Minimize and Avoid Retinoid Irritation and Purging | Dermatologist Guide

Although topical retinoids have some of the best skin care benefits for anti-aging and acne, the irritation often caused by them deters people from using it. In this video I share my best tips for minimizing irritation from using topical retinoids.
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DISCLAIMER: The information in this video is not intended as medical advice, diagnosis, or treatment. Always seek the advice of your physician. Also, product links may be affiliate links. Affiliate links support my KZbin channel so I can continue to create videos for you.

[@Larams47]

Love the vertical setting of this. It's a lot easier to hold the phone and be attentive while watching 😃

[@natalicarellano4285]

Just want to say your videos are the most helpful and useful that I have found! I have seen so many dermatologists and none have ever explained this or taken the time with me to discuss this and address my personal concerns. Thank you so much 🥰🥰🙏🏻

[@dr.jennyliu]

Thank you

[@kendallstark4302]

I love the CeraVe moisturizing cream. I massage it into the corners of my mouth and around my eyes before applying tretinoin 💖

[@dr.jennyliu]

So happy to hear that

[@Kats4korner]

Thank you. Your tips and recommendations are helpful. I appreciate how you included affordable drugstore moisturizers.

[@lesliefrazier1316]

Thank you for explaining what to do! Your whole video was just so easy for me to understand! Also no sponsorship plugs!❤️❤️

[@lynjj7976]

Thank you very valuable information.

[@aneyedr]

Thank you for the great info! Once tretinoin is tolerated for daily use for anti aging, is it recommended to increase concentration or is it not necessary?

[@beastie1996]

Don’t really see you address purging at all. Just the dryness and redness…. Everytime I try ret the purge never ends and I give up.

[@jolynekujo1286]

true, i think i just break out more when using retinoids

[@-SimonRiley]

4:40 But my Dermat said you shouldn't use emollients over retinoids because they are thicker and lock it in hence increasing their strength and irritation

[@jenniferolson3206]

This was incredibly helpful- thank you!!!

[@tashfeenmalik-hs5vt]

Hi ! There I have a serious Question for all of u that What Do I use during the nights when I'm not using my retinol ....I m a beginner & I'm using La Roche Posay Hydrating Gentle Cleanser + Kiehl's Retinol Micro dose Serum + Cerave Moisturizer In Night. In Morning I use Cleanser + Paula's Choice Vitamic C + Isntree hyaluronic Acid water gel sunscreen.

[@562Samarie]

What can be prescribed by a dermtologist for a burn on the face from tretinoin? I accidentally combined it with something else and got a burn. Trying to use something that will help with hyperpigmentation that is there now. I know there's ointments and creams, but what would be good rx for a mild burn and scar care. I'm a medium light Hispanic skin.

[@janetrodriguez5445]

So if we have dry sensitive skin and are just using retinol for anti-aging purposes it’s better to stick with OTC products and we will get same results as prescription?

[@lindalove9008]

Best video ever! Thank you

[@DivaEagle77]

I love your videos. Thank you so much!

[@Ohkeh640]

I’m oily skin and using the cerave moisturiser cream in the tub :) Do you apply tret before moisturiser?

[@aldolopez3868]

Why this video came out so late?😭I´m suffering a terrible irritation in my skin cause I used a benzoyl peroxide cleanser when my skin hadn't gotten used to adapalene that I just started one month ago 😔

[@Ohkeh640]

What’s your favourite sunscreens for under makeup?? With no white cast for oily skin

[@dr.jennyliu]

I have a recent video sharing this but I like LRP anthelios, epionce tinted spf, and Elta MD

[@jilliansmith8080]

What can you do on the day's that you're not using Tret. Like if you're only using it twice a week. Is there things extra that you could Do on your off days? Like you mentioned, slugging is not recommended with it. But what about the day after when you're not using trett? Are there things throughout the week? On the days you're not using that ingredient that can help your skin tolerate it better?

[@kakaocoffee5366]

Other doc recommended, do not use peptide with retinol.

[@gabrielasanchez2028]

4:30 note to self 6:58

[@jilliansmith8080]

It doesn't affect the efficacy? Everybody else says it lowers the dose... And not as Much ingredient is absorbed

[@Thereisonlyone464]

Can I use the CeraVe Skin Renewing Night Cream during the day as well? I have dry skin and just started with tretinoin. If not what do you recommend I use on the days I don’t use tretinoin and also what to use during the day in general with dry skin

[@rhino79]

I bought the Cerave skin renewing night cream because it was so highly recommended. I don't know if they changed the formula or I got a poorly mixed batch, but it is incredibly greasy on my skin, like Vaseline-level greasy. It doesn't absorb well and just sits on my face. I was very disappointed.

[@joannaj2019]

Thanks for your info! I've been using trentnoin 0.025% for 8 months and I am tolerate it very well. I would like incorporate azlaid acid in my routine. I am wondering if it's okay to use both active ingredients together. If so what would be your recommendation for the percentage?

[@dr.jennyliu]

AA is not as irritating as other acids most people can use it together but again always test and start off slow

[@mishujahanmumu5020]

Cerave skin renewing night cream it’s safe for paraben ???

[@ImanRachdi]

Hi doctor please Can i use cerave moisturizer with tretenion because cerave it contrains niacinamide

[@aleenashairulla8500]

hey there dr. jenny i was wondering on nights that i only exfoliate what moisturizer should i use for oily/acne prone skin but i don't have consistent or terrible acne just here and there

[@dr.jennyliu]

Pick one that you like. I personally recommend LRP toleriane Double repair or vanicream facial moisturizer. Also can check out Kiehls

[@aleenashairulla8500]

@@dr.jennyliu thank you very much

[@sireeshareddy305]

Hi . I have a uneven skin tone and I started recently using tretinon with ups 0.05% as doctor prescribed and im having rashes and like red pimples with itchiness . The way i used tretinon by applying after face wash without any moisture before or afternoon tretinon .please let me if it is wrong way to use tretinon

[@thatgirl5630]

So you are probably experiencing a damaged skin barrier, let me help u, so first wash it it’s a gentle HYDRATING face wash, cereve and laroche poussay has one. Next apply a good moisturizer! Something with ceramides/peptides/ even centella can help! Allow that layer to dry down, THEN ADD ANOTHER layer of moisturizer! Let that dry down a bit and THEN put HALF than a pea sized about of the tret on your skin. Let it dry down, AND YET AGAIN another layer of moisturizer! And your all done! U should see some improvements from that

[@sanaalanker6834]

Hi, Can I use vanicream over the Tretinoin? It’s the only cream that my skin doesn’t react to! Thank you

[@businesshome848]

Yes

[@HaloHighlightz]

On another comment, she did recommend vanicream

[@HaloHighlightz]

3:18 to clarify, stop using other actives totally (AM and PM?) when starting or just when you’re applying the retinoid (PM routine)? If stopping totally, how long would you say until one can start it back, in the event that the skin is handling the retinoid well.

[@mooninaries4397]

Thank you for explaining! One thing im confused about though is why doctors doesn't suggest people who suffer from adult acne to start on over the counter retinols? Wouldnt that be the best way to start treatment to minimize the risk of irritation and scarring?🤔

[@dr.jennyliu]

Most retinol don’t work for acne. ADAPALENE is the only that may help but for lost with hormonal acne it’s often not enough

[@mooninaries4397]

@@dr.jennyliu I see, but for the sake of making the skin used to the retinol, isn't that a important thing not to irritate? From what i understand you can start really gentle with retinaldehyde and then go for ex differin, or am i wrong?

[@queenqatan]

Hi, I love the La Roshe Posay cream you mentioned but when I use it with my Rx tretinoin it start pilling and won’t go on smooth. Any idea why this happens? I use non pore clogging moisturizer because I tend to get millia with thick moisturizer. What non comedogenic moisturizers do you recommend? Thanks in advance!

[@xyzmm7965]

I use alpha arbutin 2 drops with niacianmode 1 drops from the ordinary at night I start tretinoin 0.025 % , can I use the tretinoin in the same routine which include niacinamide and arbutin , but one night I use the serums of the ordinary and the next night I use tretinoin i don't layer them

[@soublakias]

Am thinking to buy cerave pm or LRP but LRP dont have hyaluronic acid i think..?

[@562Samarie]

At one point your video says, petroleum based products can be used over retinoid then at the end you say, not to do that. I'm confused.

[@allyzalarano5782]

sameee

[@jenniferolson3206]

I was just about to buy the CeraVe Skin Renewing Night Cream but read ingredients and see it contains encapsulated retinol - would this be bad to use in addition to retinol/tret treatment step? Thank you!

[@Ohkeh640]

Just buy the cerave moisturiser cream in the tub I use that It’s fab

[@ghanaianqueen7891]

I was perscribed amzeeq in the morning and epiduo at night- would that be too irritating?

[@winterhappy25]

Hi there! Im using a 0.1 tretinoin but has so much irritation i only used 2-3 times a wk. in between i use the benzoyl/adapalene for spot treatment. Do u think i should stop one?

[@waldien5802]

You’re not supposed to use 2 actives at once, you need to use the tretinoin almost every night for 3 months so your skin can get used to it

[@xyzmm7965]

That to much for your skin, use just tretinoin .if It's your first time to use tretinoin chose Low pourcentage 0.025 and avoid 0.1

[@Ohkeh640]

How long after applying tret do you wait to apply moisturiser? And same when applying moisturiser first how long after to apply tret? I wait 45 min

[@dr.jennyliu]

You can use moisturizer right away no need to wait

[@Duxbury_Skin]

Is it safe to start using retinol during breastfeeding?

[@dr.jennyliu]

Yes avoid during pregnancy

[@Duxbury_Skin]

@@dr.jennyliu thank you!

[@Pengy_Penguino]

Hi Dr. Liu I understand no for Petrolatum based products, but would putting a facial oil, like Squalane, after applying my Tretinoin affect its efficacy? Thanks ! 😇

[@dr.jennyliu]

Petrolatum based moisturizers are fine to use just don’t use 100% petrolatum. But any moisturizer with occlusive like squalene is fine too

[@heena1359]

My primary care physician prescribed me with Tretinoin 0.05% each night along with Spironolactone pill 25mg each day for cyst acne,Lot of facial hair growth,PCOS So how should I start as beginners I do have dry to Combination sensitive skin Which product would you recommend Cleanser,Moisturiser and spf

[@dr.jennyliu]

I always say more gentle the better until your skin gets use to it then you can certainly try changing out your products as desired. In General i recommend a cream over gels for moisturizers

[@heena1359]

@@dr.jennyliu thanks for reply unfortunately the doctor has replaced my prescription with Differin Adapalene gel 0.1% A ne treatment due to unavailability of Tretinoin the pharmacist said to apply to the affected area only every night after cleansing and no moisture after that

[@heena1359]

What is the correct procedure

[@azaiscurtean6191]

So you cannot use Aquaphor first and then apply tretinoin on top? That’s what I’ve been doing because I have severely dry skin and seb derm and acne

[@dr.jennyliu]

Don’t recommend that as much

[@Ohkeh640]

Just use cerave moisturising cream in the tub wait 30-45 min then apply test if you’re dry Try it I do that anyways and wait 45 min then apply tret nightly

[@Ohkeh640]

Try la Roche posay baume during the day etc it’ll help you dry sore skin

[@m.younis9849]

Please dr Jenny.. When I upgrade from OTC retinol to Rx Tret.. Should I switch with the sane frequency I've reached? ( I e. 4 days/week).. Or I start from scratch 1 day/week?

[@dr.jennyliu]

I always recommend starting slowly when increasing especially if you have sensitive skin

[@m.younis9849]

@@dr.jennyliu Thing is.. I'm already using the olay retinol in purple tub frequently.. I feel like I'll be wasting time starting low again with Tret 😅 Thanks though

[@karintmz9878]

@@m.younis9849 honestly prescription tretinoin is way harsher than retinols. is better to start slow than to use it too fast and then having to treat the dryness and sensitivity from using too much

[@m.younis9849]

@@karintmz9878 OK thanks! So, i'll just consider that I wasn't on any retinoids before 😅.. Thanks for the advice 👍🏽

[@karintmz9878]

what is the difference between tretinoin 0.025, 0.05 and 0.1? i've been using tretinoin 0.05 for acne scars for about a year and i dont see that much improvement. i dont know if i should increase the strength.

[@dr.jennyliu]

Can check out my last video where I explain the significance of higher %. For true acne acne a resurfacing procedures are going to be most effective

[@karintmz9878]

@@dr.jennyliu yes i already watched it when it came out. Great Video! was still a little confused if i should increase the strength for acne scars since you said there was not much difference between 0.025 and 0.1.

[@meaganmackenzie5068]

@@karintmz9878 I think what Dr. Jenny is saying is that you need resurfacing treatments to treat true acne scars. Prescription retinoids can help by treating acne (avoiding scarring) and can help with issues like hyperpigmentation. But any type of true scar (atrophic or hypertrophic) need resurfacing treatments (like laser, chemical peels, microneedling, etc.)

[@karintmz9878]

@@meaganmackenzie5068 thank you so much😊