Topical retinol is generally safe for long-term use without any detrimental health risks.
So if you start using retinol every day out of the gate, you can end up with some painful inflammation and a damaged skin barrier, negating any potential positives. One way to avoid that irritation is to start slow, explains Ranella Hirsch, MD, a board-certified dermatologist in Boston.
Board certified dermatologist Zenovia Gabriel, MD, notes that “people with sensitive skin conditions like rosacea cannot tolerate really strong topicals like retinols.” Also avoid retinol if you're going to be spending a lot of time in direct sunlight without proper sun protection.
What are the negative effects of retinol? Incorrect retinol usage can cause drying, flaking, shedding, redness, and irritation of the skin as well as exacerbated acne. Retinol will also increase skin sensitivity to UV rays.
If you stop retinol and do not begin a prescription retinoid, the benefit of preventing acne will go away. The skin cycle of cells being “born” at the base of the skin and moving to the top, dying and desquamating into the surrounding environment takes about 4-6 weeks.
First, the answer is yes, retinol can make wrinkles worse, especially when you first start using it. What is happening is a drying effect, and one can get epidermal sliding from separation from the dermis.
You see, retinol impacts your skin's normal function, and when you stop it your skin has to re-learn how to regulate itself properly again. So typically when people stop using it they experience either bad acne or bad dryness for a few weeks afterwards.
Don't Mix: Retinol with vitamin C, benzoyl peroxide, and AHA/BHA acids. AHA and BHA acids are exfoliating, which can dry out the skin and cause further irritation if your skincare routine already includes retinol.
Use Retinol Only at Night and Wear SPF Every Day
"Retinol makes your skin more sensitive to UV rays and sunlight decreases the efficacy of the product," explains Bowe, who instructs patients to only use retinoids at night and be diligent about applying a daily broad-spectrum SPF 30 or higher during the day.
Retinol might not be a fit for those with overly sensitive or hypersensitive skin, those who have food intolerances or high allergic reactions, and young skin, she says. “Caution is necessary when using any vitamin A derivatives and should only be used after advice from your derm or skin care specialist,” Joss says.
Regardless of your skin type or which product you use first, a layer of moisturizer should always be applied after retinoids.
Retinol works for acne by preventing clogged pores. You may still see pimples for the first couple of months of treatment – your skin might even look worse (this is sometimes referred to as the retinol purge). But if you stick with it, you'll see clearer skin.
In many cases, damage that has already occurred can't be reversed, making early detection important. Your doctor will work with you to determine the best treatment. Treatment of retinal disease may be complex and sometimes urgent.
At night we might be using night creams that contain actives such as retinol which are not recommended to be used in the morning so it is essential to wash your face in the morning to remove those residual creams/serum.
Retinol can make your skin more sensitive to the sun, so it's important to use sunscreen with at least SPF 30 every day — even when it looks cloudy. Some retinoids are also not recommended for those who are pregnant or breastfeeding.
Mix your retinol with your moisturizer, or apply your moisturizer first and then your retinol. Always use sunscreen the morning after you apply retinol. Your skin will be especially sensitive to sunlight, so it's important to protect it.
Should you use retinol under your eyes? Yes, definitely. While it is true that retinol – a form of vitamin A – is a powerful ingredient and the skin under your eyes is delicate, there's no reason why you should miss out on the amazing benefits of retinol.
Because retinoids help your skin make more collagen, they soften wrinkles and fine lines. They also stimulate new blood vessels, which can give your skin a rosy color. Retinoids also help fade age spots and smooth rough patches. Tretinoin (Retin-A) is a popular prescription choice for aging skin.
Retinol significantly decreased both hormone levels, however retinoic acid decreased the progesterone level only.
“If you're overusing your retinol, or if you're using a retinol that's too strong for you, it can lead to peeling, irritation, and excessive dryness, which may have led to retinol's association with skin thinning,” she says.
Dermatologists point to many clinical studies refuting the idea that retinol thins the skin — and that there's no danger in using retinoids themselves if you're adding them to your skincare routine safely. "Retinol will not decrease the skin barrier if used in the correct dosage,'' agrees Dr.
Retinol can penetrate deep into your skin's layers to activate collagen and elastin, which give your skin structure and support to prevent wrinkles. You can apply products that contain retinoids at home directly onto your skin as you would a lotion or a moisturizer.
Retinols can still be effective, but the results won't be as stark and will take longer to appear. That said, they're very accessible, and you don't need a prescription. Often, retinols are a good place to start for people who are just looking to try it out.