How to Prepare Your Skin Before Applying Topical Retinoids - Dermatology

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Pre-treatment actions before applying A acid?


I have acne and I am about to start using topical retinoids.
The instructions say to apply it before bedtime, but I wash my face before showering, then apply a hydrating product followed by aloe vera or hyaluronic acid, and then Vaseline.
My question is, before applying the retinoid at bedtime, do I need to wash off the Vaseline, or can I apply it directly on my face? (There is about a two-hour gap between my skincare routine and bedtime.)

Jia Jia, 20~29 year old female. Ask Date: 2020/09/18

Dr. Wu Yuxin reply Dermatology


It can be applied directly.

Reply Date: 2020/09/18

More Info


When preparing your skin for topical retinoids, such as tretinoin or other forms of retinoic acid, it is essential to follow specific steps to maximize the effectiveness of the treatment while minimizing potential irritation. Here’s a comprehensive guide on how to prepare your skin before applying topical retinoids, especially considering your current skincare routine.


Understanding Topical Retinoids
Topical retinoids are derivatives of vitamin A and are commonly used to treat acne, reduce fine lines, and improve skin texture. They work by promoting cell turnover, which can help prevent clogged pores and reduce the appearance of acne. However, they can also cause dryness, redness, and peeling, especially when you first start using them. Therefore, proper preparation and application are crucial.


Steps to Prepare Your Skin
1. Cleanse Your Face: Start with a gentle cleanser to remove any makeup, dirt, and excess oil from your skin. It’s important to use a mild, non-irritating cleanser, especially if your skin is sensitive or prone to acne. Avoid harsh scrubs or exfoliants before applying retinoids, as these can increase irritation.

2. Pat Dry: After cleansing, gently pat your skin dry with a clean towel. Avoid rubbing your skin, as this can cause irritation.

3. Wait for Your Skin to Dry: Allow your skin to dry completely before applying the retinoid. This is crucial because applying retinoids to damp skin can increase absorption and potentially lead to irritation. A good rule of thumb is to wait about 20-30 minutes after washing your face.

4. Moisturize (If Necessary): If your skin is particularly dry or sensitive, you may want to apply a lightweight, non-comedogenic moisturizer before the retinoid. This can help buffer the skin and reduce irritation. However, if you are using occlusive products like Vaseline, it’s best to wash them off before applying the retinoid. Occlusive agents can create a barrier that prevents the retinoid from penetrating effectively.

5. Apply the Retinoid: Use a pea-sized amount of the retinoid and apply it evenly across your face, avoiding sensitive areas such as the eyes and mouth. It’s important to start with a lower concentration if you are new to retinoids and gradually increase the frequency of application as your skin builds tolerance.

6. Follow with Moisturizer: After the retinoid has absorbed (wait about 20 minutes), you can apply a moisturizer if your skin feels dry. This helps to lock in moisture and can mitigate some of the dryness associated with retinoid use.


Additional Tips
- Frequency of Use: If you are new to retinoids, start by applying them once or twice a week and gradually increase the frequency as your skin adjusts.

- Sun Protection: Retinoids can make your skin more sensitive to sunlight, so it’s crucial to apply sunscreen during the day, even if you are using them at night.

- Avoid Mixing with Certain Products: Be cautious about using other active ingredients (like AHAs, BHAs, or vitamin C) on the same night as your retinoid, as this can increase irritation. Consider alternating nights for these products.


Conclusion
In summary, before applying topical retinoids, ensure your skin is clean, dry, and adequately moisturized if needed. If you have used occlusive products like Vaseline, it’s best to wash them off to allow the retinoid to penetrate effectively. By following these steps, you can help your skin adjust to the retinoid treatment while minimizing irritation and maximizing its benefits. Always consult with a dermatologist if you have specific concerns or if your skin reacts adversely to the treatment.

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