Guide To Retinoids And Your Favorites!

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We'll deep dive what each retinoid does, what makes it unique, which ones might be right for you, and which ones are your favorites!
01:24 Your Retinoid Results (This was only part of the data. I have the full data posted in community posts)
06:20 Our Journey through Retinoids
Retinyl to Retinol to Retinal to Tret
06:40 Retinyl Esters
08:00 Retinol
09:30 Retinal (Retinaldehyde)
11:40 Tretinoin
13:40 Altreno
15:30 Granactive Retinoid
17:00 Adapalene
18:34 Tazarotene
20:40 Trifarotene (Aklief)
24:00 QnA
34:30 Retinoid Cleansers? (Side Tracked)
36:30 Back to QnA
36:35 Does perfect skin exist
38:25 My Recent Retinol Products
39:00 ‪@biossanceskincare‬ Retinol
www.sephora.com/product/squal...
40:45 ‪@IndeedLabsOfficial‬ retinol reface
www.ulta.com/p/retinol-reface...
42:20 ‪@UrbanSkinRx‬ Retinol Rapid Repair & Dark Spot Treatment
www.ulta.com/p/retinol-rapid-...
43:20 ‪@communitysixty-six3330‬ Retinol Resurfacing Night Cream
www.sephora.com/product/retin...
44:30 QnA
I'll get back to this and timestamp the QnA portion as soon as possible!

[@juliehaslam9619]

FINALLY...someone took the time to actually explain this to me. I have tried unsuccessfully to look for a video like this. Thank you so much!

[@johanneshalberstadt3663]

Explain what? This is 80 minutes.

[@alisoncurran9631]

Great livestream. Thank you! As a medicinal chemist, I adore how you break this down to explain the biochemistry behind the differences/how retinol works. Think it helps so many people appreciate and understand far better. Keep 👏it👏up👏👏👏❤️

[@_o6629]

I can't believe THIS is free!!! Such an amazing video for people to understand what retinoids are and their classification in a brief way! Thanks soooo much doc loved it😭❤️

[@pajamamama5965]

Great video! Here's my personal experience over a 4 year time span. I started my skincare Journey with a very mild retinoid (ester) which did practically nothing. Moved up to a stronger retinol and my skin hated it, tried multiple types and strengths. Even got a retinol burn which was scary. I tried the ordinary Granactive emulsion and it did literally nothing and my acne came back. Tried 2 types of retinaldehyde which worked okay, but it turned my skin yellow over time. Switched to adapalene for a year and had good results with acne and anti-aging too. Then I tried retin A .025% a total game changer. Light years better than all the others. It completely knocked out all acne, I couldn't believe the collagen building back up in my skin. Fine lines and wrinkles have disappeared at age 46, it's a miracle worker. It might be stronger but my skin liked it better than retinol. OTC adapalene doesn't compare. I was scared to try Retin-A because of all the horror stories, but it was so worth the transition, the dryness and peeling went away. More powerful than any other skin care ingredient I've tried.

[@Longevitylifestylemedicine]

Love your content! Ended up with rosacea during my first pregnancy. Despite my dermatologist, it continued progressing to truly moderate rosacea. Using your content, I now have my rosacea under control and have even improved my skin in a lot of ways.

[@elena-it7xs]

I appreciate the fact that you don’t live your life in fear of the outdoors and the sun. I appreciate the fact that even as a dermatologist you live your life fully and do not give up activities that you truly enjoy ❤️

[@sea-of-skies_]

Well duh.. why would he

[@TheBiggestMoronYouKnow]

@@sea-of-skies_ sunscreen doesn't block all the uv perfectly and free radicals and pollutants mostly get through too, some people avoid the outdoors because of these things

[@dariak6329]

because he is a man

[@allysonclodfelter4723]

I would LOVE a video on tazarotene vs tretinoin. I have switched from Tret to Taz and find that very few people are really putting out info on third or fourth generation retinoids.

[@movingintherightdirection6100]

I love you guys! Your content is so helpful and interesting and your channel like a breath of fresh air! Keep up the good work!

[@dear_totheheart]

Phenomenal deep overview and very informative and useful, thank you so much for covering this and hope we'll get more indepth, long format videos like this on a variety of topics (such as body care [KP, erythema, etc), vitamin c, antioxidants, sunscreen, moisturizers, etc). Thanks so much!

[@ruthc5230]

Thank you!! Your videos have provided the information that I needed to start my journey using retinoids in a way that was not too irritating for my skin and wouldn't create more hyperpigmentation. Thank you for sharing your knowledge!

[@roxineus]

A melasma video would be AMAAAAAZING ❤❤❤

[@kaslayton]

I have been very skeptical of the retinol body washes so thank you for addressing the short contact time element as to why it’s not worth a purchase

[@NaniNana.]

Thanks for your Stream. It was very helpful for me 🙏

[@Salma_xx]

Dr. Maxfield a day, keep sadness away.

[@splash3613]

Thank you for all the info!I would really like to see a video about eye creams vs. serums; something that won't clog pores and cause milia.

[@juliabinford6500]

Thank you so much for the details!

[@imahappygal1]

Love learning !

[@susanmcf1]

Tretinoin from Agency is my retinoid. Dermatologists, like you, on You Tube have taught us how to use moisturizer under tretinoin when our skin gets sensitive.

[@supercjh]

I started using Agency this week, so far I like what I am seeing. Oh, I am not new to tretinoin or retinol

[@karenshahwan6612]

Thank you for the video!

[@someonerandom256]

I had an excellent experience with adapalene for acne. It's affordable, relative gentle, and effective. Then I went on a prescription for something unrelated, my hormones went haywire and I broke out horribly, despite the adapalene. My Dermatologist put me on Tretinoin .025% and I've been using that ever since. It cleared right up! I still think that adapalene is an excellent choice!

[@kleptomelly]

Dedicated melasma videos are always appreciated 😁

[@emilyhudak9442]

Can you do a video on dry skin? like best cleansers and face masks and soothing products

[@jgoldfarb3]

Where are the Community Posts? Thank you, great live

[@Aenays]

Can you please do a video on Elemis skincare? I hear good things but want to know more ❤❤❤

[@justicepower1255]

I'm currently on month 4 of Isotretinoin at 60mg alternating with 80mg every other day and my skin 🙃 is already smooth like butter. I just have dark marks on my face and use the cerave Resurfacing Retinol serum for my night time skin routine. Is that ok? This is my second treatment on Isotretinoin as my acne came back this year. The side effects are a bit*h but they're bearable. The side effects I normally get are backache, headache, joint pain, dry lips, drowsiness, dry throat, loss of appetite, nausea but not all at the same time. I'm lucky I never get nose bleeds. 2019-2021 I was acne free with perfect skin. 🥰

[@christinamarin4875]

So growing up I never was taught skin care so I kinda just figured it out as an adult. So I have an 8 year old and was wondering what age should I start to show her a skin care routine? Thank you

[@jollyrancher6160]

Thanks!

[@tetyanarogocha9710]

Tranecamic acid on pill helped lighten my melasma within two months. Still taking it even I almost have no pigmentation left. Solved my problem that I been treating over 3 years.

[@peablaze]

How good and effective is Triluma for acne spots and should It just be applied on the spots or all over the face?

[@crustybunny2475]

Retinol Acetate is what we produce in our skin. It's very safe in lower dose and gradually increasing over time without a retinol reaction.

[@AJ-nl6qn]

Can you do a video on acne scars?

[@mahaaljabouri1827]

Do you prefer Aklief or tretinoin? Because theoretically it sounds like Aklief is more effective?

[@Alxdr_]

thank you!

[@debraturner4559]

I know olive oil is not good for your face, as it's too thick and can clog pores, but what about as an after-body oil after a shower to seal in moisture? Is it then bad for your skin barrier?

[@minicoop54]

Six years on tretinoin 0.1%, use nightly for the past two years with fantastic results and only occasional irritation when my skin cells need to turn over. Love! Should I try tazarotene for even better results?

[@chadh6855]

you can, but a lot of people start adding glycolic acid at this point either a toner in the morning or a peel weekly/monthly, The Ordinary has a couple of good options for that

[@missyklein9161]

Just FYI for you guys anytime you hold something up to the camera to show us put your other hand behind it so the camera doesn't try to focus on your face LOL so we can actually see it.. not that we wouldn't rather be looking at your faces of course😁

[@pjrivera1369]

Is the efficacy of compounded tetrinoin .05 like Curology or Agency the same, lower or higher than brand name like Altreno or Retin-A? Any studies or perspectives?

[@rrobles5836]

Any positive or negative comments on Alastin skincare? ZO skin? Maybe a video reviewing brands they sell at the spas? I know you have reviewed certain products from Skinceuticals, skin medica. I am still curious about the many brands they sell and how effective they are.

[@jgoldfarb3]

I love ZO Skincare by Dr. Obagi , I’ve used this line as well as Obagi when he still owned the company.

[@SkinByLauraV]

7:34 I have been using ZO Skin Health consistently for the past year and my skin has transformed. My skin is smooth with very light texture and looks better than my 20’s. Full disclosure I use about 9-10 products in the AM and 5 for my PM routine.

[@LoveABun]

I’m confused. Where is this You Tube “community channel” you mentioned? What is the name of it, please? I’d like to follow it.

[@suzannasunnybrook6360]

Q: I have tried all of the Olay products and everytime my skin ends up smelling like it is burning. There was no redness on my face just the smell . Am I allergic to the perfume?

[@terrymorris5269]

My God there’s sure a lot a rrrrr’s rolling. I’m new to the channel hoping to ingest a few major points. But you guys just do all the talking and I’ll just sit here taking notes. After I consume the hard part I think I’ll have it. But I can see now I’ll just have to break it down into the three major points. And then I think I’ll have it! Smart guy though.

[@luv22angel3]

I apply skin medica .25 retinol and hydroquinone one night and skin better alphaRet the next. If I find my skin is less tolerant I take a night off from both and hydrate only. I am 44 and have better skin now then in my 20’s. Consistency is key♥️

[@mimivee5494]

Where do you buy skinmedica? Are you from Europe?? I can not get it

[@luv22angel3]

United States 🇺🇸

[@manueldisabatino7966]

Love trifarotene

[@shellbell4136]

Alterno is amazing

[@dishaa704]

Can you please do a video on DNA repair enzymes? Theres so much hype about it but I am not sure if they actually work

[@cocoloves3516]

Yes I agree 😊

[@Skirkly]

I would love a video about this too. I use Neova sunscreen and just hope it works. Doesn't sting the eyes though

[@Gjetson9509]

Can you do a show on skin over 65. The girls that would lay out in iodine and baby oil. And layer out all day. They did this for years. Then came out the awful sticky sunscreen..also cover on brown spots on our chest and shoulders.

[@TipsWithTulip]

What is your opinion about Arazlo? (tazarotene)

[@anusthing]

Dr. max looking fineeeeee

[@jgoldfarb3]

He is SO handsome

[@alejandrofabianqui2163]

Him? Always

[@alondraceja9618]

I love that this is the top comment 😌 He is disrespectfully handsome.

[@primordialmeow7249]

Total BABE

[@12345678962499]

So hot❤

[@GavinFreeborn]

310 bench! That's impressive man!

[@LiLi-ps5vb]

I tried A313. It actually does work but it began itching like crazy and I had to stop. It’s also a greasy ointment. Went to adapalene which was fine but now use Curology. I really like that and the cleanser and moisturizer they have too.

[@jjjjjf7]

A313 is itchy if you put too much. Reduce the dose and it's fine (a pea size is fine)

[@kylieinaustralia]

Totally irrelevant to the video…… but love the beard on you. Thanks for yet another great informative video. 🇦🇺

[@scout838]

Can you talk about eye safe retinols. For oily milia prone eyes.

[@wendylee6040]

I find retinoid to irritate and dry out my skin. I have been using a retinoid for 4 months 2-3 times a week. Still dries my skin quite a bit. Could this worsen my melasma? I am thinking of stopping the retinoid.

[@Kimjongilmao]

Wow, interesting conjugation. He said “KZbins Live” for the plural form - like “attorneys general”. VERY interesting

[@WildeSpirit]

I have 2 questions: 1. For sensitive skin, can I build up to using tretinoin by first using adapalene? - How should I build up tolerance so my face doesn't melt off from tretinoin?😂 2. Can retinols help treat redness from Rosacea? Thank you!

[@nativedoll3557]

So handsome aside from your knowledge we just love you 🫶🏼

[@christinamarin4875]

Is cereve retinol okay to use if nursing ( my little one just nurses for comfort he just turned 2). I been putting off using it but I really want to try it but the back of the bottle says not to use its breastfeeding.

[@shannallama]

Hi, thank you so much for sharing you knowledge of skincare. I am really getting into it. So could you please help me find out if the products I use (new to me), but I've never heard any of them mentioned and it made me wonder if I'm getting maximum benefit. For Example brands like: Dermelect Retinol trifecta serium, Murad, Kinesko(masks), csmedix, dr.brandt, Dr. Dennis Gross, Clara's New York, Skin & co., Avante, symbiosis London, GLO skin beauty, Skin inc., Malin & Goetz, Perricone MD cold plasma plus, Glow recipe, Saturday skin, Grounded bee venom face lift, Grayson skin stuff,.... Can I maybe send you photos of the product & it's ingredients or do you know how can find out how effective it really is?? Please, I would appreciate any help you can provide. It's really hard for me to figure out how to fit HA, retinol, peptides, collagen, cerimide, vitC etc.. into a routine

[@shannallama]

Oh ya, I'm 49, and always had facials & took care of my skin. My hormones are messed up and I'm getting age spots or something and noticing blackheads and acne(t-zone & temples). I live in Canada and right now we already have 2 feet of snow, so I don't live outdoors.. lol🥶

[@MeauxFau]

What about retinoids and increase in cholesterol levels? I’ve been using a retinoid for almost 20 yrs, but also gave cholesterol levels that seem too high for my lifestyle. Is there a chance I should switch to a different active because of retinoids potential to raise cholesterol levels?

[@michelekoupai]

what an interesting question...i am researching it now as an RN student...

[@elin_]

Does anyone know what to use around the eyes? I've heard that retinol can damage the eyes

[@dianaklingensmith5987]

Would you please list products that you speak about below your picture. It would be really helpful.

[@patriciaenglish1027]

Yes please. i need a list to refer to. Thank yoy

[@suzannasunnybrook6360]

Yes, I went looking for a list too. Maybe the Dermatologist wants us to simply use the chart. I don't think he can recommend specific products unless he is paid to do so.

[@ErikBPG]

Unfortunately tretinoin is not on the Swedish market. Aging is not a medical condition so it has been fully replaced by Adapolene and is only prescribed as an acne treatment

[@mikam8801]

I’m surprised you can’t get Retin-A for acne? Anyway, just order it from India, cheap.

[@beautymomcoffeelife1746]

Thoughts on the new FillHage no needle Botox

[@Nikkolas336]

Hi. What about Epiduo Forte. They mix the two ingredients?

[@crustybunny2475]

Dr Des Fernandes has successfully introduced Vitamin A in a safe and step up system formulation called Environ.

[@philippena9970]

Can i use differin retinoid and bha paula's choice at the same time ? Maybe one in the morning and the other every 3 nights ?

[@justicepower1255]

No. If I'm ùsing BHA Paula's Choice today i don't use the differin. So I alternate using them. Using them at the same time would be too irritable for your skin. My dermatologist adviced me on this.

[@moniqueornelas]

What about Sunday Riley?

[@theskincarenerd]

If I could use tretinoin for the rest of my life, I’d happily do it lol

[@Donnamg100]

Do vitamin A supplements have anti aging effects

[@EsEf125]

1:14:56 Which Retinoid can I take to bench 310lbs 😂😅

[@donnaralston6618]

Can I use Beauty of Joseon Retinal eye cream in my morning routine if I use adapalene in my night routine?

[@Wtn106]

No

[@AuroraCarlisle]

I commented on the community post about using a compounded tretinoin (Agency). I’ve had quite a journey with tretinoin as an ingredient. When I was 21 or 22, I was prescribed Veltin for mild acne. I was told to use every night. I did and it caused me so much irritation that I ended up with enormous acne and scars in places I never broke out before. When I finally stopped, I was stuck with painful acne for nearly 3 years after. I was terrified of every lotion or cream and I was scared off of tretinoin for nearly ten years. I have mild type 1 rosacea and I have acne. I tried so many topicals and prescriptions, dancing around tretinoin or even retinols, but I knew it was what I should be using. Finally, I dived in with OTC adapalene, and went agonizingly slow. I’d use it for a day each week, then two days, then three… I slowly worked up to every night. It transformed my skin but I still had stubborn acne. From there, I began to dip my toe into tret via Curology. It took… 2+ months to adjust to the peeling from moving from OTC adapalene to .011% tretinoin. I’m a year in and now on .012% (trying to adjust to .02%) and if I drop it for weeks at a time, I start to break out again. This slow approach was a godsend to me, my own traumatizing experience, and my hypersensitive skin. Interestingly enough, adjusting to tretinoin has made my skin more resilient in general. I can now use glycolic acid once a week, for instance, when in the past I couldn’t tolerate even lactic acid.

[@maenad1231]

I’m so mad they told you to use it every night right off the bat. All the dermatologists I’ve been to have always instructed me that whenever I start/re-start using tret to initially use at night every other night AT MOST until I acclimated. Having even just one full “rest day” in between applications can make a world of difference for the first several months of use

[@cheetahbrfc9016]

Any tips on applying sunscreen when you have facial hair/ beard?

[@SkinByLauraV]

Try gel SPF’s.

[@Skirkly]

Great explanations! I'm late to this conversation, but I like to use Youth to the People Retinal and Niacinamide and alternate nights with Avene Retinal. Retinol is like the devil to my skin lol.

[@mxschopendour3000]

I'm thinking of trying YTTP's retinal after using retinol for a bit. And I'm wondering what the doctors think of newer brands like TTTP and Summer Fridays retinoid products.

[@maenad1231]

I ❤️ Tretinoin Retin-A microsphere is my favorite formulation And alpha/beta-hydroxy acids seem to just amplify tret’s benefits for me 😊

[@jasonbig1353]

How do you layer them??

[@peablaze]

@@jasonbig1353 Don't layer Apply one on one night, apply the other on another night

[@jasonbig1353]

@@peablaze thanks !!

[@rodicaathinodorou5295]

How about isotretinoin?

[@mimivee5494]

Who buys skinmedica and lives in Europe? What website????

[@janereinhardt4715]

Try The Route, The Golden Rule next generation retinoid. It can be used nightly by anyone!

[@thistooshallpass5425]

Can it be found online?

[@janereinhardt4715]

@@thistooshallpass5425 Yes, & 1st orders receive a discount! Sign up for texts & emails for regular sales & promotions too, like free samples with purchase & free shipping & Happy Coins!

[@thistooshallpass5425]

@@janereinhardt4715 thanks!

[@nadialawey1071]

Where is ur other friend doctor??? Y is he not in ur videos now??

[@jlrice571]

I love you. You and Dr. Shah are awesome but you guys confuse the crap out of me. Having said that, your information has been very helpful….when I understand it. Gotta dumb it down for me. 😂

[@kayrabey1344]

It gets cold and windy where I live and chaps my face. I use trentinoin and I usually skip it when I have wind burn. The only thing I can put on my face without burning and itching is vasaline.

[@maswiyat_i]

Rx??

[@delrio4222]

Tazarotene

[@terrimckeehan3485]

Can you do a video on hair loss. Please

[@missyklein9161]

Put outside on a bench.. LOL

[@GodzillauniverseYT]

👍👍

[@lucydeboxer2565]

Does perfect skin exist 🤣🤣🤣

[@shirleanna6492]

🙏🙏🙏❤❤❤👍

[@blakepetersen2509]

Bro 310💀

[@Mr99centWTF]

So hunky lol

[@waomin]

I honestly is not really interested with what he is discussing but I finished the video. He is so damn fine for a doctor. 😍