Every Derms’ Dirty Little Secret: The Skincare Product We Are Using Every Night
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- čas přidán 19. 04. 2020
- What is your dermatologist’s dirty little secret?
Your dermatologists are likely on some form of retinoid as it is almost too good to be true. I have been on one for the last 8 years!
We know that it has many benefits including:
1. Acne treatment and prevention
2. Anti aging where it helps with wrinkles and age spots
3. Superficial acne scarring
As a pill, this vitamin-A derived ingredient is an excellent treatment for acne: isotretinoin (aka Accutane).
Use your retinoid (tretinoin, Retin-A, retinol, retinyl, tazarotene, alphaRet) at bedtime (sunlight will deactivate this vitamin A-derived medicated topical medication) and remember to stay patient and consistent to get results. Definitely consider incorporating this into your skincare regimen for acne and antiaging and know that you will not see antiaging effects overnight and know that this process is a marathon, not a sprint!!
Various myths covered in this video: Do retinoids thin out your skin? Do retinoids make you sensitive to the sun?
I primarily use SkinBetter Science AlphaRet (we sell this in our office).
Update since filming this
AlphaRet was exclusively sold out of dermatologists’ offices and I had to see a patient before they could obtain this. Now, people are obtaining online without seeing a dermatologist which is news to me. I always say to see your derm for this medication to review the side effects and precautions when starting on this (efficacy is similar to prescription strength tretinoin 0.025% in a study pubmed.ncbi.nlm.nih.gov/28762... ).
Retinol honorable mentions:
1. RoC amzn.to/3c1YXcD
2. Skinceuticals Retinol (higher price point but we use their medical grade chemical peels in my practice): amzn.to/3cd38SU
Retinyl palmotate to consider: Skintensive (affordable, also with bonus ingredients like arnica, Vitamin C and E): amzn.to/3fjeFSC
Do not use any retinoid if pregnant.
For recommendations on moisturizers and to learn about the various ingredients in your moisturizer, please watch my video: • The Moisturizers I Can...
Binge watch other videos:
Acne • Can Junk Food Cause Acne?
Serums Vs Moisturizers www.youtube.com/watch?v=2m-nu...
Sunscreen www.youtube.com/watch?v=984kA...
The Moisturizers I Can't Live Without www.youtube.com/watch?v=-bjcI...
Shaving 101 www.youtube.com/watch?v=U08KU...
Pandemic Skin Care Emergencies! • Pandemic Skin Care Eme...
Please also follow me on Instagram: / danielsugaimd
This video is not intended to be a substitute for medical advice, diagnosis or treatment with your healthcare professional. This is for medical educational purposes only.
I am not sponsored by any of the companies mentioned in this video.
Photos in my video are of my patients. Consent was obtained by my patients to post in my videos. Do not share or distribute without my permission.
Music: That Day
Musician: Jef
Dr. Daniel Sugai, MD, FAAD
Great video. 👍🏻 I have been using OTC retinoids for more than 25 years. I think I used the brand ROC not long after it came out. I recently switched to tretinion 0.05. I use the buffering method and I have had an easy time adjusting to nightly use. Those kids are cute 😀
I am currently on tretinoin 0.05% mixed with niacinimide 2.5%. I started small at 0.018% in March of 2020. Now it’s been almost a year and I have seen so much change in my skin for the better. My skin always looked textured, bumpy, constant closed comedones all over the face. My skin is soft now. My acne is minimized. My pores are smaller. I’m so glad I started tretinoin when I did. I am 26 now but started at 25.
Which one ?
I love tretinoin! Been using it for a year now (only wish I started in my 20’s) for anti-aging. It’s definitely helped w/ the fine lines around my eyes & overall smoothness of my face.
Thank you for your kids "dance break" 😂💕 super cute!
Thank you for this info, too!
Awww thank you! The kids had fun with this one! Appreciate it 🙏🏼🙏🏼😊🥰
@@danielsugaimd they're adorable! 😊💕
This man is perfect
Dr. Sugai, we just found you here this morning! You're awesome! Glad you are our doctor!!!!!
thanks for making such an informative video! i’m working on fading my acne scarring and my own derm recommended a retinoid so i’m going to give one of your recs a try :)
Julia R thanks so much for watching and hope it works well for you!!
Dr. Sugai, I have only recently discovered your channel and have really appreciated the information you provide in your videos. Really like your little assistants!
So many skincare products are targeted to women. Would love to see a video on skincare routines for men, especially with combination skin and occasional breakouts. Also, would like to hear your opinion on Aveeno products. Anyway, I hope lots of men are watching your channel, too!
Love love your channel and your Instagram I have been following your advice and my skin is looking soo good thank you thank you please never stop
habs waking up to this comment was awesome! You’re motivating me to film more and do more videos. Thank you so much for watching and for letting me know your skin is doing well! Have a nice Friday and weekend 🙏🏼🙏🏼🤙🤙😊
Very informative so thank you 🙏. I recently just started on Alpharet overnight cream and I’m loving it. Seeing great results so far.
Hello Dr Sugai! I recently watched some of your reels on IG and followed you onto CZcams. Thank you for making these informative videos. They've been very helpful. Could you make a video on the pros & cons of taking Accutane? Thank you!
MH thank you for watching my videos and Reels!! Thanks for the suggestion too- have a great weekend 🙏🏼🙏🏼🙏🏼
Haha! Derm residents prescribing each other retinoids: life goals 😂
Yes! 😂😂😂
@@danielsugaimd I have a question do I need to use a BHA cleanser like the orange nuetrogena cleasner and a scrub as well as a retinol? I have combination skin.
really appreciate your time.
Niomi Campbell's bad hairday channel thanks for watching! I would say not to do a scrub and a cleanser at the same time or on the same day, especially when initially starting on a retinoid. Would just stick to a BHA cleanser and the retinol. If this is irritating, hold off of the bha cleanser until your skin gets used to the retinol. Take care!
@@danielsugaimd thank you so much doctor hope your staying safe 😀😀😀
Just started using retinol! Nice
mika mika good to hear! Let me know what you think 👍👍👍! Thank you 🙏🏼 for watching
Hi, you are doing shuch a good job.
I like your show, just two days I watch your channel I have learnt a lot how to spent money my on the right and good product. I have been using Clinique cream, eye cream lotion, day cream , night cream and sun cream. However, I it is good, very expensive. Do prefer any other product just do the same hob but with resale price. I would like to mention that my skin is very sensitive and dry. Without using sun cream during winter I cant cook or go out because it gets red like it burnt.
I have been using Trentinoin for 2 yrs now & WOW, what a difference in my skin. Only wish I had of started using it in my early 20’s.
What is trentinios please? Is it brand or ingredient?
Really wish you had been my derm when I was a teen.💙
leyla zhane awww thank you for saying that ❤️🙏🏼🤙. Take care and thank you for watching 🙏🏼🙏🏼🙏🏼
Hey Dr! How often should I use the skin better overnight cream ?
I been on and off retinols since I was 17. Only now in my late 30s in learning real skin care
Hello doctor, I just start to follow you, and I gotta tell you I've been going through your videos like candy!! lol. here is my questions in this episodes, using Alpha Ret do you think that could work as a retinoid and moisturizer or would you recommend to add one? and if so what would you recommend as a moisturizer? and in which order should I apply all? (retinal, moisturizer, estee lauder Advance night repair serum, and eye cream). Awaiting your response plz, thank you.
I just bought a cream with retinol but for my hands. Do they work? Any recommendations for a good anti aging hand cream. I noticed my hands are looking different after so much cleaning & hand sanitizer. Thanks 👍
Adorable children 🥰
Nice video Doc! Good to know your preferences and when and how to use them to maximize the best results! Looking forward to your next video!
Thank you for the wonderful comments and engagement! 🙏🏼🙏🏼🙏🏼
What about the YTTP Retinal serum ? I never see an honest review on it, but can’t wait to try the alpha ret!
Do you suggest mixing roc retinol with the roc 5 in 1 night cream for nighttime routine?
Thank you for your video! My only concern is am little skeptical of using skinbetter alpharet as it's not ideal for pregnant women, what would you suggest? Please educate
I'm 59 with no acne and very little wrinkles but I know I've got some sun damage throughout the years from not using sunscreen . I've recently bought ROC brand products to maybe make my face look more clear and skin pores will this help?
I like to alternate with AHA's, is tretinoin still effective if used every other night instead of daily?
Can you used that along with glycolic acid and benzoyl peroxide? Benzoyl peroxide seems to be the only thing that helps my acne….but glycolic acid seems to be helping texture and fading some dark marks- not all! Will retinoids further assist with the dark marks and texture?
What’s better skinceuticals or skin better science ?
@Jissette4... Thank you for the information 👍🏽
Nguyen bought the cereve retinoid serum!
Good to hear! Let me know how he likes it.
How about retinoid cream for older hands, arms?
I’m using retacynl (tretinoin 0.025%) by mixing with my moisturiser in a 1:2 ratio. Does it reduce its potency a lot? But I’m still getting a bit of irritation and flaking even with this Low dose
Retinoids are best for skin?
Thanks for this video. It would be awesome if you mention which skin types should or shouldn’t use the items you mention 🤩
Daniela S good suggestion. Will probably do followup retinoid videos since people seem to like learning about them. Thanks for watching! 🙏🏼🙏🏼🙏🏼
And if you have sensitive, fair Irish skin like me!!
5:10 light peel and sensitivity
5:45 patience
6:06 don’t use retinoid if pregnant
I’m on trentinoin and I use it at night but can I combine it with the Olay Regenerist retinol 24 + peptide at night
I absolutely love alpharet .. but hate the price point .. I have been seeing a ton on Mae love moonlight and the glycolic cream .. So tempted .. yet I don’t want to wreck my skin .. 😖
Hello Dr. Sugai! I recently started using alpharet and haven’t had any irritation. Is it safe to use every night ? Also, is it better to use other products before or after the alpharet? I use a perricone vitamin C serum and eye cream . What’s the best order and anything I should add?
Thank you ! Your video was great . :)
Vesna Djordjic great to hear you got my favorite retinoid! I would use vitamin c serum in am, AlphaRet at night and avoid around eyes and use eye cream around eyes. Great job 👍 and thanks for watching 🙏🏼🙏🏼🤙🤙
@@danielsugaimd Hi Dr 🙋🏻♀️ 🙋🏻♀️ I have some questions about retinols... after reading and learning of the amazing benefits of retinol I’d like to start using them on my skincare routine... I live in Australia and here we need a prescription for retinoids but I’m not sure how can I get it. 1. Do I have to ask my GP for the prescription or I have to see a dermatologist for the prescription?
2. Can I start with the tretinoid lowest percentage or I have to start with another product like a moisturiser cream with retinol (alpharet)... ?
3. At the moment we are in summer here in Oz and I love to take my kids to the beach, pool... it’s possible to apply retinols at night and be in the sun during the day (sunscreen of course), or should I wait til summer is over to start including a retinols in my skincare?.
3. If my main concern are wrinkles around eyes, can I use tretinoid or alpharet around eyes?
Hope u can help me with this.
Many Thanks 🙏🏼
Hi Dr. You mention use at night time or before bed ? Thank you so much for the information , I am using Differin gel nightly but, go to bed 2 hours after application then, during these times I watch your CZcams cannel .
really appreciated your help
I don’t think it matters u just need at least 20min to let it absorb into skin any point in nighttime is fine
Question: Will the Skinbetter AlpaRet also help with acne? Is it as effective as Tret, I was prescribed Tret but it’s a little to drying and irritating. Wondering if I could switch and still get the acne benefits as well as anti aging.
Good question- yes it should help. It is very well tolerated and is still winning many awards! Check it out and lmk what you think! Thanks for watching 🙏🏼🤙
I love Alpha Ret. They now have Alpha Ret clearing serum. Essentially, it’s the Alpha Ret with a few added ingredients targeted for those with Acne prone individuals. Don’t apply close to eye area, I learned the hard way. Only use every other night. I haven’t had any irritation or drying.
SUBTITULOS EN ESPAÑOL POR FAVOR.
Hi, Dr. Sugai. At what age should we start using retinoids? I recently had a face allergy after using a sheet mask which caused redness, puffiness, and enlarged pores. I had an anti-allergy med for a few days until all it went away. However, I still feel there is puffiness around my pore area and maybe some loss of elasticity. Will incorporating retinoid help with puffiness and restoring elasticity. Thank you so much!!
You can start with tret at any age. In my case im using tret since im 15 and now im about to turn 29
Do you have to get tret prescribed? I have had cystic acne since teens now 24 my derm rec I try accurate but I gave not I asked one time wat to do for scars she said differin now learning it takes time to see diff so now I’m usuin pea sized amount daily at night the place I go to each appt I saw diff assistant or whatever tellin me this but never got offer tret in cream but did try antibiotics pill benzoyl peroxide, clindamycin to no avail
Doc, how about retinol and glycolic acid?
I tried that combo (olay max retinol) and it was ok for me... but I can tolerate LOTS of acids. DO NOT try glycolic with Tretinoin. Lol I look like a boiled lobster 🦞 😁👌🏼
Theoretically, Tazarotene should be the most effective for anti-aging even though it isn’t studied as well for this purpose right?
Correct
Is Alpharet or any other retinoid product safe to use while breastfeeding?
Erin Kemperman good question- I would not recommend any retinoid during pregnancy or breastfeeding. Thanks for watching 🙏🏼🙏🏼🤙🤙
Hi Dr.Sugai, I just got the AlphaRet night cream today, Im excited to start using this, you said in an older video from last year that you checked with skin science and this is made with 0.1 tretinoin added with glycolic acid and lactic acid, wow it sounds great, do you still like it .thx.
Alpharet doesnt have tretinoin, tretinoin is its own retinoid that you can only obtain from a dermatologist. Alpharet is a retinyl ester mixed with lactic acid.
@@derekward3512 yes, I realize there's no tretinoin in it, I used this for amonth and it's good but much too expensive for me at $130.00.
You showed ROC products in the thumbnail but, there was no mention of it in the video.
Can you plase share your opinion on ROC anti aging products ?
Coming up! I talk about it a lot on my tiktoks but will do a video on their retinols soon 👍
@@danielsugaimd appreciate it, will check your TIK TOK meanwhile :)
hi dok. it is ok to use expired tretinoin retucnyl but it is new and inside the ref. only thank u
That’s what I want to know too. My friend gave me a tube of it because it was too strong for her. Mine is two years old. So basically our question is how long can it sit before it should be thrown out.
What about people who have very sensitive skin and eyes? What are some alternatives? I want anti aging benefits but have both sensory skin and eyes.
Try retinol not retinoids
I want to see a picture of a derm that’s been using retinoid for 40 years or more as proof I’m gonna stay looking young
I used accutane for body acne but my acne turned into keloids :( I unfortunately wasnt aware that I had the keloid gene so it was a bad surprise. Does this mean I cant use other retinoids on my face in the future? I’m afraid of using collagen too :(
I don’t think collagen in serum form will effect much on the face u can also try hyaulronic acid serum or niancinmide
For body acne cerave has salicylic acid wash
Dr. Sugai, Love your channel and TikTok. Should a college student start using Retinoid? My daughter has flawless skin right now. Should she start using Retinoid?
Thank you so much for watching my videos even on Tiktok! This is a great question and would say that sunscreen is her primary go-to product for now. If she doesn’t have acne, she can probably hold off on the retinoid until her 20s. Take care!
Don’t forget @lilychen that some have warnings on it not to use while pregnant so I would hold off on her using it till down the road after she has kids. I had a miscarriage while using it (one healthy pregnancy prior) Once I found out I was pregnant I obviously stopped but then miscarried so I wonder if it was still in my system. I used it to help with acne scarring. I was 25 at the time. This was back in the 90’s . Have her wait to be safe and like the Doctor said just have her use sunscreen while she’s young. She’ll have plenty of time to use it once she’s older.
Do the doc not tell u not to use it I wonder how long it stays in the system n if someone is single I say it’s safe n u should be precaution on ur own knowin u can n have kids to stop use prior
It would be nice to have subtitles 😦
I love tretinoin but recently my eyes haven’t been closing all the way at night-leaving a sliver of dry eye. I’m putting an ointment in my eyes at night. Any chance I can ever use my tretinoin again without it traveling up and into my eyes. Any barrier I could use ?
Cerave healing ointment or Vaseline petroleum
Where would u apply it under eyes? N u can’t use tret there?
To get this into perspective this peeling and irritation won't be any worse than a sun burn?
Niomi Campbell's bad hairday channel no it should not be severe. It should be a mild irritation initially. Then your skin gets used to it.
Niomi Campbell's bad hairday channel thanks for watching and thanks for asking for context. If it gets to be a burn, stop immediately! Take care
Love my retin A! Doctor what is your thoughts on dermarolling?
melissa pintone glad you are using Retin-A! I love my retinoids. TBH, I have never tried Dermarolling but I have become a recent believer of microneedling. I did a demo using RF microneedling on a few patients and on myself before the pandemic and was close to buying the device but with covid-19, that was obviously put on hold for sometime. I would not recommend Dermarolling or microneedling if you have inflamed skin or active acne. I should do a video on this soon. Thanks for watching and for the question! 🙏🏼🙏🏼🙏🏼
Dr. Daniel Sugai yes please would love that! Doctor in your practice what is the best laser or RF for tightening the skin?
melissa pintone we don’t have a particular device yet but we were demo-ing the Scarlet and Agnes RF microneedling devices which were great! I would love to add those to my practice. In the meantime, I do a lot of chemical peels which is effective for scars, pores and some tightening.
Dr. Daniel Sugai love peels!! I’ve recently started using skinbetter alphaRet pads and intensive alphaRet it’s the bomb for the skin! Also love the alto their vitamin c. A great science based line
melissa pintone you really got a good regimen going there for you! 👏
retinoids irrate me so I cannot use :( any recommendations please?
Put moisturizer on before and directly after retinoids
دكتور ممكن ترجمة لن معلوماتك جدا قيمة واكو عرب يحبو يتابعونك
عايزه تعرفي ايه بالضبط انا ممكن احاول اساعد لاني متابعه له دكتور دانيال من مده
@@slayshay_t467 شكرا اللك لا. الترجمة لن دكتور ومعلوماتة. مفيدة
Dee
I have had a difficult time using tretinoin and am at a point where I am thinking of stopping! I am on the lowest dose possible and it seems no matter how much sunscreen I put on and how often I reapply my cheeks are always red after coming in from a walk. Maybe some of us never get acclimated to it?
Italiano 💚💚
I strongly advise against the use of trenoin because i got an autoimmune disease from it and have chronic kidney inflammation for the rest of my life.
What are you using now?
@@tw5543 nothing apart from cleaning my face with ph neutral soap…
autoimmune diseases are caused by your own body, not a product, hence why it's called AUTO immune
@@SueRosalie Hi sue, unfortunately this is not fully true. It is scientifically proven that isotretinoin has immunomodulating effects that may induce some autoimmune diseases such as Crohn's disease, immune-mediated diabetes, and Guillain-Barré syndrome. Autoimmune disorders may be triggered by oral isotretinoin treatment. Clinicians prescribing isotretinoin should be aware of the possible association between isotretinoin intake and autoimmune diseases. I can gladly share you a lot of internet links to scientific studies and research papers proving the correlation.
@@MogulProductions I'm sorry to hear about your condition!
Did you get the chronic kidney inflammation from isotretinoin or topical tretinoin?
How do you know alpharet is prescription strength if the manufacturer does not disclose the retinol %. I believe it is a matter of ethics tgatbyoy clarify or retract your statement.
Here’s a study that you can read. Read through it and let me know your thoughts. I am not retracting statements for now.
pubmed.ncbi.nlm.nih.gov/28762645/
@@danielsugaimd this study is titled "double-conjugated retinoid cream vs 1.0% retinol cream or 0.025% tretinoin cream in subjects with mild to severe photoaging"
Perhaps you didn't read my comment above. You stated the product alpharet is prescription strength. However the manufacturer does not disclose the percent retinol. Meaning, while a study can show alpharet as affective for reducing signs of photoaging, it's inaccurate to call it a prescription strength retinol. Ie just like to see a small amount of honesty and adherence to ethics from the medical community. Please explain why Alpharet is prescription strength given the % is undisclosed by the corporation. I don't want to bring this to the attention of a medical board if I don't have to.
@@ra803g6 yes- the company does not disclose the percentage because my take is that it is a form of retinoid but not a “retinol.” If it did have a percentage, it is not comparing apples to apples. When I made this video, patients had to see me first before obtaining this as my office handled it like a prescription too. There was no way to get online at the time. Nowadays though, people are getting their hands on it online without seeing a dermatologist (I don’t know how) and so the “prescription” is no longer needed. I am using the term “prescription strength” based on this study saying that the efficacy of alpharet is similar to prescription strength retinoids like tretinoin. Thanks for the discussion. ✌️🤙
@@ra803g6 i put an update in the description as things have changed since i filmed this. My impression before was that you had to see a derm to get this but now things have changed (I have been made aware of this recently that people are obtaining it online without seeing a dermatologist).
The opening music is too loud. That's awful
Lindsgyo
When talking about retinol you MUST mention the percentage of retinol... -1% +1% retinol ??? else the basics of the review is quite useless.
cast_kari_