Doctor’s Note: Your Easy Guide to Retinol

Retinol, retinal, and retinoids are potent forms of vitamin A (think carrots and sweet potatoes) praised for their unparalleled anti-aging benefits and acne-fighting effects. Various formulations and concentrations are available, from milder over-the-counter options like retinol to stronger prescription-only versions like tretinoin. Which version is right for your unique skin? It depends on your skin type and concerns! Let's dive in!

Retinol Basics

Retinol is a derivative of vitamin A that's widely recognized for its potent anti-aging properties in skincare. It works by speeding up cell turnover and promoting the production of new skin cells, which helps to reduce the appearance of fine lines, wrinkles, and age spots. Additionally, retinol can improve skin texture and tone by stimulating collagen production, resulting in smoother and firmer skin over time. While retinol is effective, it's important to start with a lower concentration to build tolerance and avoid potential irritation. Regular use of retinol, combined with sunscreen during the day, can yield significant improvements in skin appearance and overall health.

What is Retinol?

  • Vitamin A

  • Part of “Retinoid” family

  • Common anti-aging and anti-acne ingredient

  • Increases skin cell turnover + collagen production

  • May cause dryness/irritation. Start slow!

Retinol Benefits

  • Anti-Aging: Reduces fine lines.

  • Skin Texture: Improves smoothness.

  • Acne Control: Decreases acne.

  • Pigmentation: Fades dark spots.

How to Apply

  • Use in the PM

  • Apply pea-sized amount to clean, dry skin

  • Start with a few nights a week, then gradually increase to nightly as tolerated.

  • Use sunscreen every AM

What Does Retinol Do?

Retinol is a derivative of vitamin A that's widely recognized for its potent anti-aging properties in skincare. It works by speeding up cell turnover and promoting the production of new skin cells, which helps to reduce the appearance of fine lines, wrinkles, and age spots. Additionally, retinol can improve skin texture and tone by stimulating collagen production, resulting in smoother and firmer skin over time. While retinol is effective, it's important to start with a lower concentration to build tolerance and avoid potential irritation. Regular use of retinol, combined with sunscreen during the day, can yield significant improvements in skin appearance and overall health.

What Does Retinol Do?

Summary: We LOVE retinol. I use (prescription) retinol every night. Great for acne, dark spots, and anti-aging. Vitamin C in the AM and Retinol in the PM is the GOAT combo.

Check out how Retinol compares to Vitamin C, Niacinamide, and Azelaic Acid!

So… wtf is the above image? Take our VERY basic intro to skin anatomy here!

What is a Retinoid?

Retinol is part of the “Retinoid” family, but what does this mean? Retinoids are different forms of Vitamin A. These ingredients are popular in skincare because they can help with a bunch of skin issues like acne, wrinkles, and uneven skin tone. They encourage skin cells to turn over faster, making way for new cell growth underneath. Retinoids come in different strengths and forms, some you can buy in regular skincare products and others are stronger and need a prescription from a doctor. Here is a breakdown:

Retinol Retinal Retinoid Spectrum

Starting with Retinol: Tips for Beginners

If you're considering retinol, start slow. Here's how:

  1. Low Concentration: Begin with a product that has a low retinol concentration (look for percentages on the label).

  2. Gradual Introduction: Initially, apply it every other night to allow your skin to adjust.

  3. Moisturize: Follow up with a moisturizer to combat potential dryness.

  4. Sun Protection: These products can make your skin more sensitive to the sun. Always use a broad-spectrum sunscreen during the day.

Remember, patience is key. It can take several weeks to see noticeable changes.

Starting with Retinol

How long until you see results from retinol? You may begin to see improvements in skin texture and fine lines within 4 - 6 weeks of consistent retinol use, with reductions in dark spots and deeper wrinkles appearing after 3 - 6 months.

Practical Guide to Retinol Packaging

Retinol is unstable to light and air. When choosing a retinol product, here are key factors to consider:

  • Concentration: Retinol products typically range from 0.1% to 1%. Start with a lower concentration if you're new to retinol.

  • Packaging: Retinol is sensitive to light and air, which can degrade its effectiveness. Look for packaging that minimizes air and light exposure (like opaque, air-tight containers) to keep the product stable.

  • Formulation: Consider the vehicle the retinol is delivered in. Creams and serums are the most common. Creams are suitable for dry skin due to their moisturizing base, while serums are lighter and ideal for oily skin types.

  • Complementary Ingredients: Ingredients like niacinamide, ceramides, and hyaluronic acid can help mitigate the drying and irritating effects of retinol, enhancing skin’s tolerance and hydration.

Best Retinol for Beginners

Cerave Skin Resurfacing Retinol Serum

  • Retinol: Unknown %

  • Ceramides: Maintain skin barrier.

  • Hyaluronic Acid: Moisture retention.

  • Niacinamide: Reduces oil + inflammation.

  • Licorice Extract: Brightens, evens skin tone.

  • Note: Best for newbies concerned about post-acne marks.

Cerave Skin Renewing Retinol Serum

  • Retinol: Unknown %

  • Ceramides: Maintain skin barrier.

  • Hyaluronic Acid: Moisture retention.

  • Niacinamide: Soothing, targets pigment.

  • Shea Butter: Rich emollient.

  • Note: People generally prefer the green Cerave to the purple one.

Roc Retinol Deep Wrinkle Serum

  • Retinol: Unknown %

  • Magnesium, Zinc, Copper: Mineral complex.

  • Vitamin C: Brightens, antioxidant.

  • Vitamin E: Moisturizer, antioxidant.

Roc Retinol Night Serum Capsules

  • Retinol: Unknown %

  • Ceramides: Maintain skin barrier.

Neutrogena Retinol Serum

  • Retinol: 0.05%

  • Hyaluronic Acid: Hydrates, plumps skin.

  • Vitamin C: Brightens, antioxidant.

Neutrogena Retinol Night Moisturizer

  • Retinol: 0.1%

  • Hyaluronic Acid: Hydrates, plumps skin.

  • Vitamin C: Brightens, antioxidant.

Good Molecules Gentle Retinol Cream

  • Retinol: 0.11%

  • Bakuchiol: Retinol alternative.

  • Vitamin E: Moisturizer, antioxidant.

  • Grape Seed Oil: Antioxidant, nourishes skin.

Neutrogena Retinol Regenerating Cream

  • Retinol: 0.13%

  • Hyaluronic Acid: Hydrates, plumps skin.

  • Vitamin C: Brightens, antioxidant.

Best Anti-Aging Retinols

The Ordinary Retinol 0.2%

  • Retinol: 0.2%

  • Squalane: Moisturizes, improves skin elasticity.

L'Oreal 0.3% Pure Retinol Night Serum

  • Retinol: 0.3%

  • Hyaluronic Acid: Hydrates, plumps skin.

  • Vitamin E: Moisturizer, antioxidant.

First Aid Beauty 0.3% Retinol Serum

  • Retinol: 0.3%

  • Peptides: Smooth skin + minimize lines.

  • Glycerin: Hydration.

Neutrogena Retinol Oil

  • Retinol: 0.3%

  • Vitamin E: Antioxidant, skin-conditioning.

  • Note: Fragrance.

Neutrogena Retinol Pro+ 0.5% Power Serum

  • Retinol: 0.5%

  • Vitamin E: Moisturizer, antioxidant.

  • Note: Fragrance.

The Ordinary Retinol 1%

  • Retinol: 1%

  • Squalane: Moisturizes, improves skin elasticity.

Paula's Choice CLINICAL 1% Retinol Treatment

  • Retinol: 1%

  • Vitamin C: Brightens, antioxidant.

  • Licorice Extract: Brightens, soothes.

Sunday Riley A+ High-Dose Retinoid Serum

  • Retinol: 1%

  • Blue-Green Algae: Reduces lines.

  • CoQ10: Antioxidant, supports skin health.

  • Vitamin E: Moisturizer, antioxidant.

Best Retinols for Dry Skin

Using retinol for dry skin requires careful consideration to avoid further drying or irritation. Start with a product below and apply it sparingly, initially only a few times a week. Incorporate a rich moisturizer into your routine to help counteract the drying effects of retinol. If your skin is very dry, you can try “The Sandwich Method.” Start by applying moisturizer to your clean skin to create a protective base. Then, apply a small amount of retinol. Finish by layering another coat of your moisturizer on top (ie Moisturizer-Retinol-Moisturizer). As your skin acclimates, you can gradually increase the frequency of retinol application, ensuring to maintain adequate hydration and protection with a broad-spectrum sunscreen during the day.

Olay Regenerist Retinol 24 Night Moisturizer

  • Retinol: Unknown %

  • Niacinamide: Soothes skin, targets pigmentation.

  • Peptides: Reduces fine lines.

RoC Retinol Max Hydration Cream

  • Retinol: Unknown %

  • Hyaluronic Acid: Hydrates, plumps skin.

  • Vitamin C: Brightens, antioxidant.

  • Vitamin E: Moisturizer, antioxidant.

Neutrogena Retinol Pro+ 0.3% Night Cream

  • Retinol: 0.3%

  • Hyaluronic Acid: Hydrates, plumps skin.

  • Vitamin C: Brightens, antioxidant.

Neutrogena Retinol Regenerating Cream

  • Retinol: 0.13%

  • Hyaluronic Acid: Hydrates, plumps skin.

  • Vitamin C: Brightens, antioxidant.

Best Retinols for Acne

Adapalene is a top-tier retinoid for acne treatment, known for its ability to regulate skin cell turnover and reduce inflammation. Available over-the-counter in 0.1% formulations and as a prescription at 0.3%, adapalene is effective for mild to severe acne. It should be applied in a pea-sized amount in the evening, integrating into a routine with gentle, non-comedogenic products. Users should manage initial side effects like dryness and peeling with moisturizers and gradual application frequency increases. Due to increased sun sensitivity caused by adapalene, daily application of broad-spectrum sunscreen is essential for protection.

Comedones (Blackheads + Whiteheads)

Comedones (Blackheads + Whiteheads)

  • Retinoids are best for comedonal acne (AKA blackheads and whiteheads)

  • Can also lighten dark spots from previous pimples.

Differin Acne Treatment

  • Adapalene: 0.1%

  • Great for acne

  • Stronger than retinol

Acnefree Adapalene Gel

  • Adapalene: 0.1%

  • Great for acne

  • Stronger than retinol

La Roche-Posay Effaclar Adapalene Gel 0.1%

  • Adapalene: 0.1%

  • Great for acne

  • Stronger than retinol

Retinol FAQs

What About Retinol + Rosacea?

Retinol can be a bit tricky when it comes to rosacea. While retinoids like retinol are commonly used to treat acne and improve skin texture, they can also be irritating, especially for those with sensitive skin conditions like rosacea. If anything, start with the gentle products listed above and use plenty of moisturizer.

Can you use hyaluronic acid with retinol?

Yes, you can use hyaluronic acid with retinol. Using both together can be good for your skin: hyaluronic acid helps keep your skin hydrated and plump, while retinol helps your skin renew itself and can make fine lines and wrinkles look better.

Retinal vs retinol?

Retinal is a stronger type of vitamin A that turns into retinoic acid right in your skin, so it can work better but might also be more irritating. Retinol needs to be changed into retinoic acid by your skin first, making it usually gentler and good for general skin improvement and acne.

Can you use salicylic acid with retinol?

Yes, you can use salicylic acid with retinol. Salicylic acid helps clear out pores and reduce acne, while retinol helps with skin renewal and acne scars. To avoid irritation, you might want to use them on different days or at different times.

Can you use retinol while breastfeeding?

It's generally recommended to avoid using retinol while breastfeeding because there isn't enough research on its safety for breastfeeding babies. Instead, you might want to use gentler skincare products that are considered safer for both you and your baby.

How do I use A313 retinol on my face?

Cleanse your face and let it dry. Apply a small amount of A313 retinol evenly on your face, avoiding your eyes. After applying, use a moisturizer to keep your skin hydrated and remember to wear sunscreen daily, as retinol can make your skin more sensitive to the sun. Start using it a few times a week and increase gradually if your skin handles it well.

When can I use retinol after Botox? Can I use retinol after Botox?

You should wait at least 24 to 48 hours after getting Botox before using retinol. This gives your skin time to heal and helps avoid any irritation or sensitivity. If you're unsure, it's always a good idea to check with your dermatologist for personalized advice.

Can you use retinol after dermaplaning?

Yes, you can use retinol after dermaplaning, but it's best to wait a few days until your skin has fully healed. Dermaplaning removes dead skin cells, so your skin might be more sensitive. Start with a lower strength of retinol and gradually increase it as your skin adjusts. Always follow up with moisturizer and sunscreen.

Can you mix lactic acid and retinol?

Yes, you can mix lactic acid and retinol, but it's important to be cautious. Both ingredients can be potent and might cause irritation if used together. Start by using them on different days or at different times to see how your skin reacts. For example, use lactic acid in the morning and retinol at night. Always use sunscreen daily, as both ingredients can increase your skin's sensitivity to the sun.

What is encapsulated retinol?

Encapsulated retinol is a form of retinol that is enclosed in tiny capsules or particles. This special delivery system helps to protect the retinol from breaking down too quickly and allows it to be released gradually over time. This can reduce irritation and improve the effectiveness of retinol by making it more stable and delivering it deeper into the skin.

How long after microneedling can I use retinol?

You should wait at least 3 to 5 days after microneedling before using retinol. This allows your skin time to heal and reduces the risk of irritation. Start with a lower strength retinol and gradually increase use as your skin recovers. Always follow up with moisturizer and sunscreen.

Does retinol expire?

Yes, retinol can expire. Over time, it can break down and lose its effectiveness. Check the expiration date on the product packaging and look for signs of change in color, texture, or smell. Store retinol in a cool, dark place to help prolong its shelf life. If you’re unsure whether your retinol is still good, it’s best to replace it with a fresh product.