How to Layer Tretinoin with Other Skin Care Products
by Cynthia Bailey, M.D. on October 19, 2015 in Anti-Aging Skin Care, Ask Dr. Bailey, Natural Skin Care, Skin Care Products, Skin Problems & Advice
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Tetrinoin_main
Best Sunscreen: dermatologist tips about sunscreenI received this excellent question from a reader as a blog comment. It is such a good question shared by many, so I’m making it its own blog post. It takes a village!
Dear Dr. Bailey,
Thank you so much for your very informative blog. I have learned a lot from reading your articles, but I am still a littler [sic] confused with regards to when to apply all the products.
Do I understand correctly that if I put on, right after cleansing my face, the Green Tea Antioxidant Cream, then layer either with vitamin C, Glycolic acid or tretinoin cream? And then moisturizer on top of this?
Do I need to wait before layering or can one go on top of another right after applying?
Say if I use [the] green tea product, then prescription tretinoin and then moisturizer, will this not dilute the effect of the tretinoin?
Alis
Hello Alis,
You ask an excellent question that everyone shares. The answer is actually part of the “fine points” of a powerful anti-aging skin care routine. Good for you for picking up on this, and thank you for creating the opportunity to help others with it as well!
The reason you are confused is that, honestly speaking, no studies have really been done regarding individual product applications. Plus, opinions even among dermatologists will vary. This is why you get conflicting recommendations.
I have created customized, complex layered skin care routines for years for my patients and the proof is always in the results. I’ve learned what works and what doesn’t. I use common sense and the principle of applying thin to thick (a.k.a., water-based to heavier or oil-based products) for the sake of diffusion into the skin.
During the Day
IMG_0635
Vitamin C Anti-Wrinkle Serum
Mineral Makeup
Mineral Makeup
I have people always apply the Green Tea Antioxidant Skin Therapy (a very light water-based product) right after washing. During the day, I then layer the Vitamin C Anti-Wrinkle Serum OR Glycolic Acid Anti-Aging Face Cream right on top of it. I recommend waiting a minute or so to let it dry a little, then a moisturizer goes on to only the places on the face that need a little extra hydration. Mineral zinc sunscreen is applied next. If used, makeup would go on top. I prefer a dusting of mineral makeup on top of these great products so that no more moist product is added.
During the Night
glycolicantiagingface
Glycolic Acid Anti-Aging Face Cream 15%
At night, the Green Tea goes on again right after washing your face, then Glycolic Acid would be applied if it is being used. Moisturizer can be applied right after the Green Tea and after the glycolic product, where needed. Glycolic and tretinoin can be combined at night if skin can tolerate them both.
14
Green Tea Antioxidant Skin Therapy
Regarding tretinoin, some doctors say there is no need to wait fifteen minutes before applying tretinoin. I find that sensitive complexions need the fifteen minute wait. If your skin is not sensitive and you don’t need the wait, tretinoin can be applied after the Glycolic. Incidentally, tretinoin is inactivated by light, so I tell people to keep it at the bedside table and put it on right before turning off the light.
See why it’s so complicated? Thank you for asking such an excellent question that many people need to know.
Warm Regards,
Cynthia Bailey MD, Dermatologist
Disclaimer: Please realize that availing yourself of the opportunity to submit and receive answers to your questions from Dr. Bailey does not confer a doctor/patient relationship with Dr. Bailey. The information provided by Dr. Bailey is general health information inspired by your question. It should not be a substitute for obtaining medical advice from your physician and is not intended to diagnose or treat any specific medical problem (and is not an extension of the care Dr. Bailey has provided in her office for existing patients of her practice). Never ignore your own doctor’s advice because of something you read here; this information is for general informational purpose only.
During this Breast Cancer Awareness month, I want to encourage support for a wonderful organization called FORCE that fights breast and ovarian cancer. Help victims battle the fight by supporting this very deserving cause! For more information into how you can help, click here.
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If you found this skin care information helpful, you may also want to read:
What's the Best Dermatologist-Recommended Sunscreen for Oily Skin?
Dermatologist's Acne Skin Care Tips
Best Products to Stop the Clock on the Aging of Your Skin!
If you found this helpful, subscribe to my blog -- it's free. I write two articles per week on skin care and skin health and you can have them delivered to your email inbox. Get your skin care information straight from the dermatologist. Join my intelligent skin care revolution. Just enter your email address:
Tags: anti-aging, Dermatology, Directions, Moisturizer, Products, Skin care, Sunscreen, tretinoin
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5 Responses to “How to Layer Tretinoin with Other Skin Care Products”
Carolina E. October 25, 2015 at 5:18 pm #
Dr Bailey,I wanted you to know that I love your blog,I have learned so much from you over the years .So happy that you have your good health back and you are back as always helping others Well you have a great day!
Blessings & Prayers
Carolina E.Jenkins
Cynthia Bailey, M.D. October 26, 2015 at 8:25 am #
Thank you Carolina. Writing my blog is a pleasure for me because I imagine readers like you finding something of interest in a post that may help in some way.
Maria November 1, 2015 at 9:23 pm #
Hi DR Bailey – I’m wondering if you know if it’s possible to purchase a retinoid that’s a .25 strength? (Not .025) I have only seen the highest strength to be .10 or 10 percent but it would be great to find a 25% cream. I’ve used it for many many years now and would like to try a higher strength.
Also you mentioned that light degrades retin A? Do you mean sunlight? Does indoor light also do that? I’m just not getting how all these studies have been done but one rarely hears to keep one’s face only in the dark when applying (or is that an addl precaution of yours?).
Thanks!
Cynthia Bailey, M.D. November 2, 2015 at 8:26 am #
Hello Maria,
There is no .25% tretinoin, do we have a typo? If so, what page? Regarding the light and tretinoin, even wavelengths in the visible spectrum can break down tretinoin. Here is the post with the reference http://www.drbaileyskincare.com/blog/does-light-break-down-tretinoin-retin-a-cream/ That’s why I have patients apply it right before going to bed. I keep mine at my bedside table. Yes, it’s probably obsessive but it’s also an easy routine.
Mario Lopez November 3, 2015 at 2:47 am #
This is something I really agree with you, Dr. Bailey. Indeed, certain product application may lead to confusion. Different opinions about it from one another just made it worse, sometimes I use it without thinking what is the function, just apply it to the skin altogether.
http://www.sunflowerdermatology.com/
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النتائج (
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[نسخ]نسخ!
كيف يمكن لطبقة ترتينوين مع منتجات العناية بالبشرة الأخرىسينثيا بيلي، العضو المنتدب في 19 أكتوبر 2015 في مكافحة شيخوخة الجلد الرعاية، اسأل الدكتور بيلي والعناية بالبشرة الطبيعية ومنتجات العناية بالبشرة، ومشاكل الجلد والمشورةمشاركة في فاسيبوكشاري في تويتيرشاري في emailShare في pinterest_shareMore Services3 مشاركة Tetrinoin_main أفضل واقية من الشمس: تلقي نصائح طبيب أمراض جلدية حول سونسكريني هذه المسألة ممتازة من قارئ كتعليق مدونة. ومسألة جيدة يشارك الكثيرون، حتى أنا يجعلها بلوق وظيفة الخاص به. فإنه يأخذ قرية!عزيزي الدكتور بيلي،شكرا جزيلا مدونتك مفيدة للغاية. تعلمنا الكثير من قراءة المواد الخاصة بك، ولكن أنا لا تزال يتلر [كذا] الخلط فيما يتعلق عند تطبيق جميع المنتجات.هل أفهم من بشكل صحيح أنه إذا أضع، الحق بعد التطهير وجهي، "كريم الشاي الأخضر المضادة للأكسدة"، ثم الطبقة أما مع فيتامين (ج) أو حمض الجليكوليك كريم تريتينوين؟ وبعد ذلك مرطب على رأس هذا؟هل أحتاج للانتظار قبل طبقات أو يمكن دفعة واحدة على رأس حق آخر بعد تطبيق؟أقول إذا كنت تستخدم [] الشاي الأخضر المنتج، ثم ترتينوين الوصفات الطبية ومن ثم مرطب، هذا لا سيخفف أثر تريتينوين؟Alisمرحبا Alis،تسأل سؤال ممتاز أن تشاطر الجميع. الجواب في الواقع جزء من "النقاط الدقيقة" من روتين الرعاية القوية المضادة للشيخوخة الجلد. جيدة بالنسبة لك لالتقاط على هذا، وشكرا لكم لتهيئة الفرصة لمساعدة الآخرين بأنها كذلك!The reason you are confused is that, honestly speaking, no studies have really been done regarding individual product applications. Plus, opinions even among dermatologists will vary. This is why you get conflicting recommendations.I have created customized, complex layered skin care routines for years for my patients and the proof is always in the results. I’ve learned what works and what doesn’t. I use common sense and the principle of applying thin to thick (a.k.a., water-based to heavier or oil-based products) for the sake of diffusion into the skin.During the DayIMG_0635Vitamin C Anti-Wrinkle SerumMineral MakeupMineral MakeupI have people always apply the Green Tea Antioxidant Skin Therapy (a very light water-based product) right after washing. During the day, I then layer the Vitamin C Anti-Wrinkle Serum OR Glycolic Acid Anti-Aging Face Cream right on top of it. I recommend waiting a minute or so to let it dry a little, then a moisturizer goes on to only the places on the face that need a little extra hydration. Mineral zinc sunscreen is applied next. If used, makeup would go on top. I prefer a dusting of mineral makeup on top of these great products so that no more moist product is added.During the NightglycolicantiagingfaceGlycolic Acid Anti-Aging Face Cream 15%ليلا، الشاي الأخضر ويمضي مرة أخرى حق بعد غسل الوجه الخاص بك، ثم حمض الجليكوليك ستطبق إذا كان قيد الاستخدام. يمكن تطبيق مرطب حق بعد الشاي الأخضر وبعد المنتج الجليكوليك، حيثما اقتضت الحاجة. يمكن ضم الجليكوليك وتريتينوين في الليل إذا الجلد يمكن أن تحمل لهم على حد سواء.14الشاي الأخضر المضادة للأكسدة الجلد العلاجفيما يتعلق ترتينوين، يقول بعض الأطباء لا حاجة إلى الانتظار خمس عشرة دقيقة قبل تطبيق تريتينوين. أجد أن الطبائع الحساسة بحاجة إلى الانتظار خمسة عشر دقيقة. إذا كان جلدك ليست حساسة ولا تحتاج الانتظار، يمكن تطبيق ترتينوين بعد الجليكوليك. وبالمناسبة، ترتينوين هو معطل بالضوء، حتى أقول الناس لإبقائه على طاولة السرير ووضعها على اليمين قبل إيقاف تشغيل الضوء.ترى لماذا أنها معقدة جداً؟ شكرا لك على طرح هذه مسألة ممتازة أن العديد من الناس بحاجة إلى معرفة.وتعتبر دافئة،سينثيا بيلي MD، طبيب أمراض جلديةDisclaimer: Please realize that availing yourself of the opportunity to submit and receive answers to your questions from Dr. Bailey does not confer a doctor/patient relationship with Dr. Bailey. The information provided by Dr. Bailey is general health information inspired by your question. It should not be a substitute for obtaining medical advice from your physician and is not intended to diagnose or treat any specific medical problem (and is not an extension of the care Dr. Bailey has provided in her office for existing patients of her practice). Never ignore your own doctor’s advice because of something you read here; this information is for general informational purpose only.During this Breast Cancer Awareness month, I want to encourage support for a wonderful organization called FORCE that fights breast and ovarian cancer. Help victims battle the fight by supporting this very deserving cause! For more information into how you can help, click here.Share on facebookShare on twitterShare on emailShare on pinterest_shareMore Sharing Services3If you found this skin care information helpful, you may also want to read: What's the Best Dermatologist-Recommended Sunscreen for Oily Skin? Dermatologist's Acne Skin Care Tips Best Products to Stop the Clock on the Aging of Your Skin!If you found this helpful, subscribe to my blog -- it's free. I write two articles per week on skin care and skin health and you can have them delivered to your email inbox. Get your skin care information straight from the dermatologist. Join my intelligent skin care revolution. Just enter your email address: Tags: anti-aging, Dermatology, Directions, Moisturizer, Products, Skin care, Sunscreen, tretinoin← What Not to Say to Someone with Breast CancerThe BRCA Genes and Breast Cancer: Facts to Help Save Lives →5 Responses to “How to Layer Tretinoin with Other Skin Care Products” Carolina E. October 25, 2015 at 5:18 pm # Dr Bailey,I wanted you to know that I love your blog,I have learned so much from you over the years .So happy that you have your good health back and you are back as always helping others Well you have a great day! Blessings & Prayers Carolina E.Jenkins Cynthia Bailey, M.D. October 26, 2015 at 8:25 am # Thank you Carolina. Writing my blog is a pleasure for me because I imagine readers like you finding something of interest in a post that may help in some way. Maria November 1, 2015 at 9:23 pm # Hi DR Bailey – I’m wondering if you know if it’s possible to purchase a retinoid that’s a .25 strength? (Not .025) I have only seen the highest strength to be .10 or 10 percent but it would be great to find a 25% cream. I’ve used it for many many years now and would like to try a higher strength. Also you mentioned that light degrades retin A? Do you mean sunlight? Does indoor light also do that? I’m just not getting how all these studies have been done but one rarely hears to keep one’s face only in the dark when applying (or is that an addl precaution of yours?). Thanks! Cynthia Bailey, M.D. November 2, 2015 at 8:26 am # Hello Maria, There is no .25% tretinoin, do we have a typo? If so, what page? Regarding the light and tretinoin, even wavelengths in the visible spectrum can break down tretinoin. Here is the post with the reference http://www.drbaileyskincare.com/blog/does-light-break-down-tretinoin-retin-a-cream/ That’s why I have patients apply it right before going to bed. I keep mine at my bedside table. Yes, it’s probably obsessive but it’s also an easy routine. Mario Lopez November 3, 2015 at 2:47 am # This is something I really agree with you, Dr. Bailey. Indeed, certain product application may lead to confusion. Different opinions about it from one another just made it worse, sometimes I use it without thinking what is the function, just apply it to the skin altogether. http://www.sunflowerdermatology.com/Leave a ReplyName (required)Important: You must use your real name. Comments with spammy names, company names, etc., will not be published.Mail (will not be published) (Required)WebsiteNotify me of followup comments via e-mail + Skin Care Advice Categories + Acne (98) Anti-Aging Skin Care (209) Around Sebastopol (27) Ask Dr. Bailey (55) Breast Cancer (47) Chemotherapy (31) Dandruff (50) Diet, Nutrition, & Natural Health (108) Featured (11) Find It Again Friday (31) From the Aesthetician (30) Hair (5) Infographics (2) Men's Skin Care (103) Miscellaneous (137) Natural Chef (7) Natural Makeup (31) Natural Skin Care (71) Rosacea (56) Skin Care Products (149) Skin Problems & Advice (326) Sun Protection Advice (151)+ Search Skin Care Blog Only +— Free Skin Care & Health Tips – Join my intelligent skin care revolution. Stay informed. Receive Dr. Bailey's two weekly blog articles to help your skin problems and skin health - for FREE. Just enter your email address above.Also join our online social media communities below for more skin care advice, special deals and to learn from your peers.rss button email button facebook button twitter buttonUSA TodayUS News and World ReportWoman's DayBrides Magazine Latest Popular Comments Tags Mojito Smoothie for a Post-Thanksgiving Restart November 30, 2015 How to Treat Dry Nose for Chemo during the Holidays November 25, 2015 From the Aesthetician: Makeup Tips for Any Age November 23, 2015 Botox: The White Knight in the War on Wrinkles November 19, 2015 The Most Common Form of Skin Cancer & What You Can Do about It November 16, 2015Ask Dr. Bailey
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