Acne AND Rosacea? You NEED Azelaic Acid in your Skincare Routine! | Dr Sam

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If I had to choose just one Active ingredient which could deliver multiple benefits in many different clinic situations, Azelaic Acid would be a strong contender for top position. This versatile multi-tasker is perfect for patients in with ‘overlap’ concerns - a dab of rosacea on the background of acne, or melasma and rosacea both co-habiting on the cheeks.
I like:
1) Sesderma Azelac Spray
2) The Ordinary Azelaic Acid Suspension 10%
3) Paula's Choice Multi-Correction Treatment
4) Jan Marini Roslieve (my favourite, as the formula applies so nicely - many Azelaic Acid products are unfortunately quite gritty. )
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As always thank you so much for watching and for all your support!
Disclaimer: The content seen in this video is provided only for medical educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek professional help individually if you suffer from any dermatological condition. Due to the volume of patients seen in the clinic, and to the unique nature of skin, Dr Bunting is unable to respond to every query on these videos.

[@luciagarcia5272]

Please, please, please, keep doing videos on rosacea. We are so alone! I just asked my dermatologist about azelaic acid to treat both my rosacea and SD, and she told me it's an "old-fashioned drug" which can cause irritation, and she discarded the idea. But, she didn't provide any other treatment, other than a Ucerin cream for atopic skin. I was thinking about changing doctors. Thank you.

[@Nagutama]

Get you some azelaic acid, rosy friend! It helped me LOTS..just introduce it slowly!

[@Koko-uq9wo]

Hi US watchers, I live in Australia and azeliac acid (finacea) is available over the counter. I will happily post it to US for $50 from Australia. PayPal available xx

[@stevenmichaeleich9856]

Try curology, they just prescribed me azelaic acid you can do it all online and it’s pretty affordable!

[@jeanluisindriagolugo232]

I'm not sure but ,if anyone else wants to learn about what helps rosacea try Mackorny Facial Miracle Blueprint (should be on google have a look ) ? Ive heard some unbelievable things about it and my mate got cool success with it.

[@Livizzyandco]

my derm said the exact same to me and put me on a topical steroid ! awful advice def not worth £250

[@cassandradill]

This video about Azelaic acid saved my skin! In 2 weeks it’s done more for my skin than a retinoid did in over a year. I use the one from The Ordinary and it works wonders. Thank you 🤗🤗

[@arts3312]

What retinoid did u use hon

[@cassandradill]

Arts 3 I actually don’t use a retinoid anymore. I used to use the .025 strength from obagi and it helped a lot with scaring but I still broke out. After a while it was too much for my skin and Ended up messing with my skin barrier

[@parisz]

Cassandra Dill Hey dear, how do layer it?

[@cassandradill]

AA I use it once a day after my essence, and before any face oils and my moisturizer. I’ve tried a handful of other ways but this is what worked best for me personally!

[@sarat8389]

Cassandra Dill what moisturizer do you use? Your skin is awesome

[@GracefulBeautyWithSheri]

So glad I saw this! I have acne prone skin, hyperpigmentation & melasma. I've been reading about Azaleic acid for a little while. I just ordered some a few days ago and it gets delivered today. Now I'm eager to try it after seeing this. Thanks so much for sharing!

[@DrSamBunting]

a pleasure!

[@deadlifts_steaks.]

How is it faring for you?

[@tomat0es]

I was prescribed this for acne scars but I’ve found that it gives my skin a generally brighter, more even appearance (even on the parts of my face with no scarring where there was nothing wrong to begin with)- my skin just looks smoother and healthier

[@DrSamBunting]

Yup, its a great skin conditioning treatment,

[@LostFirstNature]

I would love to see a video on what active ingredients you can use together or what should be used alone. There seem to be a few that you recommend Vit C, Azealjc acid, Niacinamide, Retinol but how do these combine in a morning/night routine over a week?

[@sebastienyeung4702]

Love for this too!!!!

[@Anonom2012]

Not Dr. S. obviously but I have some experience in this. Niacinamide is not an active ingredient, so it will usually be found in many many other types of skincare. It can be used with anything, anytime, anywhere. Active ingredients, however, work best by themselves so that the skin can get the full benefit of them without being negated in some way by the inclusion of other actives that may work against it. My philosophy is Protect in the AM and Repair in the PM. Thus, I use my vitamin C in the morning and the exfoliating acids at night. I use the exfoliating acids after I remove my make up and wash my face, and then wait at least 20 minutes to apply the retin-A. I usually take off my makeup after dinner (when I cleanse) but brush my teeth right before bed (when I use my retin-A.) 20 minutes is enough time for an active ingredient to be fully absorbed. Sorry for being so wordy. HTH.

[@lilianadorado6362]

She has a video about it. Search you tube I am sure you will find it

[@DrSamBunting]

I've shown this in my Morning and Night routines!

[@anikiforova]

I believe that's the video you want kzbin.info/www/bejne/pYepeWCsraehmbs

[@claresharkey8130]

I love azelaic acid for rosacea on my cheeks. I use niaciamide everyday and only need azelaic now for flare ups. I’ve recommended it to my son who developed rosacea after getting rid of acne. It’s really a great product.

[@DrSamBunting]

Great to hear!

[@sea-chelle]

I really appreciate that you keep your videos short & to the point 👍🏻👌🏻✔

[@DrSamBunting]

Thanks!

[@Anonom2012]

I don't understand exactly what it DOES. AHAs dissolve the glue binding skin cells together; BHAs dissolve the oil in pores; Retin-A encourages new skin growth; benzoyl peroxide kills the p. acne bacteria. What does azelaic acid DO?

[@raebaddings1521]

Anonom2012 they don’t exactly know. But it has anti-inflammatory properties and can control overgrowth of fungus which can trigger acne etc

[@margaretharold7823]

It will dissolve skin cells using different pathways, making it more suitable for skins that are sensitive. As Dr Sam says conditions that overlap.

[@isabird]

On me, it has improved my skin texture (pore size, smoothness) in a faster and more noticeable way than BHA has ever had. I still use both, but the azelaic I use daily. Unfortunately, I haven’t seen a huge improvement in redness but mine is more related to broken capillaries and those do not respond to topical treatments. It has taken longer (2 months) of almost daily use to start seeing an improvement in my very mild hyperpigmentation. Overall, I’m in love!

[@DrSamBunting]

It does many things!! One of its benefits is it decreases Toll like receptor 2 activity on the skin; these are the high-alert receptors which get switched on by environmental triggers, and activate skin redness and inflammation (hence AA reduces both of these). TLR2s also sit on sebaceous glands where their activation can trigger comedogenesis, so azelaic acid reduces this too. Finally it suppresses tyrosinase, reducing over-production of melanin.

[@Ursusskincare]

@@DrSamBunting i have rosacae and it's amazing. inflamation of my skin slow down in 30 minutes after application.

[@gravitatieconstante8974]

Doctor, can you write a list of products with azelaic acid that you recommend? Thank you :-)

[@luisaperales7057]

yes please!

[@DrSamBunting]

Done!

[@claudiadgusmao]

They were Sesderma Azelac Ru and Paula's Choice Azelaic Acid Booster. The prescription ones are Finacea and Skinoren. xx

[@l.u.7834]

@@claudiadgusmao Does Sesderma contain fragrance or essential oils (EOs?) On their website there is no description of ingredients, unfortunately.

[@FieldOfDaisies2468]

I use AZ Clear

[@vlavla845]

Thank you for the video! Could you do one with a full regime for people with both of the conditions: acne AND rosacea? :) I've been struggling for years now going from product to product, spending great worth of money on wrong products, uncertain that I am doing the best for my skin.. That would help so many of us out there! :) Thanks for being so great again! :)

[@Syb-kv4rq]

I love how you address this ingredient. Most dermatologists wouldn't think of it when it comes to acne. This for me is effective and GENTLE enough for acne sufferers

[@marim859]

I have a one from Pharmacy and I have been using it for more than a year I think. In both cases it was suggested for me by dermatologist and cosmetologist. It is really effective for my acne :)

[@DrSamBunting]

Great!

[@dianachamberlain9934]

Just bought the Paula's Choice product and your flawless moisturiser! Fingers crossed !!

[@gr8fulgirl7]

My question is about layering.....How would I use my Vitamin C along with this since you stated to apply it to clean skin? Thanks

[@ik1997]

You could check out gothamista's video on the same ... It's called best pairs

[@AriellaAmaralOfficial]

Facetheory has a niacinamide 10% + azelaic acid that's quite good and inexpensive!

[@BubblySam101]

Does azelaic acid exfoliate the skin and is it safe to use it everyday?

[@kristyreynolds8334]

My teenage daughter and I both use Paula’s Choice and it is an amazing product. It has really helped my daughter’s acne prone but very sensitive skin and has given her a beautiful glow. Her skin was not responding as well as she would like to topicals prescribed by her dermatologist. Adding azelaic acid has worked wonders. My post menopausal skin loves it as well but I don’t know why as my skin is no longer acne prone. I use vitamin C, niaminicide, peptides and rotate retin a and retinol.

[@DrSamBunting]

No need to rotate retinoids. Otherwise all looks good!

[@Titina73]

Can you tell me please which products you use in the morning and which in the night I am a bit confused how to incorporate the azelaic acid in my current regimen

[@maleneaagaard1221]

Oh yes!!!...I have been using the one from GOW (only 10£) for 2 months and havn’t had rosacea since😄

[@DrSamBunting]

Cool!

[@CalieNina]

The one with 10%? Im trying the one on their web site the 8% and I dont see much difference

[@annnotabene]

Thanks a lot, Dr. Bunting! Waiting for the list of products :)

[@DrSamBunting]

Its up!

[@abbeys6123]

I can defiantly confirm this product has stopped my acne and is doing wonders for my skin. I know this video is old but wanted to share the product I am using it’s by face theory it’s a uk brand called pore bright n10 it has 10% azelaic acid and 10% niacinamide. They also do a stronger Azelaic Acid one but for me the 10% is working from day 1.

[@NYS30]

Does you know possible for azelaic acid to surface sort of purging at first using?

[@abbeys6123]

@@NYS30 I didn’t get purging with this... I am now using 15% azelaic Acid and have been for a month with much success

[@BD-il7is]

GOW Azelaic Acid 10% Serum by Victoria Health is another great over the counter choice

[@disremembrance]

Boots can supply 20% azelaic acid (brand name 'Skinoren') on a private prescription via their online acne clinic, as well as Differin. I believe the cost is just over £20 for one tube and you have to fill out a questionnaire and send some photos of your acne first. Superdrug run a similar scheme with a wider range of products - including Epiduo and even antibiotics, but no azelaic acid. Always best to visit your GP first, however. An NHS prescription will cost far less and might even be free depending on your age, where you live (only England still has charges, which is scandalous in my opinion!) and your personal circumstances.

[@as-yw5jl]

Hi Dr Sam ..what the best product for rosacea ? Azeliac acid or soolantra ?

[@zhoyos]

Video requests: video on best makeup products, application, removal for different skin types (ex: rosacea)

[@helgarodrigues8317]

I love this short useful videos. Really happy too to see Dr Sam talking about Sesderma, I think it's an amazing brand, have been using it for years and tried many of their serums, but never heard nobody talking about the brand which is a shame.

[@DrSamBunting]

Yes, its great!

[@Tammy8823]

Thank you for this video! Congratulations on the success of your cleanser, and I hope the line expands soon. 😊

[@DrSamBunting]

Thank-you! Coming soon!!

[@dianachamberlain9934]

Paula's Choice 10% Azelaic acid is sooo good! In a few days it's got my incredibly resistant adult acne under control! I would never have tried this without your recommendation, thank you! I also ditched my sensitive foaming facewash and replaced it with CeraVe hydrating cleanser- thank you SO much! (Your flawless moisturiser it currently on its way to me!) can't wait!! 🙏🙏🙏

[@chocolatedaydream]

Please, please, please can you do a video of stretchmarks? They are impossible :(

[@jaysonragasa6506]

Is it okay to use Azeleic Acid 20% cream in the morning then Tretinoin 0.05% cream in the evening to control mild acne and for anti aging?

[@ananatali1]

I'd love to try it, but is azelaic acid good for DRY and rosacea- prone skin? Thanks!

[@mediagirltime753]

Can I mix azlaic acid with coconut oil and then use ?? Plz guide

[@easyfrenchdiet]

Hello. Great video as always. Request or suggestion: could it be possible to get a video with advices for safe and bad ingredients in makeup. ingredients we should avoid in makeup and ingredients which are safe? And what do you think about natural or organic makeup? Thanks by advance. Violaine

[@AcquaeOlioBioBlog]

Is it possible to use it in summer?

[@Sarah_L_N]

I was reading about skinoren and saw that it says to only use for 1 year, but not why. The only thing I could find as a possible reason was skin bleaching? Is this a real concern? I am very pale anyway and am currently using the Garden of Wisdom azelaic acid which is only 10%. I love the effect it has on my skin. Thank you!

[@Jasmine215100]

I am allergic to, and very intolerant of, Azelaic acid! Back in early 2000 I tried using Finacea and it burned my skin!

[@haloflora]

Hi Dr. Sam! Can i use AHA toner (from apple cider vinegar) before using azelaic acid cream? Thank you

[@jonow8121]

How much do you use? Do you put it on just the cheeks or all over the face? X

[@gertgerenser729]

Will this help with milia? Thank you for sharing 💞🌻🌈🌟🧚‍♂️

[@DrSamBunting]

It might do. Retinoids certainly do.

[@margarettonkin2775]

Can I you use Niacinamude and Azelaic acid together?

[@anitahadley2871]

Hi there, can this be used at night before using my Retin a? I’ve recently had some breakouts even while on Retin a. I was hoping this might help with that along with hyperpigmentation.

[@catorce9027]

I currently use Jan Marini Bioclear Lotion for SD, sebaceous filaments, acne, melasma, and hyperpigmentation. MY SKIN LOVES IT! My pocket...not so much. 😏

[@LolaRockn]

For clogged pores, azelaic acid or BHA? Thanks 😊

[@alexandragabor6385]

I've just ordered the azelaic acid from The Ordinary and I am excited to try it. I also use the Granactive Retinoid from The Ordinary every evening. My question is, should I apply the azelaic acid before or after the retinoid? Also, I suffer from mild rosacea with ocasional breakouts

[@AshleyWhalen]

How do you like the ordinary azalaic acid?

[@mariaakaka7518]

Hi Dr. Sam....is Argan oil good for acne prone skin or acne black spots????

[@abib6557]

what is better for acne and also hyperpigmentation benefits azealic acid 10% or 20%?

[@angel7016]

abigail bacus 20%, well that’s the amount my doctor prescribed to me for my melasma/hyperpigmentation. There’s a lot of studies showing 20% Azelaic acid is almost as effect as 4% hydroquinone but just less harmful and irritating

[@leytlee9597]

Is it safe to use it in the morning and night time using 5% benzoyl peroxide with 1%clindamycin. And the face cleanser for morning and night is corsx salicylic acid

[@denisaseborova2642]

How do I layer or with what, when do I use it please?

[@stanceworks7995]

Im on my 3rd day of using 10% azelaic acid serum and also been using 10%niacinamide serum. After 1 day I noticed a slight difference and I was shocked. Ive spent so much on all sorts of products that claimed to help redness. But never did. Why do they say to introduct azelaic acid slowly-what happens if you don't? Can these be used long term for rosacea

[@sophie6275]

Is the sesderma azelac ru liposomal serum nursing and pregnancy safe?

[@blamblastersidgeiii9360]

Does it also treat pigmentation caused by grazes cuts and scrapes on the face?

[@karimabelghiti7842]

Doctor I have just bought sesderma azelac ru. When do you recommend using it the most? Thx

[@artemis5337]

Hi! Can i use panoxyl(bp wash) in the morning and azclear azelaic acid lotion at night? Thanks a lot!❤🙏🙏

[@Ursusskincare]

a question for rosaeca patient. Do you have oily skin since you have this decease? because mine become so oily, it's a nightmare !

[@elizafernandes8795]

Dr. Have suggested these cream to me...n m finding very good for my skin black patch

[@909rhythm]

How long can you use azelaic acid for ? Do you need to have a break from taking it ?

[@joselyngp05]

Is it safe to use azelaic acid with benzoyl peroxide wash?

[@recoveringfromredness9343]

Hi Dr Sam. Apparently Finacea and Skinoren - both manufactured by Bayer plc - are unavailable to pharmacies due to production issues. Have you heard anything about this? In the meantime I'm going for Azelaic acid at 10% by The Ordinary. The prescription I got from my GP was for the 20% version used twice daily, which I think is too much too soon. I expect there to be irritation but going so hard so soon seems a bit much. Would rather start off cautiously and build up a tolerance over many skin cycles. Thanks for all your videos, they're very helpful to people like me.

[@ellenchapman1]

Does Azelaic acid increase photosensitivity?

[@DeepEmoticPhoria9]

Would it be too much if using 2% BHA Paula's choice Resist Pore Treatment (OR 1% BHA Paula's choice Calm line) + Vitamin (SPA 10%) serum with vit. E and ferrulic acid + A product with Azelaic acid with B3 and B5? I am 29 and am looking for anti-ageing properties (also getting a Paula's choice SPF 30, now I'm using 50+ but it's rather sticky/tacky under the foundation). ALSO I am prone to very mild rosacea, have dry skin on cheeks and semi-oily T zone. There are just a few little red veins visible on my cheeks and at the corner of the nose, otherwise not really visible, but rather I am prone to blemishes. I have never used acid exfoliants before, nor the vitamin C. I would like to combine the 3 products I mentioned above, not neccessairly together (some in morning, some in evening routine). I like them for antioxidant and brihtening properties (vit. C), for evening the barrier (azelaic a.) and for mild exfoliation/cleaning of dead cells (BHA). Everything sounds fantastic, BUT I am just a little concerned that this would be too much of acidic stuff at once! What do you think?

[@parisz]

Hey doctor, thank you for a very informative video! Is it OK to layer underneath my sunscreen? X

[@ekaterinakozlovskaia8082]

Thank you Dr Bunting. Very useful video as usual.

[@DrSamBunting]

Appreciated!

[@hummers]

Thank you for your to the point video. Has given me all the information I needed. I'm going to start using it tonight. Ordered online, couldn't find it over the counter here in Dubai.

[@NYS30]

Does you know possible for azelaic acid to surface sort of purging at first using?

[@NYS30]

Does you know possible for azelaic acid to surface sort of purging at first using?

[@divineartsgoddess]

Can Azelalic Acid cause broken capillaries ?

[@Sky10811]

If it made from yeast, is it bad for fungal acne? Thank u

[@meghanmoore4595]

Hello 👋 I have mild acne rosacea over my cheeks and nose . I also have clogged pores over the area. What would you suggest I try to help clear out my pores in this area with out aggravating my rosacea .

[@DrSamBunting]

Azelaic Acid works well for both.

[@linago81]

Hi Doctor, thanks for bringing up this active ingredient. I want to try the AZ Clear 20% Azelaic acid. I have combo skin, hyperpigmentation, white comedones prone skin. How do you recommend to use azelaic acid: am or pm? Before or after the moisturizer? Should I apply it all over the face or just spots? How about alternate it pm with every 2 night with Backuchiol products from Olek Henriksen? Thanks so much

[@SamanthaJaeLee]

I currently use Paula’s choice azaleic acid in the morning as my skincare routine. I start chemo therapy for breast cancer this week. Is it ok to continue using this during treatment? Can you please do a chemo skincare routine? I trust your advice Dr. Sam. Thank you 😊

[@mbruno3266]

Hi Samantha - I don't have skin care advice for you. I just wanted to wish you all the best during your chemo. May the journey be easy and may you quickly return to full health!

[@SamanthaJaeLee]

M Bruno Hi! Thank you for your kind words and thoughts! I’m doing well and getting through the process 🙂

[@clalyrics441]

@@SamanthaJaeLee Good luck with everything Samantha, hope you're doing well now

[@SamanthaJaeLee]

Cla Lyrics Thanks for the good wishes! I’m done with chemo and onto radiation treatment in November. I’ll be finished with everything including surgeries by late spring! 💕

[@afroditibitsakou2102]

Hello doctor, please answer us can we use azelaic acid and retinol together and in the morning can we use it with vitamin c?

[@VsLeo1]

When should it be applied during a routine? After cleansing, before serum? Also, those earrings!! 😍😍🐚

[@chanelle5946]

Vanessa Leonard after cleansing on dried skin. You can buffer with a moisturizer first as she mentioned. WRT to serums, a good rule of thumb is to layer lightest to heaviest.

[@年世兰敦肃皇贵妃]

Hi, thanks for sharing this. I am wondering if the JanMarini Rosalieve is gentle enough to be used in every day? And when my skin have redness, irritations not caused by acne but barrier damage, can I still use this product? Thank you.

[@Maria_Shoaib]

Please please anybody guide me, i have extremely dry skin and the only formulation available here is 20%. How can i use it without irritating and dryness

[@sarajacobzem2979]

Does it remove acne scars ?!

[@magnolialk4110]

I have Rosacea and have just got over a flair up. I use IPL treatments. Currently I am using Niod CAIS, REN aha lotion twice a week, Niod MMHC, Niod MG, image Vital C, Image Ageless total retinol-A creme only when skin not irritated. Where would l introduce Azalaic Acid? Desperate for help. I was going to get the one you say is your favourite. Thankyou for being so informative.

[@joeanna1100]

can you recommend one

[@DrSamBunting]

See above!

[@franzricm.amante4665]

Hi Dr.Bunting, Is it really normal that it itches after applying azelaic acid? I itch a lot when I first used it and I rinse it off right away because I am scared that I am allergic to it. I used clindamycin before I put it. Please help me, Dr.Bunting. Thanking you in advance, Doc.

[@cammieusa]

Hi. I am currently using Mandelic Acid for my acne treatment and for my post acne pigmentation. Does Azelaic Acid work better than Mandelic for both? Will I be able to use both products together? Thanks in advance and Love all your videos!!!

[@l.u.7834]

Does Mandelic acid make your skin oilier?

[@annmaldonado2965]

you mentioned in the video you would list some recommended azelaic acid containing products...would you please do that? it would be really helpful

[@DrSamBunting]

Done!

[@annmaldonado2965]

thank you!!

[@mcca59]

I use onexton in the morning and epiduo forte at night for my acne. Can I use azelaic acid with my current acne regimen or no?

[@badranghalak7189]

Derma roller is good for rosacea please replay

[@kukunarapuruthika6977]

So doctor can we put moisturiser first and then use azelac ru and we will still find the same results or results will be seen only if use the serum directly? On cleansed face?

[@mpadmira7546]

Hi Dr! Can i use azelaic after Paula's Choice BHA liquid exfoliant? Thank you

[@aleramirez2376]

Can I combined azelaic acid and vitamin c in my day routine?

[@monicabagonamarkande]

Hi Dr. Sam. Can you use Azelaic acid and Retin A at the same time?

[@DrSamBunting]

Yes. AM Aza, PM Retin A.

[@monicabagonamarkande]

Dr Sam Bunting Thank you!

[@surbhishukla4494]

Can we apply on the whole face or just the dark pigmented area and acnes ?

[@sabiabegum3857]

Is it fine if I am brown skin?

[@Elle-gc8xc]

Estée Lauder pic is clickbait. She doesn’t talk about it at all

[@charlybrady9974]

Loving the content of your recent videos. Very useful and informative. Thank you so much. I use financea for rosacea and I find it helpful., I also have melasma so am happy to hear it is good for that too. Would you say that it is slightly drying? Also does it also act as a mild exfoliant?

[@DrSamBunting]

All actives are drying, just moisturise to manage. Yes, its an exfoliant.

[@Rebecca-vu1xp]

Is it ok to apply moisturizer after using Jan Marini Rosalieve and if so how long should you wait before applying moisturizer?

[@halfamo2422]

How long would a client use this at 10% before you'd expect to see real results, please? I've been using once a day (night) for 2 months and would say it mostly calms skin down for a few hours. I'm hoping it'll suppress multiple pigmentation problems - certainly they haven't got worse, just not started to clear/disperse. Overall skin tone/quality is definitely better). Thanks!

[@nathalielogico2969]

Can azelaic cause purging?

[@melissac4720]

Any thoughts on Finacea Foam?

[@tara_27244]

Going to give it a try it from the ordinary. Can’t get it Canada so have to grab it over in the US. Ordinary won’t ship it here either. I guess it’s via script only here.

[@cassianderson8902]

Great video (as always)! 😃 Thankfully, I only have some rosacea to deal with these days. 😊 Kind of off-topic, but at what age did you personally start wearing sunscreen everyday? You have inspired me to take better care of my skin -- thank you! Also, at what age would you recommend start using Vitamin A derivatives? I'm 22... Thank you!

[@DrSamBunting]

Start SPF daily as soon as possible! Then Actives based on need eg if you have acne, use a retinoid. If your skin is just a little dull, try an AHA.

[@cindysaunders5674]

Hi, is azeliac acid for rosacea or not?? Most people here are talking about scars and acne, but I have rosacea and pustuals and redness, plus I have parts of my skin on my chin, forehead and t zone that's between my eyebrows, like large holes in my skin and it looks like orange peel, and it's like I get new bubbly skin in like circle shapes and lined shapes that do eventually go away or go down, but some dont, and I'm so depressed about it, all the dermatologist prescribed me was a cream you put on twice a day, which is in morning and at night, and I been using it since September 9 /2019 and also he gave me doxycycline which and harm the teeth, cause I used it for like a month and 6 days, and I looked in the mirror one day and my teeth looked yellowish to going a light brown color, and I was so disappointed I just stopped taking them, and I went back to see the dermatologist and I told him about what happened to my teeth, and he said that's not possible, it cant happen, and it would only happen maybe to younger kids like 12 of age, I was like no it happened, and he didnt believe me, so I asked for the minocycline which is in the same pill family as doxycycline and tetracycline, but I was diagnosed with a fatty liver just a month ago, so I did look it up on Google and it says it can harm your liver further, so I'm at a loss right now, and dont know where to turn anymore, the cream he gave me bee's mixed up at the pharmacy and it contains ketoderm/ nortate 1% with 1% HC powder so please help, can hydrocortisone wh is the HC powder do more harm then good, cause I feel like it, my skin was not that bad till using this cream.????

[@lucyfay9884]

Cam I use azelaic acid while using soolantra?? I've just started soolantra which is helping the texture bur I have a bit of superficial redness that I can't seem to reduce? I had tried azelaic acid for a few days in the past and thought it actually made my skin break out? Does this product cause a purge so I have to keep using it??

[@hazelto3163]

Can i use differin with azelaic acid?

[@sandrahernandezz7916]

Can you mix azelaic acid with AHA? What about Niacinimide ? @dr sam bunting

[@minyoongiforever3558]

someone please help me with layering skincare products. Azelaic acid, vitamin c, Retinol , niacinamid, hyralunoic acid, and glycolic peel + moisturizer

[@Ohkeh640]

What about lactic acid? That seems to help my spots and dullness too. Without drying I use pixie glycolic toner on other nights too.