Dr. Sugai Explains: Acne and My Favorite Over the Counter Treatment

#acne #acnetreatment #dermatologist #dermatology #skincare #adapalene #retinoid #acneskin #drsugaiexplains #tiktokskincare
Acne is such a common issue that affects people of all ages, race and skin type. I still deal with acne and here is how I break it down and also: my favorite over the counter treatment available at your local store!
Hope this video helps as an educational resource but it does not replace a visit to your doctor and it is NOT medical advice.
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Products mentioned:
La Roche-Posay Effaclar Adapalene
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Differin gel
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Disclaimer: This video is not intended to be a substitute for medical advice, diagnosis or treatment with your healthcare professional. This is for medical educational purposes only.
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Dr. Daniel Sugai
Board Certified Dermatologist

[@ZinMinn27990]

I am too late to the proper skincare game! Previously, I would look up any influencers' recommendation on skincare and products. Once I found Dr. Dray, Dr. V, Dr. Maxfield and Dr. Shah's Doctorly, Dr. Daniel Sugai's channels, I have stopped watching influencers like Hyram, James Welsh, and others. I would trust the advice and recommendation of the dermatologists who studied skin for 12 years and literally in practice treating patients (theory + experience) more than influencers. Thank you. Thank you. I cannot be grateful enough for you Dr. Sugai. I feel like I wanna send you a gift. 🙏

[@akhiker01]

Same here. I love them ! I did add Dr. Maren Locke with YT . The budget dermotologist . 👏🏻👏🏻👏🏻

[@barbaraengineer8397]

Thank you for you and your platform! Your advice is wonderful and so very helpful.

[@corlissyamasaki3476]

I LOVE Differin! I don't have acne, but had a irritating case of keratosis pilaris on my cheeks. Differin has worked wonders, no more bumps on my upper cheeks.

[@shroukeladawy4310]

Thank you so much for awesome content

[@maithlimishra8443]

Thank you doc!! ❤❤

[@maganramnarine]

This video was very helpful. Thank you❤

[@mimimoon6082]

Wahoo almost 70k subs! Congrats Dr. Sugai, that's awesome!! I've been using Differin 2 times a week using the sandwich method with the skinfix barrier cream. Wink wink. I took your suggestion and ordered the TIL peptide cream and waiting to arrive. Can't wait to try it. Have a terrific week! See you soon at the amazon live.

[@danielsugaimd]

Have a terrific week, Mimi and thank you for your support on ALL channels- really appreciate you! See you soon at the next Amazon Live!🙏🏼🙏🏼🙏🏼

[@olgatheocharous8071]

True I stopped buying all the hyped products from influencers/magazines cause I broke out really bad in my early 40s. I only buy products my dermatologist recommends. Cleared up within a few weeks only using 4 products. Adapalene worked 🙏

[@rscrl_07]

Thank you for your informative videos!! you're the best!!🙌❤️

[@danielsugaimd]

Really appreciate you saying that!🙏🏼🙏🏼🙏🏼❤️

[@pajamamama5965]

I'm in my forties and have acne. I use adapalene, salycilic acid cleanser, and niacinamide serum. It has been successful at controlling breakouts thankfully. My question is what order do we put these 3 in our routine? Adapalene, hyaluronic acid serum and niacinamide serum? Then I follow with pm moisturizer.

[@theavidtripper]

Hi Doc! Can you combine apply adapalene at the end of the night routine if i wash my face with salicylic acid cleanser?

[@sharonjackson9994]

You can use adapalene for wrinkles correct? Would you recommend that over an OTC retinol?

[@TheTaylan1993]

Adapabalene killed my skin...I'm 48..I used different. Now I switched to neutergena am and pm acne combo..and used for 5 months

[@_BASIC_INSTINCT]

can you do a video on healing red skin syndrome ? 🙏

[@susank683]

pls talk more about wrinkles...a lot of us are older and care about aging nicely. Thank you. Hopefully Differin is helpful for us but pleases explain why and how it works re mature skin

[@danielsugaimd]

Will do and thank you for watching 🙏🏼🙏🏼🙏🏼

[@heirloom906]

Hi, Dr. Sugai! I have been using CeraVe Retinol Resurfacing Serum and just transitioned to Adapalene 0.1%. CeraVe was really good for my skin because my acne heals with PIE and PIH. Will Adapalene be just as good at helping me with it or will it perform weaker/stronger? A reply would be much appreciated.

[@mely4700]

any update? did adapalene help you with your PIE?

[@yukiaedogawa]

Is it okay to use a BHA/AHA toner after adapalene? I'll apologize if it was already mentioned and I missed it.

[@GgG-71494]

Is the 45g differin gel still available in the market? All i see is the small tube

[@fatdedios2681]

Thank God i found this true dermatologist dr. I watched a lot of skincare influencers and some dermatogist here in Yt but i felt like they lacked of something. Hahaha I think you are one of my most trusted! Like youre literally not just about promoting skcare product. You just share very informative videos! You really educating me to skincare. Im on my mid 20s and i have some pimples but im not into skincare even though i was inyroduce to some ingredients i need by my age. I felt lazy whenever i think about doing it. But since i found you, i am really convinced that i really need to take care of my skin! So that my future me will love me🤣 Thankyou so much and pls continue to inspire and educate us.💕💕 Ps. I watched all ur videos even ur reels. Haha i just admire u for being true and smart about skin😅 im excited to learn more🤣

[@allygheorghe]

I have a long story about acne. Acne became my friend or enemy since I had 17, now I have 32 and still with acne. No doctor could helped me in my country. I did managed all by my self for some years, took the wrong road but had a clear skin for a few years. Now at 32 it is again with me, my dear acne. I don't even know how a clear skin looks like...I was also.in depression( still I am) because of this, just that now I managed better the issue as I am older but when I had 17 years until 20 , I didn't go outside the house , just at school... I can't find products good for my skin as I tried many of them, and now I don't use alchool or fragrance on my skin, not even talc in makeup. Since Covid start I also lost a lot of hair, I know is a hormonal thing... I also had a diet, no sugar, no meat, no carbohidrates and my skin was looking good. Long story about, but this is a real issue for young people, and I wish I can do something for them as for me was horrible and nobody could understand me on that period of time... I subscribed to this channel maybe I will find out more about acne, or find products good for me... at the moment I am using just from La roche posay products and aloe vera gel...and they are good but not helping me with my acne...

[@ikram.h7632]

Hello, I don't have hormonal acne but I get some few pimples. Can I use adapalene? I also have some dark spots from old pimples and it stays for long time. Do you suggest me to use adapalene or vitamin c? Thank you!

[@tislaoman]

For teenager acne which facewash is best my is 14 years old along facewash which moisturizer she can use

[@rosemariebute5511]

Hi im starting using that and after 4 weeks i'm purging and some parts are improving but is it okay to encounter some comedones to that part that you're not having a break out? Just 2-3 comedone

[@Kingboo1081]

It’s still prescription in Australia, my GP writes me prescriptions. :-)

[@pbbdupadik]

Can i use la posay adapalene gel with axis y dark spot corrector serum? Thank you

[@spm4391]

Please dive deeper on how to treat hormonal acne.

[@AliciasHealingChannel]

Do some simple water and dry fasting- very easy acne solution and will correct a lot of other problems too.

[@alexandraw887]

Omg, do not do what Alicia Bakowski said. This will NOT help your skin issues.

[@alexandraw887]

@@AliciasHealingChannel You need to stop giving this horrible advice.

[@howen7478]

Would this work for post inflammatory hyper pigmentation too?

[@Franskie266]

Hi which retinol product would u recommend to clear up red acne marks, I've had them for over 10 years on my lower cheek

[@ralphmilnerrr]

Maybe try tretinoin tho you need to get prescription. Better if you consult to a dermatologist.

[@fernandaaguirre9166]

Hi I staring using the la roche posay effaclar. Do I wash after I apply or leave it on all day?

[@rui--pj4ek]

Hi! i sweat alot because of working out would this affect the results im getting using adapalene?

[@John-qe4lr]

Does adapalene works with aging like wrinkles

[@Kingboo1081]

Along with temporary worsening of acne, irritation, dryness, redness etc when beginning Differin 0.1% cream, is it normal for my forehead to feel bumpy? Not acne like, but just bumpy and rough. Is that just apart of what Differin is bringing to the surface? I’m using it every other day, and have used it 6 times thus far.

[@heruvey87]

I have a question. If im acne prone and i use Differin for that purppose and my acne clears am i hable to switch to a Retinol or should i just keep using differin? will my acne come back if i use Retinol instead?. I dont see any one talking about this topic.

[@neeha3975]

Hi doctor .. should we use it before the moisturiser or after? Please let me know. Thanks!

[@LeiSalazar]

He said before or after or sandwich like, before and after outting the oontment on

[@jesusislord7254]

@@LeiSalazar what do you use for your beautiful skin?

[@dorienivannavale272]

Hi! Can I use adapalene and on the other night is retinol for the anti aging benefits? Thank you :)

[@danielsugaimd]

Totally can alternate! 👍

[@coreenoxley7968]

@Dr. Daniel Sugai what product you will recommend to use to alternate with adapalene for anti aging benefits?? Thank you 😊

[@JimmyVu415]

@@danielsugaimddr dray said you cant use retinol with adapalene 🥹

[@JohnApoli]

can I use adapalene after finishing my isotretinoin treatment?

[@davidmagana4920]

I went too much into Differin but after I’m using it every other day, my skin is finally clearing up ☺️

[@danielsugaimd]

Great to hear 🙌🙌👍👍🤙🤙

[@MrguiltyInfamous]

My issue with it is my eye lids get dry. Not that I put anything on my eyelids but I’ll have to take breaks so my eyelids can recover

[@rosi9664]

Dr.Dray talks about this in her videos. I believe she said Vaseline on the eyelids(thin layer) before applying retinol but you can go check out her videos to verify

[@kianahrwilliams1360]

I find it funny when they say “if you have hormonal acne, we might put you on a birth control to regulate your hormones” THATS WHAT CAUSED IT IN THE FIRST PLACE 😂

[@sarahb426]

Ive seen people with iud and nexplanon and certain oral birth controls cause acne. But there are other bcs specifically for acne watch dr drays video on bcs for acne

[@charlenedinn2495]

Oh I remember I used birth control , my face so smooth all pimples went away.

[@lisad4771]

I read adapaline is great for wrinkles as well? Is that true?

[@CrocPit]

I have used it 1yr and it has made my skin much firmer and tighter, also reduced skin texture, I’m 43

[@our2pumpkins]

1.Can you use 4% BP wash then Differin few hours later before bed? 2. Can you use BP face-wash at night then SA face- wash in the morning? ** (I know everybody’s skin is different but just wondering in general with these ingredients)

[@rscrl_07]

hi just stick to only one active cleanser, choose only one between salicylic or benzol that u think will work for u and adapalene at night

[@rscrl_07]

as long as you can, use a gentle cleanser for adapalene and active cleanser in the morning 😊😊

[@our2pumpkins]

Thank you!!

[@faithy817]

can you use these 2 products together?

[@rosi9664]

I’ve watched diff dermatologist that don’t recommend. Both being retinol it’s only going to waste your money and harm your skin. Retinols are pretty strong. Will only cause more irritation

[@geminidragonreads]

I used to used benzoyl peroxide and salicylic acid together all the time and it never bothered me and my skin was great, never had big issues, I’ve had milia for a long time but no serious acne. Then I hit my thirties and acne just started coming out of nowhere in clusters, and no amount of BP or SA worked! Tried differin and couldn’t really tolerate it, found out later I was using too much too soon. I was at a loss! I saw a Dermatologist for this first time and she gave me tretinoin. Worked great and was the only thing that got rid of my milia. But can’t really afford so I tried differin again. I've been using it for a couple weeks and I think it’s working.

[@Juliet42110]

Did you use the Tretinoin cream or gel? I'm always worried the cream will clog pores because of some of the ingredients in the base?

[@geminidragonreads]

@@Juliet42110 I use the cream. No it will not clog pores. The whole point of tretinoin is to turn over cells faster to reduce clogged pores. I've never had a problem, and I have very oily skin.

[@jayeshaw5705]

​@geminidragonreads how do you use differin? After moisturizer or do you use it straight or the sandwich method? How many days do you use it when you first started?

[@geminidragonreads]

@@jayeshaw5705 I used it twice and then stop and never started again. I’d really rather stick with tretinoin. I definitely wasn’t using it correctly but, it’s definitely not for me.

[@piowio4110]

Do you suggest the retinoid sandwich for oily skin?

[@cicicacacicicaca2391]

Paramita 💚💜♥️

[@db-gb5xi]

There's also epiduo which combines BP/adapalene. Better to use products that have been formulated in the lab to be pH balanced and work together than playing amateur chemist.

[@rscrl_07]

this is what I'm using right now, do you have a good result on it?

[@davidmagana4920]

I stopped using epiduo because it was too irritating for me. Splitting them up was the best thing for me.

[@cicicacacicicaca2391]

Paramita, hai honey...

[@samanabdi4469]

You didn’t mention which one we should buy bcz its a half price difference plz let me know if

[@goodolgoldy1976]

🙂

[@danielsugaimd]

🙏🏼🙏🏼🤙🤙

[@mberianidze]

I've been using Differin for 4 months consistently (at least 6 times per week) for acne. My skin tone has improved so much and my pores are barely visible, I don't get irritation or redness, but I still get pimples regularly (4-5 per week sometime even more). I started to think my acne was better regulated before when I used benzol peroxide gel, but I hear and read everywhere that Adapeline is the most effective treatment. I'm confused, I don't know if I should quit Differin and continue with Benzol Peroxide or continue with Differin for a few more months and hope for change. Thank you in advance for your help.

[@hanahle985]

Not a dermatolpgist but why not use both benzoyl peroxide and adapalene together since they're both the active ingredients in the Epiduo gel. I used Differin gel on most nights for about 4-5 months and it improved my skin significantly. I purged like crazy during the first 2-3 months but it gets way better after the 4th month. I reckon keep going with adapalene and add on the benzoyl peroxide to help kill the bacteria that causes acne and see how that goes. Everyone is different though so I hope that you'll figure out something that works for you. Good luck!

[@algernon2005]

Who this insane person who gave this video thump down?

[@danielsugaimd]

You the best 🙏🏼🤜🤛🤙🤙🤙☺️

[@AliciasHealingChannel]

Dr Sugaui no offense but doing a simple 3 day fast will heal pretty bad acne. These products don’t get to the root cause of the gut and hormones problems. Just get your patients and followers to water and dry fast for permanent healing results. Thank you! 🙏🏼🎈🎁 (thumbs up)

[@alexandraw887]

This has to be the worst advice I've seen so far. Dry fast means nothing can be consumed aka absolute fasting- no water, broth, or tea. Most people drink water as well and you should not be only drinking water especially to help clear acne. Do more research before giving horrible advice especially since you're not a physician.

[@ciarrawilson6080]

Respectfully, please do not tell people to fast without the supervision of a medical practitioner. I’m saying this as someone in esthetician school, part of our course is learning how diet impacts your skin. Yes processed sugar and heavily processed foods aren’t the best for your skin. Yes excessive sugar will cause glycation and bind to collagen fibers in the skin and can worsen inflammatory conditions but it will not cause them. If the problem is hormonal a patient should be referred to a physician, no amount of diet changes is going to completely correct a hormonal issue, it may help, but it won’t completely fix it. Telling people to fast for 3 days without medical supervision is wrong and dangerous.