Dr. Schultz used to prescribe retinoids to his patients. That's because at the time, it was the best exfoliant available. However, it can be extremely irritating and has some other side effects. In this episode of DermTV, Dr. Schultz shares some DermTV viewers' stories which serve as examples of why he no longer prescribes retinoids and instead uses the gold standard of exfoliants: glycolic acid. Dr. Schultz used to prescribe retinoids to his patients. However, there are newer and more effective exfoliating products available to This is why I don't like to prescribe retinoids to my patients.

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[TRANSCRIPT]

As you know, for gentle yet effective exfoliation to improve the color, texture and tone of your skin, and to make it healthier and even treat acne, I prefer glycolics. However, time and time again, I get questions about retinoids.

Retinoid products are also effective exfoliating treatments for acne and are also helpful for facial rejuvenation. Retinoids include not just Retin-A, whose generic name is Tretinoin, but also other derivatives of tretinoin like Ta zarotene, and Adapalene. The reason that I've moved to glycolics is the side effects from retinoids and is really well underscored by a few questions and comments I've recently gotten from viewers on the topic. I'd like to share them with you.

Here are a few.

First.

"Hey Dr. Schultz. My name is Eva and I'm from Africa. I have just started using Retin-A cream and my face got worse within the third day. I got rashes on my forehead. Trying as much as possible to keep away from sunlight although it's really hot on this side of the Sahara! So, should I stop using it? Need some serious help!"

Another is...

"Hi Dr. Schultz. I'm on Tretinoin 0.025% topical cream for acne and acne scarring. I've been using it for one week. It's making my face darker than the rest of my body. Also flaky and stingy. How long will these effects last? Will my skin return to its normal color?

And last...

"I used tretinoin under my eyes and on my face. My eyes have more wrinkles, and my cheeks are dark. How can I fix this? Please help!"

Obviously, all of these viewers need to stop using their tretinoin and get help from whomever prescribed it for them. Again, I have no personal bias against retinoids but unfortunately patients often have difficulty with them. They can lead to discoloration, irritation, flaking and even soreness.

And one other issue of importance with retinoids: They can have potential harmful effects to a forming fetus, so you can't use any retinoids if you're pregnant. All retinoids should only be used only under the direction of a physician.

Of course, if you're using retinoids under proper medical supervision and you like the results they're providing then you should certainly continuing using them but to avoid the issues I just mentioned, I prefer glycolics.


[ABOUT DERMTV]

Everyone can have beautiful, healthy, and younger looking skin, and DermTV, the Internet's daily skincare video show, will demonstrate how by revealing expert tips and techniques and by providing real solutions for real skincare issues.

Skincare (whether cosmetic or medical) previously required a trip to your dermatologist or a shopping spree at the pharmacy. And that's if you have a trusted nearby dermatologist or a local informed pharmacy. But not anymore. We at DermTV are committed to making best-in-class dermatology and skincare guidance accessible to everyone, anytime, at your computer.

Every weekday, our host, Dr. Neal Schultz, one of New York's most trusted and respected dermatologists (see bio below), teaches skincare's most timely and timeless issues. Topics include: the best at home techniques and new technology for facial rejuvenation, preventing and fixing sun damage from wrinkles to skin cancer, breaking news in dermatology, general skincare topics, and more.

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