Prescription Retinoids? Combining Actives? Your Acne Questions Answered - Part 2 | Dr Sam Bunting

[@littlevoice_11]

Can you talk more about tretinon and other active for the purpose of anti aging and improving pore size please?

[@mdwhite85]

I’d like to see a video like this but related to tretinoin for anti-aging and other over the counter actives

[@sunibisht6]

Check our video by Dr David Lim. It’s more on this line.

[@sarahnelson3669]

I think the lack of information on prescription medication is due to the lack of time GPs have to hear all the issues, select the right treatment and then they’ve run out if time to explain the correct use of any prescriptions. I’m really glad I found you’re videos just before I was prescribed epiduo as the extent of advice given to me was “don’t come back for at least 3 months” which did nothing to prepare me for the retinization

[@anonymous6594]

We need you on Harper’s Bazaar dermatologist video segment. Harper’s Bazaar has a KZbin channel. They periodically have a dermatologist do Q&A. This would be good PR for your brand. They seem to be open for dermatologist contacting them. Give it a try.

[@Keapix]

My GP didn’t give me any advice when I was prescribed Differin, so thank you for this. What would ‘under control’ look like, when it comes to acne, so I can set my expectations!

[@ivanuzzo81]

I've been using BP and tretinoin every other day for many many years, so I was very surprised to hear that BP i's supposed to be quit once the flare is gone. The thing is that I never stop breaking out. There are good periods, but there are still bad ones. I don't know what to do really. I don't feel like my acne is 100% under control. I use BP all over my face, on top of a moisturizer.

[@monicaduncan7109]

ivanuzzo81 ...I know benzoyl peroxide and Differin can be used together, I’m sure benzoyl peroxide cancels Tretinoin out, maybe that’s why your still breaking out ??... look up Dr Dray on KZbin she has lots of videos on this subject , hope this helps

[@ivanuzzo81]

@@monicaduncan7109 Hey! Thank you for reaching out. I know Dr. Dray and I have just checked her videos on this topic. In "differin q&a with a Dermatologist" she says in fact that the combination is fine. Anyway, I acknowledge the fact that I was probably very discouraged when I wrote that message, most likely in the middle of a purge. I still get those periods from time to time, but overall my acne is at bay. Surely my predisposition is so strong that my skin is never 100% clear. I think that somehow I have to come to terms with that. Needless to say acne, like any desease, can be very taxing mentally. I would like to be care free and not care about skin care, or what I put in my mouth, or how stressed I am or how much sleep I get, but I know that if I neglect all those things my acne would just get worse. It's a disease. Not life-threatening but yet still a disease, which behaves as such.

[@tareqelkhoury]

I LOVE how you answer our questions individually, and so clear and informative. Well done. Magnificent videos. ♥️ keep up the superb work!

[@mildredward6938]

I was a non believer of this product. Once I was getting acne conditions, I decided to give this acne guide *AcneCureOnline. Com* a try. It worked for me. Within 1 week, I can notice the results. I now have a better and clearer face.

[@roksolanakosiv5134]

I wanted to write a huge thank you to you for your videos and so valuable information! I`ve been struggling with rosacea almost all my life and a couple of years ago some acne appeared as well. After binge-watching many many of your videos, I think I finally sorted out my routines. I started using Azelaic acid + Niacinamide and it helped so much with blemishes and also my redness looks much better! I`ve been using it religiously for 2 months now. I`m thinking to start retinoids. I`m a bit scared because previously I had a really bad reaction to it. But now I have a strategy thanks to you! I`m so grateful!

I learned a lot from this! It would be great to have another video on how to pair actives/how many actives to pair in one routine

[@mildredward6938]

Fantastic acne guide *AcneCureOnline. Com* to have short, sweet and to the point with what foods to avert and increase ingestion for much better skin, eliminating acne. Believe me, this will make sense. I do concur that the guide can help. Incredibly useful and a good help to remove acne. .

[@daniellehomke6491]

My questions would be: 1. Is there an alternative Anti-Inflammatory to Benzoyl Peroxide? I hate that it stains EVERYTHING in my home from towels to sheets to clothing. 2. I have oily skin and my doctor recommended that I skip moisturiser - so I did. But I have the feeling that this does make it worse. My skin only got shortly better from the actives and now is getting worse again with even more oiliness, some very dry patches and cystic breakouts. THANK YOU SO MUCH FOR YOUR VALUABLE ADVICE! :) PS: I think the answer to the question, why so many people ask about prescriptions is because you get something prescribed by the doctor in an appointment and then you have no chance to speak to the doctor in the time after. You can only make another appointment which, at least with good, popular doctors, can take months. There is something missing where you can ask your questions and get a quick response. I think that's why a lot of "digital doctor" service get so much attention.

[@kellyhiggins4804]

I love how clear and concise your advice is. I have always found information in the past, regarding acne, to be really conflicting, and has always left me totally confused and stressed about what I should be doing. You have definitely made my head alot clearer on the matter!

[@brittdee5281]

I started tretinonin and got severe hair loss over the last 5 months

[@VsLeo1]

THIS VIDEO is what I had needed for the past 2 years when I started my skin care / cystic hormonal acne journey!!! Thank you, thank you, thank you! Make more of these, please! I’m on acne meds both for morning (aczone) and night (Clynd+Tret) and have been cleared almost immediately after starting using them, and have been on maintenance since (sometimes even skipping aczone for a few days, and as of recently alternating my night treatment with your Nightly Serum!) and its so hard to incorporate other products when you are not sure what goes. And let’s face it, I can’t visit my dermatologist every time I decide to start something new.. so this is so helpful! - thank you and I love you and that is all. 😂😍❤️🙏🏼

[@evelynward8799]

I discovered the details in this acne guide *AcneCureOnline. Com* very helpful. I`m enduring moderate adult acne every so often and with this book, I learned the natural and other several acne remedies. I favor the natural way of treating them and I found out on this guide the solutions that work successfully.

[@alonastephenson2030]

My derma Dr told me to use adapalene .1% for my acne and it clears for 3 mos. now I use retinoid 2% emulsion. I can say adapalene really works

[@alllls113]

this video was so helpful as im working on transitioning off of duac, but continuing tretinoin since Im no longer in an inflammaory state. Im trying to create a new skincare routine and was so confused with all the products out there. this was so helpful to help organize and order my skincare.

[@21972012145525]

This video is great! I would love to see a similar video on the routine you suggest for those of us that are on the other end of the skin spectrum: dry, sensitive, and eczematic skin! I know eczema is very individual, but general suggestions like you’ve done in this video would be helpful, as well as how to slowly incorporate actives and the sequence of doing so. Thank you

[@audenhealey2643]

The tretinoin confusion for me in the USA comes from dermatologists not really understanding how to use it. I know that's hard to believe, but asking basic questions about a routine can result in blank stares. My latest derm doesn't even recommend using sunscreen with tretinoin. I honestly think most people are getting prescribed tretinoin by a doctor (as opposed to getting it shipped from the internet). You're getting questions from people like me whose doctor doesn't understand how to use tretinoin in a simple routine.

[@marianatorres1876]

you are so cohesive on your tips throughout all your videos! it's helping me a lot to handle the adapalene purge. thank you!!

[@gemmatyrrell7354]

Thankyou so much for answering my question! really helpful! :)

[@focrs]

I began doing the routine like 2 weeks ago and my face has a couple of inflamed pimples at the moment. Hopefully it clears up soon

[@jisthaprajna]

i looove your explanation! really helpful, right to the point, not much opening🥰

[@distinguishedsilver]

Hello Dr. Sending love from Dallas TX. Can you do a video on a pm routine with retin-a and hydroquinone? Can you use it together?, how it’s the proper way to layer both? Also while I’m doing 4% hydroquinone at night can i use a 2% in the mornings? I love your channel!. Thank you so much.

[@idamaria3544]

I just want to say Thank you so much, your knowledge and willingness to share it has probably saved my face tbh. We dont have derms where i live and the one that is located in the nearnest city has a waiting period of almost 6 months and is almost impossible to see, you’d have to be in real bad shape if it’s not cancer related. I basically have to do my research myself and then ask my GP for a specific prescription. I know it sounds risky at best but I really have relied on online professionals such as your channel to get my acne in check.

[@anadungu6433]

I was looking for some epiduo opinions for a long time and your answer gave me a very clear understanding !! Thank you very much , you have a new follower!

[@ceamean]

I have extremely oily skin. I started using Noreva anti-imperfection cream (day care & foundation) at day and also kapus 4.5 ph soap bar. I have been clear ever since. Lifestyle is important too. But just with those I'm 99% clear.

[@almaperez232]

This is off topic but, I was at your office in London this past week to purchase some of your products but the person at the front desk said the products could only be sold to patients. She eventually sold some to me. I wanted to purchase more but she said no because she would not have more to sell to other people. It seem a bit strange since, I think, the purpose to selling a product is to sell as much as you can to the customer who wants the product. I hope I don’t sound rude. Just thought you should know. I love your face lotion and sunscreen. I just feel bad that I could purchase some while I was in London

[@zainabali2062]

Thank you very much this was really helpful

[@xfilesfan6593]

Dr Sam, I wanted to thank you for your dedication and your help, thanks to you I am and I am sure many more are closer to clear skin days. Gracias!!

[@PassionsAndCoffee]

As usual, brilliant video. Thanks Dr. Sam. 🤗

[@e8t788]

Where I am in Canada, doctors covered by health care are in a rush, and the private dermatologist I saw was overly invested in upselling. I'd love to find something in between.

[@grace3842]

Thank you Dr Sam.

[@popescu488]

Thank you. I was just looking to find out if retinoids can be paired with azelaic acid as well. Your advice is valuable, Doc.

[@cynthialopez2084]

They can.

[@botaqhead]

I have been following your acne series, it's really helpful and my skin is dealing with acne that has become sensitive, it itches and burns when I put on products. What is your favorite Niacinimide? I'm given antibiotics and Tretinoin 0.05% by my Dr to treat my Horrible Cystic acne ( btw, I'm dealing with Perimenopause too) . Thanks Dr.

[@mariakatsikani2799]

I am confused. Can we use peptides with tretinoin?

[@amritasekhon383]

Can we use copper peptide and tretinoin together or at the same time? Please advise

[@karolinak2868]

I have managed to overcome my adult acne following just your youtube advice. I am so grateful and it put back confidence in me. Thank you! I am struggling however with transitioning and scaling down. I don't have acne any more really. A few acne scars. But when i use the below retinol my skin becomes very dry and flaky, so not sure whether i should continue every other day or do a weekly treatment. My AM routine AlumierMD Purifying Gel Cleanser allabout eyes Clinique Biologique Recherche’s Lotions P50 Colloidal silver water Hydraclrite AlumierMD moisturiser Skinoren Ceramidin DrJart EltaMD SPF 46 broad spectrum My PM routine Elemis pro-collagen rose cleansing balm ( yes, I double cleanse and it works for me) AlumierMD Purifying Gel Cleanser Medik8 Retinol Eye TR - what are your thoughts on retinol eye creams?! Then every other day Retinol Resurfacing Serum 1.0 AlumierMD (I transitioned from Differin cream 0.1%) On the other days I mix a pump of Sarah Chapman Overnight Facial Serum with Clarins blue orchid face treatment oil for dehydrated skin I would really appreciate your advise! Many thanks K x

[@princefontanilla8225]

Hi Dr. Sam! I hope you're doing well. Your videos are highly informative and I appreciate it so much. I just want to ask how I can gradually remove Benzoyl Peroxide (BP) from my regimen and use it sparingly. I am currently using BP+Clindamycin topical treatment in the morning and Tretinoin at night time to treat my moderate to severe acne. I am also using Cerave Moisturizing Lotion AM/PM. I have cleared some of my acne now and I only have a few left. I am afraid to remove BP from my treatment thinking that my acne might worsen again. Also, I want to incorporate Niacinamide+Zinc from The Ordinary to my regimen because my skin is extremely oily. Looking forward for your reply Doctor, thank you so much in advance. Have an amazing day! -Prince

[@genieg1043]

Loving that nail colour!

[@fatimabibihoosen]

I hope you see this, please reply if you do 🙏🏻 I've been using my own mix of adapelene 0.1% and bpo 5% in the evenings, it's only been 2 weeks but my skin seems to be tolerating it well. I have already noticed less cystic breakouts and they come to a head and go away faster Another major concern is comedones, I really want to introduce azelaic acid (skinoren) into my morning routine I currently use the inkey lists salicylic acid cleanser in the mornings Is it OK to still use it when using the azelaic acid or should I use my gentle plain cleanser that I use in the evening? Thank you so much for your videos, I've been binge watching and I've learned so much Hopefully I can finally clear my skin up for good this time 🤞🏻

[@so_so_online]

What do you recommend when benzoyl peroxide is the only topical that keeps a patient’s acne at bay? I’ve been using Epiduo for 3 years and every time I stop, I get a scarring breakout. I have tried both Tretinoin and adapalene alone and neither control my acne. Would you recommend accutane in this instance?

[@Isabelle-xg2oy]

pigwidgeonfan i have exactly the same problem. No matter what i use: tretinoin, retinol, adapalene, azelaic acid, bha, niacyniamide....i do still have new break outs. The only time my skin calms down a bit is when i use benzoyl peroxide or antibiotics 😔 and i hate bp so much, because of hiperpigmentation, prooxide properties, making my skin regenerating slower and bleaching things.

[@TorresKarolina]

very nice! Thank you so much for help us.

[@marcovincitori4643]

Any chance you can start selling the Flawless Nightly Serum without the retinol for those already using tretinoin? all the other ingredients are great so I would buy it.

[@moondog7694]

I got two free samples given to me: One says "Pure Hyaluronic Acid Serum" and the other one says "Bio Brightening C Serum". Should I wash my face before putting one of them on? I've heard a dermatologist say she doesn't wash her body except for her armpits and private area (and I think face, though I'm not sure), because washing compromises the acid mantle and causes epidermal water loss via evaporation. A lot of washes mess with the pH, so she just doesn't wash. Maybe she just washes her lips and eye area and nostrils?

[@allysonbrown9159]

What if you never make it to the blemishes starting to subside phase?? I react quite badly to prescription topicals, even finacea and even after really persevering leave me with red angry irritated skin with the acne mixed in even with minimal use. And internal medication on,y allays the systems. They always come straight back immediately after being discharged. This has been a 20 year journey under the guise of many derms. Is it best to just accept that this is my skin rather than try to keep fixing it.xx

[@letitiajustin07]

Hello Dr Sam! What are your views on bifidus extract please? What are their functions? Are they effective? Are they safe to use on blemish-prone skin? Can I combine it with other actives? Thank you so much! :-)

[@lemonstealer2902]

wonderful woman

[@alicedsouza2528]

I got surprising prominent post inflammatory erythrema all over my cheeks after using adaplene for 2 months (with no issues...) should I still use adaplene on it??? I have normal to dry and thin skin

[@shaeleenreewith7098]

I have a Kyleena IUD in to help me with my pain due to endometriosis (tried the contraceptive pill and had great skin but it didn't help with pain that much and had side effects)... however, the side effect I'm experiencing with the IUD is the worst yet. Over the course of the last year, my acne has gone from bad to worse. I now have acne all over my body as well and don't know what to do. I've started on tretinoin on my face only and I think that I'm in the "purging phase" but am not sure if its causing a contact dermatitis as well.

[@katebrannigan8282]

Thanks for the acne series videos. I’m 40 and only getting my adult acne, which started in my 20s, under control now by following your routine. My spots were almost all on my cheeks, where I also have a lot of redness and post inflammatory hyperpigmentation. The rest of my face has always been okay. Please can you advise why I have so many problems with my cheeks instead of the jawline as would be usual? This really puzzles me! Also, my nose and chin are ridiculously oily despite using mild cleansers etc. My foundation will literally melt off in 2 hours unless I use long wear foundation and powder, which I am now trying to avoid. Please do you have any suggestions on how to control the oiliness as it’s a major nightmare for me! Thanks. (Fellow NI girl here).

[@cattynunez5558]

Hello , do you suggest use tretinoin ..0.05 at night and azelic acid in the morning and what brand do you recommend for azelic acid ?For hormonal acne ? Thanks

[@gratefulsunli4996]

I use a drunk elephant peptide mostuizer, can I use it with tretinoin?

[@KhanhNguyen-hy3yv]

Thank you !

[@Dixonbrandi]

Loving the flawless line, just added in the original flawless moisturizer into my routine. Feels amazing on my skin, so far I think my skin loves it. I am @ skin cycle 1 6 weeks on nightly serum retinoid, I am noticing a lot of hyperpigmentation fading. I am still seeing new breakouts pop up. Can’t wait until these calm down. I am using nightly serum every evening, along with azelaic acid 15 percent in the mornings. I have been spot treating with Onexton (clindamycin phosphate and benzoyl peroxide) Gel 1.2%/3.75%. Thanks again for all your help!

[@susee5888]

Thanku ❤️

[@realTLC]

Can I alternate adapalene and tretinoin at night? Is there benefit to that? Thanks.

[@cmewig373]

Hi Dr Sam another great video! My question has to do with incorporating Dr Sam’s serum into my nighttime routine. I’ve been using Tretinoin for almost two years now (daily at night) and my skin has well tolerated it. I do find my cheeks are prone to dryness afterwards so I’m thinking of alternating between Tretinoin and the serum every other night, given the serum may be ‘gentler’ to my skin. Would like to hear about your thoughts on this!

[@alicedsouza2528]

Retinoids reduce sebaceous glands but as we age, our skin naturally loses sebum and gets dry but paradoxically retinoid is anti ageing... I do understand the fact that it increases skin turnover but it also reduces sebum...Is that gonna affect dry skin in the long run as it is a well known fact that dry skin tends to age faster than oily skin due to less sebum

[@jaivanstiephen2488]

Hello! I have a question and I hope you can answer it. Can I use benzoyl peroxide (topical gel 5%) and tretinoin (cream 0.05%) at the same time? Or if can I use benzoyl peroxide (alone) in the morning and then tretinoin (alone) in the evening? Or if I should use one of them first (ex benzoyl peroxide), then use the other one (ex tretinoin) when my acnes get ij control? And of that's the case, for how long must I take benzoyl before i switched to tretinoin? I'm really confused about it, hope you can help me. Thank you so much.

[@gpelle1970]

Wondering the same thing!

[@paulines2956]

I say use benzoyl peroxide in the morning with spf and then use tretinoin at night over or under a good moisturizer. Orrrrr u alternate each night with one of them rather than doing something both morning and night.

[@oooohmysoooosexy]

I am currently using RetinA and been on it for 15 months now. Would it be alright or safe to use with Dr Sams serum?

[@cdb88]

But I don't understand. I've seen so many dermatologists say it's fine to use tret and azelaic acid together.

[@mincepi]

Hi Dr Sam, firstly thank you so much for your brilliant advice, I love your channel! I have a question about escalating treatment - currently I use adapalene 0.1% at night, and La Roche-Posay Effaclar Duo+ in the morning (sometimes with benzoyl peroxide spot treatment), but am not getting adequate control of my spots. I wanted to ask if it's ok to use both azelaic acid and a LRP Effaclar Duo+ in the same step in the morning? Or alternatively if you would suggest switching adapalene to tretinoin instead for more potency? Not sure where to go next so would love to hear your thoughts!

[@peterkloostermann]

How good are HPR and Apapalene for anti-aging, compared to Retinoic Acid?

[@mehwashmulla7410]

Can I use salicylic acid together with the adapalene at the same time. I have been using adapalene from past 1 year

[@galato4234]

Hi. Thank you for your videos. I would like to know how to subscribe to your newsletter...?

[@nurainsumratul]

Can I use azelaic acid along with retinoid tretinon and glycolic acid together like in the same week like one component each day that will take 3 days in a week? Since it seems using all 3 in same day for 3 days in a week might be too much or cause damage? Obviously with regular sunscreen and moisturiser every day. Please suggest!!! 🥺

[@morten2568]

Hi Doc! The skincare my dermatologist curated for me is cleanse > moisturizer > tretinoin at night. Is there any way I can add the ordinary niacinamide to this PM routine?

[@samriddhisingh2393]

I have an oily skin and I use a salicylic acid cleanser twice a day . Can I use the cleanser at night right before applying adapelene (treating acne) or should I change my cleanser for night ?

[@nirmalaanissa9439]

Thank you for the great video !!!! My dr. has prescribed tretinoin for the evening and azelaic acid in the morning to treat my acne. But I noticed that my skin started to get darker due to tretinoin....is it normal ? Should I stop using the tretinoin ? ... I am a little desperate...any advice would welcome ! Thanks in advance :)

[@MrsGG]

Azelaic Acid worked wonders at first but not any more. After 2 moths of using it stopped working for me... And I can't use retinoids because I'm trying for the baby. What else I can do?

[@gracenagel]

I have been using adapalene 0.1% for about six weeks now and am just out of the buffering stage. I've noticed some improvements for sure! You mentioned in the video that you could use an AHA to help with texture issues. Should I wait and continue to use the adapalene on its own? Or can I incorporate an AHA toner in the morning? Also, can I use BHA with adapalene? Thank you!

[@rachelp233]

HI can you use niacinamide, hydroxychloroquine and tretinoin together?

[@Yusipau]

Can i use fusidic acid cream and tretinoin at the same time? If yes which comes first?

[@sadsayristatus4105]

Which cream is good to remove any kind of stains and any kind of marks Please mem tell me The name of that cream

[@bnb0510]

Does anyone know if there’s a video on what products shouldn’t be used together/layered? I know sources say vit c and naicinimide shouldn’t be mixed but I’m curious about others like AHA/BHA with vit c or retinoids, peptides with vic c, etc....

[@workit_riri]

Can COPPER PEPTIDES be combined with TRETINOIN? I don't have sensitive skin.

[@porcupine783]

What do you think of alternating retinol and adapalene?

[@imfinereally]

Hi Dr Sam.. Ive just found this series and i've just restarted trying to get a handle on my skin. I have cystic acne, thankful that it doesn't tunnel. I also have blackhead, get pustules, and believe i have rosacea. I don't get acne in one place more than others, its all over from hairline down to the underside of my jaw. Even on the space just in front of my ear, behind my ear and in my ear. Ive started titrating with the 2% granactive retinoid from the ordinary as well as using PC 2% salicylic acid. My overall skin seems brighter im still breaking out. Im using cosrx hyaluronic acid toner, ordinary niacinimide & zinc, inkey list peptide moisturizer and inkey ceramide night treatment, mineral sunscreen daily(w reapplication). Im 8 weeks in. What, if any, adjustments would you recommend, or should i just go to a derm now.

[@TheShinhung]

Who has actually found success treating acne with salicylic acid? Im curious.

[@thecookingpot6116]

Na

[@bananamcdonald4916]

Hi, can I apply tretinoin and kojic acid at the same time during my night time skincare routine?

[@arantxavaleriarierazalnier1213]

Thanks I trust you so much! Can I mix Glycolic acid and retinoids ? PM

[@kendallstark4302]

Hi, Arantxa. I think any exfoliation might be better in the morning. At least that's what I do, especially in the shower when getting ready for work. But, let's see what Dr Sam says.

[@arantxavaleriarierazalnier1213]

Kendall Stark thanks! Hopefully she’ll see it 💕

[@julianamerz9493]

These videos are so helpful!!! I use tretinoin in the evening and azelaic acid in the morning. I usually dampen a cotton pad in the morning to lightly take away any residue of the retin-A and then apply the Skinoren. I am wondering if I need to do this light cleansing before the Skinoren or not. Also - can I apply moisturizer on top of skinoren???? THANK YOU SO MUCH!!!!!!!

[@shania.janine]

Hey! Was wondering how using skinoren in the morning and differin in the evening worked for you? Did you decide to alternately use them? Thanks

[@julianamerz9493]

@@shania.janine hi. I wash my face with a mild cleanser in the morning and apply skinoren and then do makeup or not. Evening cleanse face and apply retin a. This has been great but spirinolactone was the game changer in quelling breakouts

[@aaronpaul06]

Any thoughts on long term tretinoin use? I’ve been using it for almost ten years (several nights a week) and it really keep my skin smooth and clear. I told cosmetic injector this, and she cringed. She wants me to slowly back off of using it so that I don’t get thin “plastic” skin. I tried this, but my skin freaked out and started breaking out again. What do you recommend? I’d love to keep using tretinoin since I know it works for me, but I don’t want to do long term damage to my skin.

[@ninalou4629]

Are you sure your injector is not trying to make more money off you? If you stop using tretinoin slowly but surely you will start getting wrinkles and will need more cosmetic work done. If your skin is doing great after 10 years of use theres no reason to stop there are people who have been using for far longer as long as youre using sunscreen everyday youre golden.

[@ninalou4629]

And theres no scientific research to back up what shes saying. Research says quite the opposite.

[@aaronpaul06]

I am sure she isn’t because she is a personal friend of mine and does my injections for free. There is a lot of information out there about long-term tretinoin use thinning the skin. I’ve been told this by multiple medical professionals.

[@rebecathomas4253]

Hi Dr. Sam, is it ok use the ZAPZYT salicylic acid cleanser, Cerave pm moisturizer, and Differin in evening before bed? Also, is it ok to add the Zapzyt benzoyl peroxide spot treatment with it as well?

[@hisimagenme]

What about ceramides with retionol?

[@claretaplin9315]

Hi Dr Sam. Thank you for this series, I've been able to take a huge amount of info and suggestions away from it. Just a question about some of the products recommended such as the LRP effeclar duo and the LRP anthelios shaka sunscreen, they both seem to have comedogenic ingredients in them. Should I be concerned about this or will the benefits of the other ingredients outweigh the possible pitfalls of the comedogenics? I've been using the Anthelios XL for a couple of years thanks to your suggestion, but since they've reformulated to make the Shaka version, I've found myself breaking out.

[@fabiolagarcia2955]

Is it okay to use Panoxyl 10% everyday except one day a week to apply the ordinary peeling solution?

[@yasminjayawardena8855]

Dear Dr. bunting I have been prescribed Differin cream for pigmentation. Can I use Azelaic acid 10% from the ordinary together with the Differin? I am Asian skin colour.

[@thisismjbatara6891]

hi there! can i use a cleanser with citric acid + adapalene?

[@ragilpratiwi1414]

Hi doctor, thank you for your video! Can we mix hyaluronic acid and BPO or Differin? Thank you doctor x

[@daisyhoffman8435]

I love your videos Dr. Sam, i use 1percent prescription strength Retin A at night, what do you think i should pair it with for anti aging skin, i do not get acne but i do have slight hyperpigmentation and wrinkles on my 57 year old face, and where would you suggest i get the actives.

[@sarahill4408]

Do you have a sunscreen you recommend for the face

[@sudeepasangram3437]

Plz talk about under eye cream.....💖

[@doodoo7207]

You will never get that answer in here, because eye cream just pricy moisturizer

[@miscellaneous7151]

I don’t mean any disrespect, but I’m afraid telling people to stop the benzoyl peroxide as a preventative measure once their acne is under control is going to cause a lot of people a lot grief when their inflammatory acne comes back. If they replace benzoyl peroxide with the azelaic acid it won’t be an issue I guess because the acid is supposed to be comparable to BP, but if you stop the BP and don’t add something with similar properties, you just lost one of the things that helped clear your skin. Unless your skin and the reasons behind your acne suddenly change, then you need to keep using the products that successfully cleared your skin indefinitely as a preventative measure. Of course, for some the acne might remain under control without the BP, but that must mean they didn’t need it in the first place (or they replaced it with a product with similar properties). Again, I don’t mean any disrespect, but I’ve had acne for 25 years and I know the anguish that comes with clearing your skin and then having a really bad breakout for whatever reason. In my case, I use a BHA, BP and treat my hormonal imbalance to keep my skin clear. If I stop any of these, the acne comes back to different degrees depending on which product I stop. Thus, I need all three as preventative measures every day.

[@Isabelle-xg2oy]

Misce Llaneous i do agree with your every single word. 21 year long acne sufferer in here 😔 no matter what i use aside, when i want a quite clear skin i need benzoyl peroxide or antibiotics. Everytime i switch from bp to skinoren or effaclar duo...i start to have more and more breakouts. I suppose that means bp is the most important thing in my regimen 😕 and i truly hate this ingredient

[@oliviaswyden4808]

What if a retinol or the ingredients accompanying it cause problems when sitting on your skin overnight? Would the retinol still be effective if you left the product on for a certain period of time(contact therapy) and then rinsed off later?

[@1997thais1997]

Can I alternate mandelic acid and granactive retinoid on my night routine?

[@dianahabtegaber7165]

Hi Dr Sam, what should I use to fade hyperpigmemtation? I feel like I've pretty much cleared my acne but I've got so many red spots on my face left from previous pimples that I still feel like not a lot has changed. I am currently using azaleic acid and niacimimide, as well as the ordinary granctive retinoid. i'd also like to incorporate daily exfoliation (I use the ordinary aha bha peel twice a week already). What do you recommend?

[@kendallstark4302]

Are you using an SPF 50 in the morning? Too much sun exposure could make those marks darker. Also, as she said, patience is paramount, since it could possibly take six months to eliminate them. PS: how do you find The Ordinary's AHA/BHA mask? I'm thinking of getting that, or their glycolic acid toner.

[@dianahabtegaber7165]

@@kendallstark4302 Yes, I am! I pretty much have to, I am extremely fair. The peeling is great, i find it leaves my skin looking brighter and cleaner. I'd definitely recommend it, considering it never irritated my skin and I do have sensitive skin, and I never used a chemical peel before that. The only thing, it tends to sting a little if you put it on already irritated or dry skin

[@kendallstark4302]

@@dianahabtegaber7165 Thanks for the recommendation! I'll definitely try that peel. Like you, I'm also very fair (and a redhead with blue eyes) so I need to wear sunscreen basically always. I've always worn it in the warmer months, but now I'm doing it every day, rain or shine. I have a tiny bit of what I think is hyperpigmentation, so now I just want to eliminate what I have and also prevent further damage. Good luck on your journey! 💗

[@sugarsweet3292]

Hi I’m using epidue forte but my skin is darkened what should I do

[@pcosrunner6832]

Hi Dr. Sam -- my case is tough. I have PCOS and began taking 100 mg of spironolactone for hormonal acne on my chin a year ago. At first it worked wonders, and I was clear for months. Then the acne came back, almost to the point that it looked the same as before! I upped my dose to 150 mg, but I'm still not clear. I've also been taking a generic of Ortho Tri-Cyclen this entire time (have been on it for 6 years) and apply a generous amount of benzoyl peroxide to the affected area every night. All my skincare is no-nonsense and fragrance free, I used SPF religiously, and I eat a pretty healthy plant-based diet and get plenty of exercise. I was so discouraged when the spiro stopped working after I thought I had finally found my miracle cure. Have you had patients who suddenly stopped responding to spiro? What would you recommend?

[@Isabelle-xg2oy]

PCOS runner i am really sorry for your acne 😔 i wish you all the best ❤️ good luck👍

[@jennifers_beauty_boutique9788]

Can I alternate nights with duac once daily gel and tretinoin another night?

[@finesseacademy6888]

Can I use tretinoin and retinol serum together? I have nexret gel0.04% and retinext serum