Dr. Azizzadeh Weighs in on Managing Powerful Retinoids

Tretinoin, the gold standard for topical anti-aging surpassing OTC retinol, was recently featured in Vogue. Industry experts, including renowned facial plastic surgeon Dr. Babak Azizzadeh, detailed how to create a routine that maximizes its efficacy and manages the common “retinoid uglies” adjustment period.

Understanding the Side Effects of Skin Renewal

Stronger than over-the-counter retinol products, tretinoin works by speeding up the skinā€™s natural renewal cycle, which can improve texture and clarity over time. The adjustment period is not always comfortable. Speaking with Vogue, Dr. Azizzadeh noted, “by increasing the rate at which skin cells renew, tretinoin can trigger flaking, redness, and dryness early on.” He added that this response is frequently misunderstood, saying, “people often assume they are having an allergic reaction and discontinue use because of those effects.” In most cases, these changes are expected and can be eased with the right moisturizing and barrier-support routines.

Curating a Routine for Barrier Support

To combat dryness and sensitivity from tretinoin, Dr. Azizzadeh recommends a hydrating morning routine. This includes a fragrance-free, lightweight moisturizer with ceramides, peptides, and squalane to repair the skin barrier. Because tretinoin increases sun sensitivity, a gentle mineral SPF is also advised for UV protection during skin renewal. Consistent, expert-guided use of this gentle regimen allows patients to safely achieve luminous results.

This Tretinoin Skin-Care Routine Is Key to Calming Skin When Using RetinoidsĀ 

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