then. But even though I see some good results with texture and acne, it's just too sensitizing for me. I tried everything - spacing it out, trying gentler formulations, buffering, you name it. My skin feels super sensitive for days after application, even after months of consistent use. I recently stopped yet another vitamin A product. I'm thinking of trying some laser treatments for redness and broken blood vessels on the off chance that it will make my skin less prone to stinging and flushing from retinoids in the future.
Just don't stop! I'm not lying when I say it took my skin almost a Year and a half to be able to tolerate it AT A LOWEST DOSE!. just recently I've been able to upgrade to 0.1 and this has been almost 3 years in making 😵 I'm 43 and people can't believe my age. Another thing I've noticed is that I don't have the extra skin in my eye folds like other women my age (or my family members). My daughter few weeks ago said mama you have abnormally big eyes and I know it's because of the tretinoin. I use it all over my face and my hands. Recently I started triluma and I alternate between that and tretinoin 0.1 Good luck to you and don't give up!
@@sslilac Thank you, I'd love similar results one day. But I'm not sure what else to do. I start off great, but after a few months, the burning gets so bad that sometimes I can't even focus on what people are saying to me. And this is even with OTC products. I quit 2 weeks ago and my skin finally looks and feels good. My last resort is the Good Molecules retinol, which many sensitive skinned people seem to like.
@@MariyaMagija Ohh if you ever do try a retinoid again, maybe try putting it on top of the moisturizer right away before it dries. Even though this could reduce penetration, it might help the skin get used to it. Also how often were you applying the retinoid? Once/twice a week may be the way to go for you indefinitely, instead of slowly doing it daily. Or maybe your skin just can't tolerate it which would be okay too and you could try other retinol alternatives if you want :)
I heard of a derm who refuses to prescribe retinoids. he suggests to use glycolic acid instead. I think retinoids have become so mainstream and oversaturated on social media we only hear the positives but im sure there are many negatives that are probably not studied yet. My skin is better off retinoids than on despite following rules.
My results with tretinoin 0.1% got progressively better after the first and second year. I really noticed a jump by the end (where I'm at now) of the 3rd year. Also, I put it on a damp face now at night, which made a difference. I do a double cleanse in the evening and, usually, just put the tretinoin directly on my skin after that while my face is still wet. My neck - finally - tolerates it, too, as well as the backs of my hands. (I started with 1x a week for a month; then, I went to 2x a week for a month, etc. Now, I'm at every night.)
Dr. Stefanie Kapel has said not to use that on your neck because the skin there is very delicate and doesn’t have the same anatomy (oil glands, etc) as the face. Just an FYI 😀
Wow, this was an eye opener. I've had all those complaints about retinol, but I clearly wasn't using it long enough. I need to try it again and stick with it.
Thanks for always giving us great content. I had mild acne before I began using Differin Gel. I knew what to do and what not to do thanks to your videos. However the purging never stopped. I never had acne that severe. I tried it for 4 1/2 MONTHS. Finally I had to stop. Perhaps it wasn’t purging and it was irritation. Within days of stopping the use of differin my face stopped breaking out. Perhaps I’m the very small percentage of people who can’t use it. I was disappointed because it has helped so many others. Since then I’ve been using a salicylic acid face wash in the morning. And the remaining of my Differin Gentle benzoyl peroxide face wash at night (since it’s recommended to gradually transition to new products)… and I use a moisturizer after both. It’s been almost a month and my face looks better than it did durning the 18 weeks on Differin. This was my experience and perhaps it can help someone else.
I had the same issue - I was using it too frequently, I was using it nightly. I switched to 2x / week and noticed substantial improvements in my acne (because my skin couldn’t handle nightly).
@@abbyn8179I was using it nightly, I didn’t think I would see results if I didn’t. Are you still only using it 2x a week and seeing results? I’ll definitely consider it down the line should my new regimen not work out. I’m hoping salicylic acid is my solution since it’s been working out great so far.
Thank you for sharing your experience. This is exactly what happened to my 17 yo daughter. We were disappointed since seeing so many people who had a good experience with differin.
Everyday is far too much to begin with. You should use it once a week for months. I used a tube of Differin once a week until it finished, then I switched to Tretinoin 0.025% once a week for 2 years, always on top of a light moisturizer. Only on the third year I started to use it twice a week. And always a pea size amount for face, another for my chest and “cleaning” my hands on my neck. On the fourth year I progressed to 3x week and never changed from there. Believe me, it works as it should, this is something that doesn’t work better or faster if you use too much. Slow and steady.
I had purging and itchy skin when I started. I used tretinoin every night. Now I use it every other night and it is much, much better to tolerate. And you only should use a pea size amount of the tretinoin. Sometimes I use like three pea sizes of tretinoin which is too much and the next day my skin feels itchy again. And always use a soothing moisturizer which is good for the skin barrier. I like the Beta Glucan daily moisture cream from Iunik, but on Instagram there are a lot of great reviews about the Cicaplast B5 from La Roche Posay to repair the skin barrier. Maybe that helps. 👍
I have seen a lot of improvement from tretinoin but I still get painful breakouts occasionally and a fair amount of white heads around my mouth/chin area as well as black heads on my nose and I’ve been using CONSISTENTLY for 7 months 😢 I am not giving up I will continue to use and I hope it gets better. I am going to go up in strength too
Thank you for this! I'd stopped using retinol because I felt it was making my skin look worse (after watching this, I now think I was using too much, too often) and had resigned myself to getting anti-wrinkle injections every 4 or 5 months. I'm going to give it another go now and give it the time it needs.
Really appreciate this info. I bought Differin a few months ago but I haven't used it. I'm not sure why I've been so hesitant but this was helpful. Happy Wednesday, Dr Dray! I hope you have a peaceful evening. 💖
Loved this clear, concise video. Appreciate the information that consistent use is key, and that it takes three months of *consistent* use to see results. What you say here is helpful in keeping me focused in using the retinal I've chosen to use before moving to retinoic acid, if I do. Thank you.
I've been consistent in using retinol every few days for years - and it has made such a positive difference in fading PIH and improving overall skin appearance. The effort really pays off. 🙂
I use an affordable otc retinol cream and have been for a couple years. I noticed positive changes with nightly use after a month and by two months I lost my frown line between my brows. Definitely don't give up on retinol :)
Your videos have become a daily staple in my routine. I just want you to know I appreciate your videos so much as well as your no nonsense approach to skin care topics.
I'm doing a slowly increasing retinol/ retinoid method. Beginning with Neutrogena Rapid Wrinkle Repair (retinol) for one month, then switching to Differin (adapalene) for a couple of months. And finally, starting prescription strength Tazaratene as the last stage. My derm swears by this method to gradually titrate my tolerance. It makes sense.
I agree 100% with you Dr. Dray. I use prescription Retinoid and every single outcome you have mentioned in this video has happened to me, irritation, dryness, peeling, worsen wrinkle appearance, inconsistency with treatment etc. However, retinoid works amazingly when we are patient and complaint with treatment. Changes don't happen over night and that's what people need to be aware of. This is an excellent and very informative video as usual. You're the best Dr. Dray and I am so grateful for your work on RUclips. Thank you 🌹
I'm reason #10 😔 I've used prescription tretinoin for over 10 years and initially i wasnt compliant bc of the irritation. I complained to my derm and she literally said "you've gotta get thru it". So i did. My face was red like a tomato for weeks lol! But finally my skin got used to it and my acne did improve! It just wasn't enough for my hormonal acne so now I take an oral med and still use my tret at least 5-6 nights a week. Thanks for this video 💙💜💛
Do you know what the different strengths of tretinoin are? I just started with adapalene and would like to eventually transition yo tretinoin . I’ve read start low and slow on dose . 🤷🏼♀️ someone also said you can get it a lot cheaper with script from Canada . Didn’t know insurance wouldn’t cover it if doc prescribed. Thank you !
Thank you for this valuable information! After three months I can see that my skin is healthier but I am very patient for more concrete effects on the reduction or disappearance of certain spots!
Hi dr Dray! I’m an italian medical student and I love all of your videos 😍 I wanted to ask you one thing about Retinoids around the eyes: many ophtalmologists are warning about its use because of the possibility, with ongoing use, to cause dry eye sindrome, what are your thoughts? There are also a few studies on Pubmed about this topic
I know but they’re talking about dry eye sindrome and destruction of the Meibomian glands, which is worse than just some dryness and cannot be fixed that easily, am I right?
![Felix "Unfair" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/Oswujxm2Ag0/mqdefault.jpg)
TIP FOR 2022. START using a retinol and STOP looking in the mirror every second EXPECTING overnight results. 2 years in and my skin texture is as smooth as butter.
Yes! Consistency is key!!!
Don’t look in the mirror take good well lit photos and look at them in 3 months and wow will you see a difference. I am 54 and started this journey at 52 the morning before I started took pictures and even just using .004 Tretinoin from Curology for 30 days saw remarkable difference. Now up to .07% and it is amazing to look back at the 1st pictures and compare every 3 months
What retinol do you use and do you use sunscreen daily?
@@i.c.4095 Hi there I started off with differin gel over the counter for one year. Now I’m on 0.025% prescription strength. Also sunscreen EVERYDAY regardless of whether you are indoors or outdoors. Start off slow. No need to rush it will take its course and work. Allow the shit phase to happen. It will subside. Remain positive and just think of the great things that will come with it.
@@adriannajauregui8816 did it dry you out at first? I feel like tretinoin ruined my skin 😔a year later and it still doesn’t look like it did before
Best thing she said “don’t go to the internet and ask bunch of influencers on what you should do”. 😅. 💯 agreed. Everybody on social media is a skin care expert all of a sudden 🤔
Exactly why I only get skincare advice from dermatologists only.
Hahaha 🤣
And do what, go to a dermatologist who takes around a year to get into just so they can say "yup, you've got skin, that will be $200!"
I remember when I was 3-4 months in using tretinoin, I really really wanted to give up, I was so sad about my dry, flaky skin, when I smiled I had fine lines around my eyes which I neved had before... my skin looked so much worse than before. Now at year 3, I am so so so glad I didn't give up🙂
💔
when will u get results in which month?
that's good to know bc i also got fine lines under my eyes and was very confused
@niconii3663 have they gotten any better?
Omg this comment saved my worries. I just started back up on tret. I stopped for many years bc of having a baby and bf. So I'm seeing fine lines I didn't see last month. So I'm hoping this is just temporary. 36 female.
1.Gotta use it a long time. 2.use more moisturizer. 3.Use consistently. 4.hyperpigmention needs more time to reduce.5. Big pores need more time.6.Acne is gonna get a bit worse then clear.7. Looking oily? Get a gel form of the retinol.8.Retinoids help reduce of sun damage.9.The better product is prescription form.10. If you have stubborn acne u may need additional prescription meds.
Thank you 👏
I find that the older I get, the more consistent my skin care routine. At 30 I was sporadic. I didn't get any lines and wrinkles until it hit 52, and it really made me find ways to be VERY consistent with my skin care and I've seen a big difference in the results to my skin. Even if one is tired, set alarms and reminders if you need to, but be consistent and don't skip nights and days no matter what... I've had results from lower strength retinols, so I am gradually upping my strengths. I know results will take a lot of time, so I keep a journal with photos. To be honest, without that journal, I wouldn't really know how much better my skin actually has become. Great video Dr. Dray
Yes!! Consistency is key! I turned 60 last September so I was one of the kids at the beach baking in baby oil, we just didn't know how bad it was for us!! In my 20s I had cystic acne which left very minimal scarring. Luckily I don't have any damage or skin cancer from the sun. I have tiny lines for crow feet and smile lines but other than that my skin is in great shape because I'm consistent with my skincare. Keeping a journal is a great idea!!
Keeping photos really does help keep me motivated.
I want to know ur skin care routine plz
@@reginaroza3154 what is ur skin care routine
My dermatologist told me that, for aging purposes, the Tretinoin 0.01% is better that the Tretonin 0.1%. The higher dose just gives you more irritation. She said consistency is the key and at one year out you can’t tell who used what. Having said that, over the counter retinols will be just as useful as prescription the longer you use it
Early in 2021 I was going through the worst, sudden spout of acne in my entire life at 23 and for months I convinced myself that NOTHING was or is ever going to work. It’s been a little less than a year and I’m so glad I made video diaries on my phone of my skin progress because whenever I feel like my skin isn’t getting better or my products aren’t working, I look at them to see where my skin was months ago and it makes me calm down. Patience is a virtue.
oh that relief must be so calming bc i couldn’t imagine not seeing any progress for so long
My exact process, my skin used to be crystal clear. 2 months before my 23rd birthday I started having random breakouts
i have the same problem! having the worst breakout two months before i turn 23 and i also start documenting. glad to know i'm not alone 🫶
@@booboothefool1577keep it going ❤️
I used to apply retinol right after cleansing my skin but even after 1.5 - 2 years later, my skin was painfully red and burning all the time. I changed the routine and started to apply ALL my skin care products first (serums, lotion, etc) then retinol as my LAST STEP, and now, I am enjoying the anti aging benefits of retinol without the burn and unsightly peelings.
You should do the sandwich method. Do what you have been doing then moisturize, retinol and moisturize again. Really helped me with dryness. And I don’t use retinol daily.
Which moisturizer u use with tre
Same! I apply coconut or olive oil and wait an hour at least before applying retin-a.
@Jojo Moa i have oily skin Started using tre 0.025 since 2 months only to reduce open pores instead got many as within few min of tretenion application my skin is becoming too oily tried with many moisturizers cerave simple excela aveeno skin relief cetaphil lotion dot and key probably i should find a gel kind of moisturizer at the same time moisturising enough... Guilt of too much should have been happier with lesser open pores dont know will tre recorrect it or not
@@lekhanareddy3545 it penetrates less then. rather use lower percentage
I think a big reason why people think any particular product or ingredient isn’t working is because they’re not tracking their progress in a more objective way. I never took before/after photos until I started tret with Curology, and WOW did I see a difference after a few months. But I didn’t really see that difference in the mirror, only in the pictures. When changes are gradual, you just don’t see them as easily unless you can compare the before and after side by side.
These are common concerns from our teen patients when using tretinoin, and I thank you so much for the very thorough explanation how to answer each of them. Sending this out to our whole pediatric group! You're amazing.
@abartha2010 hi
Can you please elaborate she told for tretinoin causing the skin tone to get darker.
My skin tone has gotten 2 tone darker since I’ve started using tretinoin.. I am a brown person.
@@Bh70399are you using sunscreen?
My 40 year old skin was so used to AHA/BHA that it was just a simple two week adjustment when I started retinol. I stopped all other resurfacing and used only retinol. I had some purging and some slight redness and tightness on my cheeks but with adding a heavier moisturizer cream that is focused on barrier health and incorporating a cleansing balm I was set to go! Don’t give up ladies and gentlemen retinol is amazing stuff and it was definitely the one thing that was missing from my regime. Consistency is key with skin care
Honestly vitamin A derivatives have been THE best thing I've done to my routine in terms of anti-aging. Tretinoin for my face, Neutrogena Rapid Wrinkle Repair for my neck. You have to get through the retinization process, don't give up! Moisturize constantly!
I am 64 years old and I started using full strength prescription Retin A when I was 34. I had sun damage and I was concerned about the fine lines. Now at my age, I do not have a single line or wrinkle anywhere on my entire face. The dermatologist said I have the skin of a 15 year old.
I am 34 now and just started using Retin A (been using sunscreen religiously for some months now but normally I just avoid the sun anyway).
I thought I might be little late.. You are giving me hope! :) (Not that I had any bad skin issues or major signs of aging by the age of 34.)
@@Lexis001 I am 34 too and just started 3 weeks ago. My skin is already in great condition and hoping to just keep it there long term! My skin seems to be tolerating it well so far
I wanna see that skin
What % full strenghtd do you use?Thanks
Please share the name of that full strength prescription Retin A
People generally want "now" results, whatever the active. I'm 49. Thanks to my longtime dermatologist who taught me patience and consistency my skin is healthier than in my 30s. Wouldn't change my healthy skin for any "wonder" instant results serum, active, high percentage of anything. Thank you for educating people on that!
What is your skin care regimen, may I ask?
Thank you Dr. Dray! For the last 12 months I have been using tretinoin on a nightly basis over my night cream & have noticed major improvements to my skin. I am now 43. My forehead lines have diminished, my laugh lines are now non existant & my undereye wrinkles significantly reduced. I apply a small amount of vaceline around my eyes prior to applying tretinoin & enough still penetrates the area without the dreadful dryness. First thing in the morning prior to washing my face I also apply a few drops of Argan oil to my face & softly massage in circular motions & it removes any flaky/dry skin without having to mechanically exfoliate. Every second day I do use a chemical exfoliating, Glycolic acid & the dryness is kept at bay. It has been a trial & error journey for me but I've reached that sweet spot. For anyone on the journey struggling with dryness & flakiness, I can assure you, it will improve, stay with it, it's just finding what works for you.
Is your tretinoin prescription ? I would like to be able to try that. Right now I’m using La Roche-Posay Effaclar Adapalene Gel 0.1% now up to three times a week at night. I hope to get to a daily PM routine . I’m taking it slow .
👏🏻👏🏻👏🏻👏🏻🙌🏻🧛🏻♀️🖤
@@akhiker01 I started, twice/week & worked my way up to every night. The quantity also makes a big difference on the tolerance. You really only need a small amount to see results & a reduction in dryness allowing you to be able to use it more regularly. I use also use it on my neck & have had no reaction. Yes mine is prescription. I live in Europe & luckily the price is very reasonable for generic tretinoin, €3.50 for 30ml compared to the astronomical prices in some parts of the world. Good luck
@@akhiker01 You can only get tretinoin via prescription..
@@machitameg Oh yeah! Good point....I guess you can get it OTC in Mexico...? But definitely in the U.S....it's prescription only...unfortunately.
After years of using tretinoin, I still don’t use it daily. Probably every other day in warmer months and every third day in winter . At 56, I get a lot of compliments on my skin, so I guess it’s working :)
In the last few months, since starting acid washes and Differin, I've noticed more obvious pores. However, I think it's because my skin and pores are cleaner, hence more obvious. Now, some of my older, thick skin has now begun sluffing off. The skin and pores underneath looks so much better. Thanks for your encouragement to continue!
Hey dwohio ,I have just started using tretenoin 0.5 percent .I use it on Fridays and Tuesday. Almost 3 weeks now that I have started .I am glad that I didn,t experience any purging uptill now but I think my pores have gotten bigger.i never had issue with pores before .and I don,t want them whatsoever .I kinda want to quit but knowing how beneficial it is long term I want somebody to encourage me to continue its use especially someone that has faced the same problem like me...
Great video Dr. Dray! If I didn’t follow you I would have such different expectations for skincare products and probably do a lot more damage trying to find a bunch of different things.
Thanks for watching
TRUEEEE!!!!!
Good morning from NY. I have Tren. 0.5 Do I put Tren on first? Or does a moisturizer go on the face first? Thank u. My face is white and peeling after I wash everything off. Thank u for any help. Be well. Edit:Just came across ur vid which says moisturizer first. Thank u very much!!! Appreciate the advice
@@DrDrayzday hi Dr Dray…. does retinol help with inflammation caused hyperpigmentation ?
I started using retinol, 0.5% from SkinCeuticals, a week ago. A lot of skin irritation especially around the chin, mouth, and nose area. 😢 Today, I reapplied the retinol for the second time. After, applying it, I cut fresh aloe vera and smeared it all over my face to act as a natural moisturizer. My face feels great and def loves it. Hardly NO irritation. Do try!
Dr. Dray looks glowy 😊and healthy in this video. I don't typically like to comment on appearance but this time decided to comment because on the surface she looks like she's thriving more at this time in her life than In her other videos-really stood out.
I've been using Retinol for two years strike with Cerave Moist, and be consistent with sunscreen too, and it works.
32 years old with no wrinkle, well I do have one line because I have dark circle eyes.
Other than that I'm glad I found this channel two years ago. Lifesaver!!!
32 is young. I don't know of one 32 year old with wrinkles.
So helpful Dr Dray. I’m two years into the retinoid journey and have only just started the 0.1% tretinoin dosage. I started with Paula’s Choice 1% retinol, then OTC generic adapalene, then 0.025% tretinoin, then 0.05% tretinoin, and lastly 0.1% tretinoin . Several months at each stage. This is a marathon, not a sprint!
How often do you apply Tretinoin ? I use a 0.1 strength 3 times a week. I’am wondering if I should do it everyday to to better and faster results. It can be very drying tho.
@@joelfelix3914 I use it about 5x per week and have the prescription cream version from Costco pharmacy, which I find pretty moisturizing. I think increasing the dosage and frequency very gradually over a long period of time is key. I do also use moisturizer over the tretinoin in the winter months.
Do you use it everynite? With a moisturizer? Which one?
@@MyMaria1224 I use tretinoin about 5 nights a week. I use either Differin Restorative Night Moisturizer or Paula's Choice Omega+ Complex moisturizer over the top...they're both very nourishing.
@@teriwhite4151 what do you use other 2nights?
Good morning Dr. Dray, after watching your videos I have been very diligent applying sunscreen. Thank you for making these videos!! So glad I found them😊
thanks for watching
@@DrDrayzday I've been going between retinaldehyde, retinol and adapalene, depending on availability, but I have been constant in my daily use. Moderate acne gone, smoother healthier younger skin.. but after more than half a year there's a bit of a plateau. I mean, it won't make me into a fetus again LOL People have to be realistic as well. I think I'll have to settle for maintaining the results now. I also ordered a body retinol from iHerb you haven't mentioned, so I'm a bit suspicious of it. It's called Medix Retinol and Ferulic Acid. The Advanced Clinicals had a very thin consistency so maybe this one will be better for me during winter.
Thanks Dr dray I was so scared that tretinion was causing me to age faster I'm so glad you said that because my wrinkles are the only reason in using this treatment
:)
Ive been on tret for 6 months and started to see results recently after i added azalaic acid to my routine. Patience is key! My acne heals very fast and the texture i had is almost gone
How often do you use azelaic acid and in the morning or evening?
@@Marko-ij4vy i use it every night before tret
Any irritation if u put retinol on top of Azalaic acid? I'm trying to use retinol in this month and I just use the two products every other day
@@jerichow9156 nope my skin tolerated it pretty well. Only negative was my skin would feel drier than usual but its fine nos
Bende ikisini kullanıyorum ama bir gece birini olacak şekilde.
I definitely second reason #10! I'd been using prescription tretinoin (with increased dosages) for a couple of years and I thought it was working fine. Then during my regular follow-up with my board-certified dermatologist, she thought I could do better and switched me to prescription trifarotene. WOW. It was like the effect was put on hyperspeed--in 1 month I got the results that took me 3 months on my previous prescription retinoid, and well over a year when I wasn't using any retinoid at all. Granted, I also started getting irritation around the nose and mouth, but I used the Dr Dray trick of applying the retinoid over a thin layer of moisturizer (thanks, Dr Dray!) and it worked like a charm! I can't wait for my next appointment so I can wow my doctor as well. 🙂(Mind you, I'm not saying trifarotene is better than tretinoin--every patient is different and some prescriptions work better on some than others.) I feel like I tried every trick every skincare influencer all over the world had recommended, and not a single one got me ANY results until I started seeing my current dermatologist. There's a reason they spend a decade of their lives in school! Even she's been amazed by how much my skin has changed since my first visit. I know not everyone has the option to see a great dermatologist, nor are dermatology prescriptions (topical or systemic) easy to pay for, even if you have good insurance. But mine was worth every penny and every sacrifice. And, for me at least, cheaper than spending hundreds of dollars on skincare. Now if only I could buy the sodium hyaluronate lotion that came with my Nicaprin in a store, I'd be all set!
you are funny, your doctor put u on Trifarotine ..it is the highest dose of Retinol .. if u use low dose, it takes 3 months for it to work ..if u use high strength, it takes 5 weeks.. that is why u see the big different ..u need to learn the strenght of retinol ..
We need to treasure and protect her at all costs❤
Very informative! I’m in camp “I don’t see any difference” (using it for anti-aging). I’ve been using it for a year but will keep on doing it. Thank you!
Same here. I began with .025, then .05. I've been using .1 for about a month. Not sure I see any wrinkle improvement but will continue using for the other benefits. Who knows, maybe I will start to notice a change soon.😊😊
Keep going! I experienced everything she talked about. For anti-aging its a life long commitment but worth it. Im on year 2 and finally seeing some small but noticeable improvement. Youll thank yourself in ten years😁
I stopped tret 0.05 a year ago because it made my eye wrinkles worse and some online 'expert' said to stop and let my skin heal, and it stayed sensitised until recently.
I wish I'd kept going, I'll get back onto it but kaybe just 0.025. Thank you Dr Dray!
hi dr. dray! so happy to see you after a long shift at work at an Emergency deparrtment in HK! have a good day!
I have a top tip for you if you are suffering the dry skin and flaking which you dont seem to be able to get past. I was really struggling with this for a long time and nothing seemed to help. Then i started to use castir oil as the kast layer in the sandwich method. No more dryness or flaking. You can mic the castor oil with a less thick oil to help it absorb but it has truly nade all the world of difference for me. Hope this can help someone out there 😊
I’m going to try this tonight 🤞😣
Have been using precribed trentinoin since in my 30's,now 65 and only in this last year have all my wrinkles showed up! When Covid started I stopped for 6 months and my skin thickened and stated getting acne back so now back on a rigid regimen! Yes it works! I use a Cerave night moisturizer about 2 hrs before application,pea size to help with irratation.I hate sunscreen but force myself to use it in Fla.
Careve has a wonderful tinted moisturizer + sunscreen. Goes on smoothly and very affordable!
@@janwold8653 will check it out thanks
Also, Australian Gold Botanical Sunscreen Tinted Face BB Cream SPF50 Mineral, available on Amazon, is a dream. I wear the Fair/Light. Love it...holy grail. I'm in Florida as well. 🌴
Use Trentinoin not just retinol for acne. And use altreno for irritation and hyperpigmentation use triluma for hyperpigmentation. Use ceraphil clay mask for oiliness
I was reading Dr. Ben Bickman's book Why We Get Sick. He says that every person with acne has higher insulin levels than every person without acne. So I went keto and boom! Acne that has plagued me for 20 years gone. I threw away my spironolactone. I do not have diabetes, and my glucose was always normal. My C peptide prior to keto was 1, which is normal, but dropped to 0.6. Now no acne.
I've read his book too. Dr Bikman's knowledge of all things insulin is phenomenal.
I had been using Olay Retinol 24, not seeing much results, but it hasn't been 3 months yet. I don't have any wrinkles, but I have a light case of melasma on my forehead that I am desperately trying to get rid of. Be sure I won't be out in the sun this summer and I will make sure to wear a cap or something at all times. And of course, suncream. :)
I absolutely love your videos. You are such a great source of information. I found you during the pandemic and I can’t stop watching your videos. I have learned so much. No one does it better. I love your honesty and knowledge. Thank you!
I'm thinking maybe taking a before photos of your face can help too. If changes happen gradually you may not notice those changes and assume nothing is working. Even a 20 percent change could be noticeable if someone hasn't seen you in a few weeks.
This video was really helpful. I'm only able to tolerate Tretinoin 3 days a week, and haven't noticed much difference in the 2 yrs I've been using it, but I'll keep the faith and continue my usage. Hooe 3 days a week is enough.
I am fair skinned (really fair) and have sensitive skin. I was successful in adjusting to Tretinoin only by going very slowly. I used one night a week the first month, two nights the second month etc. I still got dry and flaky but preserved. I am glad I did. I now use Tretinoin six nights a week, one night I just cleanse and moisturize. I’ve been using Tretinoin 0.05 for three years now, have seen good results but it took a long time before I saw any results at all, about ten months.
I used Retin A for many years and it worked great for decreasing the appearance of wrinkles or actually got rid of some of them. I had 3 fairly deep lines across my forehead and over time they disappeared. However after menopause, my skin became more sensitive and I had to cut down on the frequency. I found a new skin care line back in 2017 and it works great and doesn't irritate skin.
Can you name the new skin line that you've found? Thanks
What skincare products do u use now? Thank u!
I use Perricone MD Brightening Amine Face Lift and Cold Plasma Sub D Neck
@@pattylyons9645 thank u Patty I will have to try it!☺️
I had severe acne. I have been treating it for 1 year. At first I started with benzoyl peroxide(evenings), then I switched to salicylic and niacinamide serum in combination.(mornings) For 1 month, I included retinol serum in the evenings with niacinamide, and in the mornings I stayed on salicylic serum and niacinamide serum. while I'm applying it, it has an effect, if i stop, the acne appears. that's why I don't stop, I have an established habit. I'm satisfied with the result I achieve.
Hey Dr. Dray! Great video, I’ve always wondered about why retinol doesn’t seem to work for me - it turns out I’m just a really impatient acne sufferer. Have a great rest of your week
there are many strengh of retinol..if it does not work then tell your doctor to put u on Trifaretone bc it is the highest strengh of retinol .. there are 4-5 strengh of retinol ... u want to start low strengh first ..if it does not work then use high one
nah it doesnt work for u mainly because u r a girl!
Dr dray I’ve been watching you for 2 years and your skin has reverse aged in that period
Thank you for taking the mystery out of Retinol products! You are always so helpful! Happy Wednesday! 😊
You are so welcome!
I have a very oily skin and this is my routine:
Night
1. Cerave Foaming Facial Cleanser
2. Differin Gel Adapalene 0.1%
3. Cerave PM Moisturizer Lotion
Morning
1. Cerave Foaming Facial Cleanser
2. QuickFx Sunscreen
Am I doing it correctly? What can I add on my routine to improve my skin texture and hyper pigmentation? I have acne for 12 years so I'm suffering from scars and large pores.
You need collagen and vitamin c… also a good eye cream.
I bought the Cerave resurfacing retinol serum. I don't think it claims to help acne, but actually pih. I didn't get it to use as my long-term retinol, but as a first step bc it seemed gentle. I think it's done that pretty well so far
Thank you for the video. It was very informative and helpful!
I started with Neutrogena Retinol Pro 0.3% night cream 5 weeks ago and love the product. I am 42 and use it only at nights. I notice that when I apply under my eyes it will cause minor dryness or more visible wrinkles, so I apply an eye cream first and then I use the retinol in the rest of my face, followed by a Cetaphil moisturising cream. In just 5 weeks I notice my skin looks amazing, smooth specially on my cheeks close to the bone, pores are definitely smaller, and there is an even skin tone. I am so in love that I also started to apply to my hands and neck, on my neck though I can only use 2 o 3 times a week.
This is such important info on how retinol works, and I think applies to most skincare ingredients as far as being patient and consistent with use. Thank you Dr. Dray. 😊
I just started tretinoin a month and a half ago. I started at every 4 nights, now I'm every other night, and I'll just stay there. My doctor drove home the take your time message. More is not better, and don't expect dramatic results overnight like I get from botox and Filler. I take pictures to show progress. I find that helps a lot. I'm able to see results that otherwise I may not have.
Very informative and I just want to add to the commentary from the perspective of years of usage of retin A. I’m 67 and started using Tretinoin cream at age 55, prescription strength starting lower, graduating to 1% strength. I’m Canadian and it’s cheaper to buy RX strength here rather than from some cosmetic company at the lesser strength. Bottom line, I think Dr Dray is right, even if hard to accept, that over time it makes a difference, my 34 year old daughter has made the comment that I have fewer wrinkles than she has which has started her on the path of also using it! If you live in Canada and have extra health care coverage, the cost would be covered but not sure about the US?
Retin-a made me extremely sensitive to the sun but did help my skin overall
My derm added winlevi in the AM because the tretinoin wasn't taking away all of my acne. It's been pretty great as far as getting rid of hormonal breakouts. I'm not a fan of how thick it is (its hard to put sunscreen on after without streaks), but it doesn't lower my blood pressure like spironolactone did, so that's a win.
She told me that I had really nice skin otherwise, and I said that your channel is the reason 🙂
your skin look better today, so radiant and smooth
I'm on my 5th month of differin's adapalene, and all my comedones/ acne is cleared! I haven't had any lesions in months! Thanks to your advice, I'm very grateful.
After so much disappointment in the past, I've had doctors trying to treat my acne with vitamin c supplements! With very expensive peels! With differin as a spot treatment! Azelaic acid, microdermabrasion .. you name it.. nothing worked. But definitely adapalene or tretinoin (not an otc retinol) used all over and consistently is the true magic. Please keep on educating yourselves you guys, and don't lose hope. May God protect us from any scammers in the way. :)
Ps: hydroquinone 4% is working wonders on my hyperpigmentation ;) . So happy! Thanks again.
Yassss, girl!!!! YAAAAAS!!! That' s the story of my life. I am sooo glad to read your journey 🖤 You didn' t give up in spite of the desperation we feel sometimes. Enjoy your ✨skin and have a healthy and blessed life 🧛🏻♀️🖤
@@sebumpostmortem awww thank you for your kind comment, you too dear, all the happiness. 💫🤍🙈
Same here. No more breakouts but I'm having hair loss. I don't know if that's linked with the usage of Vitamin A 😕😕
@@jaymichan5766 hey Jay, I didn't experience any hair loss. The best way to treat hair loss is by getting the right diagnosis. & Trust me it could be treated.
I noticed right away that you look really great in this video! Whatever you are doing is working!!!
It took a year for me to see results but I had realistic expectations. I have no regrets, it is just amazing! And I love that my skin is not that oily anymore.
Buna! Poti te rog frumos sa-mi spui ce retinoid ai folosit care ti-a mers? Multumesc🤗
@@mmariabd Salut! Nu as recomanda ce folosesc eu pentru ca sunt cam inconștienta si puțin sărită de pe fix :)) am folosit Tretinoin gel 0,1%, deci concentrație foarte mare. Nu e o marcă anume ci Tretinoin simplu cumpărat random de pe net. Am inceput de două ori pe săptămână. Acum am ajuns la o zi da, una nu. Folosesc cam o picătură cat un bob de mazare pe față si una pe gât si piept. Dar, din nou, nu iti recomand sa faci asta. Am avut multa răbdare si noroc ca lucrez de acasa pentru ca o vreme am aratat oribil. Si se si cojeste pielea ceea ce e destul de vizibil când porți fond de ten. Eu nu prea port dar si cand o fac e ciudatel cum se vede. Hope that helps :)
Mersi! Eu am folosit Mask gel, tot asa, in cantitate mica si doar o data pe saptamana si imi ieseau niste cosuri uriase sub piele extrem de dureroase, de-mi amortea jumatate de fata de durere si am renuntat sa mai folosesc in cele din urma
Vitamin C helps the appearance of large pores. I like to alternate retinol and vitamin C. E is a constant both ingested and topical.
Also--Dr Dray, I'm so glad you mentioned retinoids/retinols can unmask dermal pigments. I'm finding this is happening with me in the thinner skin at my temples. Does the retinol eventually get rid of the dermal pigment or is there something else we need to do? I've just been diligently applying sunscreen over it and hoping for the best.
Brightening face masks have really helped me with hyperpigmentation. I especially like kose clear turn vitamin C whitening and jayjun baby pure shining mask. There are others but these 2 I see a difference right away.
Dr Dray your skin is looking amazing 🤩 you look gorgeous glowy and glamorous!
Thank you Dr. Dray. As always, your advise is very clear, easy to understand and concise. Another very informative, appreciated and enjoyable video.
One year qui ne retinol after my skincare routine and I am not using make up anymore. Suffered from acne when I was younger, and now my skin is smooth and the pores reduced. Thank you so much 😊
Dr. Dray, thank you. Question…which is stronger: The Ordinary 5% Retinol in Squalene or The Ordinary 5% Granactive Retinoid? I seem to read conflicting information. Thank you!
the Retinol is stronger than the Granactive R.
Absolutely love this, and many of your videos. I have been watching, so EDUCATIONAL.. TY...I have been just using an over the counter retinol for about a month in a half and have just gotten up to doing it 4-5 times a week. I had to take it REALLY slow, and I am glad I have. However, so far so good. My skin has been extra smooth.
Dr. Dray, thank you!!! My skin looks the best that it ever has, and that is greatly thanks to you and your informative videos. I was using Vanicream, Squalane oil and mineral SPF 50 sunscreen, but recently I added Differin to my routine, and it has been a game changer for me. My skin texture has been much smoother, even and hydrated; even my expression lines on my forehead and smile lines appear less deep and obvious. I used to feel like I had to wear foundation or powder daily, and lately, I rarely ever do. Thank you so much for everything you do. You really are out here changing people’s lives and boosting people’s confidence. 💗
May I ask what sunscreen you use? If mineral still how do you deal with the white cast? Thank you
@@coffeegirl697 Hi! I use the Banana Boat BABY Mineral Sunscreen. I saw somewhere that it’s formulated for babies so it’s safe for the sensitive skin on our face (I might’ve heard that from Dr. Dray herself, actually. I can’t remember.). It can definitely leave a white cast if not blended well. I have a lighter complexion, so if I take my time and blend it really well, it doesn’t leave a white cast on me. I apply my oil and moisturizer first, massage them into my face, and while my face is still somewhat slick, I apply my sunscreen. Alone, it can be hard to rub in. I’m not sure if it’s the best routine, but it works for me.
Thank you Ale G, I was trying to add to your answer but hopefully you see this. I will try that sunscreen😊
Hi.. Do you experience hair loss whilst on Adapalene?
@@jaymichan5766 Hi! I’ve been using it for about 3 months, and thankfully, no. I haven’t noticed any increased hair loss or thinning. I looked it up just now, because I didn’t realize that was a thing, and it seems that those that have experienced hair loss were using tretinoin or accutane. I also read that taking Vitamin A supplements while applying these topically could be the possible issue. But as I mentioned before, with Differin, I haven’t noticed increased shedding/hair loss. I apply it every other night and only a tiny drop, because Dr. Dray said in a video that a little goes a long way.
I’ve watched you for a while and you look so much more healthy, makeup is natural looking, lighting is good and… the earrings are awesome.👍
Hello. A subject rarely addressed: After a longer period with use of the same percentage of retinol, with good results. Can I continue using the same percentage ? Or do the effectiveness fade and I need to switch to a stronger one for maintaining these ?
Thanks in advance for your answer.
the efficacy doesn't really "fade". the common advice to start low is mostly to avoid unnecessary irritation. if you use a low % and find that your skin tolerates it, you can up the dose if you so choose. i used to use 0.1 adapalene for half a year and experienced no irritation or even any changes so i changed to 0.1 tretinoin. it has worked wonders for me after using it nightly for 2 months.
I use hyluronic acid while the face is still wet. Then apply niaminicide. Then use a mister to mist my face really good with purified water. Immediately apply my oil. Then mix my tretanoin with my moisturizer lotion as the last layer. Then use the mister as needed before bed. My skin never gets too dry or peels too dramatically. 2 years and my skin looks amazing. 42 no wrinkles at all.
There should be more awareness on what you CAN'T do while using retinoids! 😩😩 Unfortunately I waxed my moustache 2 weeks after starting prescription Epiduo (adapalene with benzoyl peroxide) and I reaped off all my skin! Now I am suffering in 2nd degree antibiotics burn cream... 😭 I DID NOT KNOW THIS! My doctor did not warn me, and I watched so many videos about retinoids like this one to be prepared but nobody talks about this!! But if you search for moustache wax burn you will see that all the people with ripped skin had this issue because they waxed when using retinoids... I waxed my moustache every month for 8 years by myself with the same brand of wax strips and never had any problem until I started Epiduo....
Irritation is what you should avoid, doesn't need your doctor to tell you not to wax 🤣
Common scenece???
Doctorly derms have a video on this
@@draganalovic4915 common sense**
Since I have been using Tretinoin.consistently for over six months, my skin doesn’t look dull. I use it after I apply my moisturizer, I wait a half hour & then apply the Tretinoin. My skin looks dewey. I’m pleased & have begun using it on my chest which is sun damaged. I’m hoping it I’ll even out the skin discoloration.
Thank you so much Dr Dray. Your face skin is beautiful today. What did you use?
I am super happy with my retinol every evening and off course vitamin c+ spf 50: just perfect!
Any suggestions on what products to use with hydroquinone to aid hyperpigmentation? Love your videos
Sunscreen
I tried hydroquinone for a few months for melasma and it didn’t do much. Vitamin C and sunscreen/hats are more effective. Just my personal experience.
Thank you, I have been using the cerave tinted mineral sunscreen but need a new one since it’s about to expire
I have been using curology for 3 years. As I look back over the pictures it has really made a difference in my aging skin. The texture of my skin is alot better. I use it every other day.
I’m not a slacker! I’ve just started applying for acne (still at age 52😫), I’m on day 17… my breakout last week was the worst I’ve had in a long time BUT I’ll continue because of your advice. I’m hoping the reaction means it’s working.
3 months seems daunting but I’ll keep at it.
is it better yet?
Don't know what is going on in this video but you look absolutely lovely. Maybe the light, filter, makeup, I don't know! The ear rings also are a lovely compliment. Been watching and following you for years for no nonsense skin care. And I appreciate your down to earth personality. Don't change!
Needed to hear this, I’ve been stressed over my skin breaking out more than usual :( I feel like got consistent with my tretinoin recently so maybe it’s the purging like you say, but going to dermatologist to bring up concerns as I think I’m passed that 4-6 week mark that you mentioned.
Sometimes it's even takes 6months but the results will be worth the patience I promise
I have been using retinA 0.01% for the last 30 years every night. I live in Miami my dermatologist Dr. Leslie Baumann recommended to slow to three nights a week. I love the way my skin looks. Of course there are pores but I can’t see them. No I don’t have wrinkles around my eyes. And my skin has a glow that I love. I never had acne. And I use the cream. Thank you for this video.
I tried prescription retinoids some years ago, and some over the counter options since then. But even though I see some good results with texture and acne, it's just too sensitizing for me. I tried everything - spacing it out, trying gentler formulations, buffering, you name it. My skin feels super sensitive for days after application, even after months of consistent use. I recently stopped yet another vitamin A product. I'm thinking of trying some laser treatments for redness and broken blood vessels on the off chance that it will make my skin less prone to stinging and flushing from retinoids in the future.
Just don't stop! I'm not lying when I say it took my skin almost a Year and a half to be able to tolerate it AT A LOWEST DOSE!. just recently I've been able to upgrade to 0.1 and this has been almost 3 years in making 😵
I'm 43 and people can't believe my age. Another thing I've noticed is that I don't have the extra skin in my eye folds like other women my age (or my family members). My daughter few weeks ago said mama you have abnormally big eyes and I know it's because of the tretinoin. I use it all over my face and my hands.
Recently I started triluma and I alternate between that and tretinoin 0.1
Good luck to you and don't give up!
Have you tried putting moisturizer on your damp face and then putting retinol on top of the moisturizer (instead of mixing them)?
@@sslilac Thank you, I'd love similar results one day. But I'm not sure what else to do. I start off great, but after a few months, the burning gets so bad that sometimes I can't even focus on what people are saying to me. And this is even with OTC products. I quit 2 weeks ago and my skin finally looks and feels good. My last resort is the Good Molecules retinol, which many sensitive skinned people seem to like.
@@gettesa Yes, I never mix - only put the retinoid on top of moisturizer after the former has dried.
@@MariyaMagija Ohh if you ever do try a retinoid again, maybe try putting it on top of the moisturizer right away before it dries. Even though this could reduce penetration, it might help the skin get used to it. Also how often were you applying the retinoid? Once/twice a week may be the way to go for you indefinitely, instead of slowly doing it daily. Or maybe your skin just can't tolerate it which would be okay too and you could try other retinol alternatives if you want :)
I'm so thankful for you, Dr. Dray and Dr. Rajani!
I heard of a derm who refuses to prescribe retinoids. he suggests to use glycolic acid instead. I think retinoids have become so mainstream and oversaturated on social media we only hear the positives but im sure there are many negatives that are probably not studied yet. My skin is better off retinoids than on despite following rules.
there are long term studies now and no negatives. That derm needs to update his education
I started using Olay, then Neutrogena, and now I will try Avene. I liked the 3 month results on the skin... No irritation.
My results with tretinoin 0.1% got progressively better after the first and second year. I really noticed a jump by the end (where I'm at now) of the 3rd year. Also, I put it on a damp face now at night, which made a difference. I do a double cleanse in the evening and, usually, just put the tretinoin directly on my skin after that while my face is still wet. My neck - finally - tolerates it, too, as well as the backs of my hands. (I started with 1x a week for a month; then, I went to 2x a week for a month, etc. Now, I'm at every night.)
Dr. Stefanie Kapel has said not to use that on your neck because the skin there is very delicate and doesn’t have the same anatomy (oil glands, etc) as the face. Just an FYI 😀
Don' t put on wet face, must be dry
@@mrsme4941 wow
Pl
Wow, this was an eye opener. I've had all those complaints about retinol, but I clearly wasn't using it long enough. I need to try it again and stick with it.
Thanks for always giving us great content. I had mild acne before I began using Differin Gel. I knew what to do and what not to do thanks to your videos. However the purging never stopped. I never had acne that severe. I tried it for 4 1/2 MONTHS. Finally I had to stop. Perhaps it wasn’t purging and it was irritation. Within days of stopping the use of differin my face stopped breaking out. Perhaps I’m the very small percentage of people who can’t use it. I was disappointed because it has helped so many others.
Since then I’ve been using a salicylic acid face wash in the morning. And the remaining of my Differin Gentle benzoyl peroxide face wash at night (since it’s recommended to gradually transition to new products)… and I use a moisturizer after both. It’s been almost a month and my face looks better than it did durning the 18 weeks on Differin.
This was my experience and perhaps it can help someone else.
I had the same issue - I was using it too frequently, I was using it nightly. I switched to 2x / week and noticed substantial improvements in my acne (because my skin couldn’t handle nightly).
@@abbyn8179I was using it nightly, I didn’t think I would see results if I didn’t. Are you still only using it 2x a week and seeing results? I’ll definitely consider it down the line should my new regimen not work out. I’m hoping salicylic acid is my solution since it’s been working out great so far.
Thank you for sharing your experience. This is exactly what happened to my 17 yo daughter. We were disappointed since seeing so many people who had a good experience with differin.
Everyday is far too much to begin with. You should use it once a week for months. I used a tube of Differin once a week until it finished, then I switched to Tretinoin 0.025% once a week for 2 years, always on top of a light moisturizer. Only on the third year I started to use it twice a week. And always a pea size amount for face, another for my chest and “cleaning” my hands on my neck. On the fourth year I progressed to 3x week and never changed from there. Believe me, it works as it should, this is something that doesn’t work better or faster if you use too much. Slow and steady.
I had purging and itchy skin when I started. I used tretinoin every night. Now I use it every other night and it is much, much better to tolerate. And you only should use a pea size amount of the tretinoin. Sometimes I use like three pea sizes of tretinoin which is too much and the next day my skin feels itchy again.
And always use a soothing moisturizer which is good for the skin barrier. I like the Beta Glucan daily moisture cream from Iunik, but on Instagram there are a lot of great reviews about the Cicaplast B5 from La Roche Posay to repair the skin barrier. Maybe that helps. 👍
Very informative video. Thank you for your help for people. I had some questions about retinol and now I have information.
I appreciate you, Dr. Dray 🖤
thanks for watching
I have seen a lot of improvement from tretinoin but I still get painful breakouts occasionally and a fair amount of white heads around my mouth/chin area as well as black heads on my nose and I’ve been using CONSISTENTLY for 7 months 😢 I am not giving up I will continue to use and I hope it gets better. I am going to go up in strength too
Thank you for this! I'd stopped using retinol because I felt it was making my skin look worse (after watching this, I now think I was using too much, too often) and had resigned myself to getting anti-wrinkle injections every 4 or 5 months. I'm going to give it another go now and give it the time it needs.
Im going to do my best with differn. Im 1 month in so I'm glad I watched this. So far no reactions, excessive drying or irritation.
Really appreciate this info. I bought Differin a few months ago but I haven't used it. I'm not sure why I've been so hesitant but this was helpful. Happy Wednesday, Dr Dray! I hope you have a peaceful evening. 💖
Can you update us plz
Thank you soooooooooo much. You speak about every thing under the umbrella.
Loved this clear, concise video. Appreciate the information that consistent use is key, and that it takes three months of *consistent* use to see results. What you say here is helpful in keeping me focused in using the retinal I've chosen to use before moving to retinoic acid, if I do. Thank you.
I've been consistent in using retinol every few days for years - and it has made such a positive difference in fading PIH and improving overall skin appearance. The effort really pays off. 🙂
I use an affordable otc retinol cream and have been for a couple years. I noticed positive changes with nightly use after a month and by two months I lost my frown line between my brows. Definitely don't give up on retinol :)
Your videos have become a daily staple in my routine. I just want you to know I appreciate your videos so much as well as your no nonsense approach to skin care topics.
nah u hated her videos, u just being ironic here
@@jake9854 umm Ok
I'm doing a slowly increasing retinol/ retinoid method. Beginning with Neutrogena Rapid Wrinkle Repair (retinol) for one month, then switching to Differin (adapalene) for a couple of months. And finally, starting prescription strength Tazaratene as the last stage. My derm swears by this method to gradually titrate my tolerance. It makes sense.
I started using Cerave resurfacing retinol... now i´m in neutrogena rapid ......
Happy Wednesday, Dr. Dray 😊🎀🌸🤍
Greetings Maricel Gundayao hope u r well n Happy Wednesday😀👍💜….
Happy Wednesday
Happy Wednesday !
I agree 100% with you Dr. Dray. I use prescription Retinoid and every single outcome you have mentioned in this video has happened to me, irritation, dryness, peeling, worsen wrinkle appearance, inconsistency with treatment etc. However, retinoid works amazingly when we are patient and complaint with treatment. Changes don't happen over night and that's what people need to be aware of. This is an excellent and very informative video as usual. You're the best Dr. Dray and I am so grateful for your work on RUclips. Thank you 🌹
I'm reason #10 😔 I've used prescription tretinoin for over 10 years and initially i wasnt compliant bc of the irritation. I complained to my derm and she literally said "you've gotta get thru it". So i did. My face was red like a tomato for weeks lol! But finally my skin got used to it and my acne did improve! It just wasn't enough for my hormonal acne so now I take an oral med and still use my tret at least 5-6 nights a week. Thanks for this video 💙💜💛
Do you know what the different strengths of tretinoin are? I just started with adapalene and would like to eventually transition yo tretinoin . I’ve read start low and slow on dose . 🤷🏼♀️ someone also said you can get it a lot cheaper with script from Canada . Didn’t know insurance wouldn’t cover it if doc prescribed.
Thank you !
@akhiker01 I'm not sure, you can prob google it but the lowest I've seen for the face is 0.025, then 0.05, etc all the way up to 0.1%.
Hi,what kind of oral medication did your doctor prescribe?
@@sabinsabin2083 spironolactone
@@Cmp-2012 thank you
Thank you for this valuable information! After three months I can see that my skin is healthier but I am very patient for more concrete effects on the reduction or disappearance of certain spots!
Hi dr Dray! I’m an italian medical student and I love all of your videos 😍 I wanted to ask you one thing about Retinoids around the eyes: many ophtalmologists are warning about its use because of the possibility, with ongoing use, to cause dry eye sindrome, what are your thoughts? There are also a few studies on Pubmed about this topic
retinol can be drying around the eyes
I know but they’re talking about dry eye sindrome and destruction of the Meibomian glands, which is worse than just some dryness and cannot be fixed that easily, am I right?
I might check out videos by eye doctors such as Dr. Rupa Wong and Eye School with Dr D. They have videos on dry eye re: retinol and even accutane.
@@db-gb5xi yes I’ve seen those and wanted to know her perspective as a dermatologist
@@db-gb5xi Happy Wednesday ! Enjoy your day friend
Epidual forte has was the golden key for me....worked way better than adapolene alone