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Vitamin A For Your Skin: All About Retinoids

Feb 03, 2025
Woman using skincare for healthy glowing skin

 

Ah, retinols and retinoids—the skincare heroes every dermatologist swears by and every newbie finds, well, a little intimidating. These vitamin A derivatives aren’t just a fleeting trend; they’re a staple IMO! Think of them as your skin’s daily multivitamin, working behind the scenes to boost collagen, increase cell turnover, and tackle fine lines, wrinkles, and acne. But with their many forms, strengths, and the occasional redness, they can feel overwhelming.

So, let’s break it all down, simplify the science, and help you start this skincare journey like a derm!

 

What Are Retinols and Retinoids?

Here’s the tea: all retinols and retinoids are derived from vitamin A, but they’re not all created equal. Retinols are the over-the-counter (OTC) cousins of retinoids (like tretinoin), which require a prescription. Retinoids like tretinoin are the most potent because they are already retinoic acids—the active ingredient that your skin cells love. Retinols, on the other hand, are precursors and require a few extra steps of conversion in the skin, making them gentler but slower to work.

So why use them? Because whether it’s OTC retinol or prescription-strength tretinoin, both have the power to:

  • Visibly improve skin texture
  • Reduce fine lines and wrinkles
  • Fade dark spots and even out skin tone
  • Help treat acne and clogged pores

If sunscreen is your daytime bodyguard, retinoids are your night-shift healer.

 

Why Retinoids Are Worth the Hype

Let’s take a moment to appreciate how these magical molecules work. They’re not just cosmetic; they’re transformational. Retinoids work at a cellular level by binding to nuclear receptors on skin cells and directly altering gene expression to activate collagen production and increase cell turnover. The result? Fresher, smoother, and healthier-looking skin over time.

So why isn't everyone obsessed? Here’s the kicker—many of us don’t see the effects immediately, which leads to what I call “retinol regret.” You may not notice the changes while using it, but stop for a month, and suddenly your skin feels dull and uninspired. That’s when you’ll realize the magic retinoids quietly work day after day.

 

How to Start: The Retinoid Roadmap

Let’s address the elephant in the room: side effects. Redness, dryness, peeling—we’ve all been there. But these aren’t signs that retinoids aren’t working; they’re proof that your skin is adjusting to its new normal. Here’s how to navigate this transition like a pro:

Start Low and Slow: Begin with the lowest strength and apply a pea-sized amount every third night. Slowly increase frequency as your skin builds tolerance.

Moisturize, Moisturize, Moisturize: Always layer a hydrating moisturizer over your retinoid to prevent irritation. The sandwich method (moisturizer → retinoid → moisturizer) can also help buffer sensitivity.

Apply at Night: Retinoids break down in sunlight, so save them for your nighttime routine.

Be Gentle: Skip harsh exfoliants and acids while your skin adjusts—retinoids are already doing the heavy lifting!

 

The Power Duo: Retinoids and Sunscreen

Here’s a fact that surprises many: retinoids don’t make your skin more vulnerable to the sun—but because they exfoliate and reveal fresh skin, that new skin needs extra protection.

That’s why sunscreen is non-negotiable. Think of sunscreen and retinoids as your skin’s ultimate power couple—they work best together and provide long-term benefits that go far beyond aesthetics. If you’re using a retinoid, you NEED a broad-spectrum SPF 30+ every morning.

 

OTC or Prescription: What’s Right for You?

Choosing between over-the-counter retinol and prescription retinoids depends on your skin goals, sensitivity, and patience.

OTC Retinols – Perfect for beginners or those with sensitive skin. They work gradually but cause less irritation. Want the biggest OTC bang for your buck, check out adapalene which is a 3rd generation retinoid.
Prescription Retinoids (Tretinoin, Tazarotene) – Ideal for deeper wrinkles, stubborn acne, or if you want faster results in months rather than years.

If you’re new to vitamin A derivatives, starting with an OTC retinol (like retinaldehyde or encapsulated retinol) can ease you in. Then, if you want stronger results, you can graduate to prescription retinoids.

 

What About Alternatives Like Bakuchiol?

Ah, the buzzworthy “natural retinol alternative.” Bakuchiol, a plant-based ingredient, is often marketed as a gentler option. While it has antioxidant and collagen-boosting properties similar to retinols, whether it’s a safe alternative to retinoids during pregnancy is debatable. We really just don’t know as it doesn’t have the safety data to prove, or disprove this. Your best bet is to talk to your dermatologist if you’re pregnant for well-studied and known pregnancy safe products. 

If you have ultra-sensitive skin, it can be a good alternative to retinols. But for long-term, science-backed results? Retinoids win every time.

 

Your Skin’s Long-Term Bestie

Here’s the thing: retinoids aren’t a quick fix. They’re a long game. Just like exercise, the results compound over time.

You may not notice dramatic changes overnight, but a year in, you’ll glance in the mirror and wonder why your skin looks so radiant. And that’s the beauty of retinoids—they help your skin age gracefully and confidently.

 

Beyond the Face: Where Else Can You Use Them?

While most people focus on using retinoids for their face, their benefits extend far beyond. Your neck, chest, hands, and even arms can show signs of aging and sun damage just as much as your face does—sometimes even more! Applying a small amount of retinoid to these areas a few times a week can help improve texture, fine lines, and hyperpigmentation, keeping your skin smooth and youthful-looking. Just remember, these areas can be more sensitive, so start slowly, moisturize well, and always apply sunscreen in the morning to protect your skin from irritation and sun damage.

 

Retinoid Mistakes to Avoid

Using Too Much – A pea-sized amount is enough for your entire face. More doesn’t mean better—it just means more irritation.

Skipping Moisturizer – Dryness is common when starting retinoids, so pair it with a hydrating routine.

Mixing with Harsh Actives Too Soon – Avoid using strong AHAs, BHAs, or benzoyl peroxide at the same time—let your skin adjust first.

Not Being ConsistentRetinoids take time to show results. Stick with it!

 

FAQs: Answering Your Retinoid Worries

Can I use retinoids during pregnancy?
No. Stick to alternatives like azelaic acid, niacinamide or hyaluronic acid during this time.

Can I use retinoids on my neck and hands?
Absolutely! These areas age just as quickly as your face, so don’t neglect them.

Will retinoids thin my skin?
No! They actually strengthen your skin by boosting collagen production.

 

Real Skin Care, Real Simple

Retinoids are one of the best investments you can make in your skin. They’re not about chasing perfection but about embracing the best version of your skin—healthier, smoother, and glowing from within.

So if you’ve been hesitant to start, consider this your sign! Find a formula that works for you, start slow, and pair it with hydration and sunscreen. Your future self will thank you.

 

Tune in to this week’s podcast with  Dr. Chang as she dives into everything you need to know about retinols and retinoids—how they work, the best way to start using them, and how to avoid irritation while getting real results.

Follow Dr. Chang here:
https://www.instagram.com/drcarolinechang?igsh=Ync3cTZndmZxeGpu
https://www.instagram.com/riderminstitute?igsh=OHBodTZ4N2tydnpi
https://riderminstitute.com/

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