Option one: The sandwich technique After washing your face, apply a layer of moisturiser. Allow it to dry down for 5-10 minutes. Then, apply a pea-sized amount of tretinoin to your entire face. Allow this to dry down for 5-10 minutes.
How do you maximize tretinoin results? To maximize the results of tretinoin, start slowly, apply tretinoin at night on perfectly dry skin and between two layers of moisturizer, wear sunscreen with SPF 50 every morning, and combine with niacinamide or hyaluronic acid to minimize irritation.
For those battling mild to moderate acne, a starting dose of 0.025% is often recommended, providing effective treatment while minimising irritation. As the skin adapts, some may benefit from incrementally increasing to 0.05% and then 0.1% if needed to enhance the acne-fighting properties.
The "retinol sandwich method" involves layering a retinol product between two moisturizer applications to reduce the intensity of stronger retinol products and minimize skin irritation. It's ideal for potent retinols like 0.5% or 1%, but it's not recommended for low-strength retinols (0.1-0.3%) as it.
Option one: The sandwich technique
This buffers your skin from tretinoin and slows down the release. After washing your face, apply a layer of moisturiser. Allow it to dry down for 5-10 minutes. Then, apply a pea-sized amount of tretinoin to your entire face.
If your skin is irritated, buffer with moisturizer
You can help protect your skin with a layer of moisturizer before applying the tretinoin. This generally doesn't reduce the effectiveness of the medication, but can help to soothe and moisturize the skin.
Pronounced signs of aging: Tretinoin 0.1% is highly effective in reducing significant signs of aging, such as deep wrinkles and pronounced sun damage. It works by stimulating collagen production, which improves skin elasticity and reduces the depth of wrinkles.
Some people may notice that this side effect goes away within a few weeks of use, while others may have flaky skin for up to two months. Regardless of how long it takes to subside, tretinoin peeling is temporary and will go away once your skin gets used to the product.
In general, its best to start low and slow. This means starting on the lowest dose of Tretinoin that your doctor can offer (in our case that is 0.025 Tretinoin cream) and using once or twice a week initially.
Conclusion: After 48 weeks of once-daily treatment, the continued use of tretinoin emollient cream 0.05% at a dose of three times per week maintains and, in some cases, may further enhance improvement in photodamage.
Dr Malvina Cunningham: Retinoids like tretinoin and vitamin C work well together as they both promote collagen production and enhance each other's effect. Vitamin C is generally less of an irritant so these can often be applied in combination. Retinoids like tretinoin and niacinamide work well too.
After 4-6 weeks, your skin will get used to Tretinoin and will begin to be noticeably smoother and more even. Depending on how often you use Tretinoin, you may begin to see full benefits by this point. A lot of the initial irritation will settle down and true “retinization” of your skin is in full force.
The sandwich method is a layering technique designed to lock in hydration and maximize the efficacy of your skincare products. It involves alternating between layers of hydration (think toners, essences, or mists) and retinol layers (like creams or oils) to create a "sandwich" of moisture.
Three inexpensive moisturizers that our physicians love are Vanicream Daily Facial Lotion with Hyaluronic Acid, Neutrogena Hydroboost Gel, and The Ordinary Hyaluronic Acid Serum. All three of these are affordable, non-comedogenic,and blend well with tretinoin.
You'll get more effective results from tretinoin than any other over-the-counter exfoliants like BHAs and AHAs. This is why there's usually no need to use other exfoliants when you're on tretinoin – it's best to avoid doubling up, which can damage the skin barrier and cause irritation.
It's true that some people with persistent acne use tretinoin for years, but generally speaking, most stop once they have clearer skin or if they're no longer seeing results. Other people may continue to use tretinoin after their breakouts subside for the most part for maintenance therapy.
However, you should not stop using this medicine unless the skin irritation becomes too severe. Do not use a sunlamp. To help tretinoin work properly, regularly use sunscreen or sunblocking lotions with a sun protection factor (SPF) of at least 15.
They can assess your skin's condition and recommend appropriate treatments or formulations that are safe and effective for this sensitive area. If your dermatologist does recommend you use tretinoin for under-eye wrinkles, apply a very small amount and avoid the direct under-eye area.
0.025% is the mildest strength and is usually used for general skin improvements or mild acne. 0.05% is seen most often for anti-aging preparations to reduce the appearance of fine lines. 0.1% has the most intense side effects but is often used for severe acne.
Skin purging typically lasts anywhere between four to six weeks which is roughly in line with how long it takes for your skin cells to naturally turnover. During this phase, it might seem like your skin is getting worse but it should settle down and improve after you've passed this period.
Tazarotene may get you results much faster than tretinoin, especially if you have a lot of very visible sun damage on your face, and in one study tazarotene worked more effectively for photodamage, fine wrinkling, mottled hyperpigmentation, and coarse wrinkling.
While tretinoin and niacinamide can be used together, it's important to introduce each ingredient gradually and use caution to avoid any adverse reactions. It's generally recommended to use tretinoin at night and niacinamide in the morning to avoid any potential conflicts between the two ingredients.
With regard to efficacy, all studies consistently reported that topical tretinoin was efficacious in improving clinical appearance of photoaging in terms of wrinkling, mottled hyperpigmentation, sallowness, and lentigines as early as 1 month and lasted after 24 months.