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Do You Need Exfoliation on Tretinoin? | Dermatologist Q&A

42.3K views· 2,323 likes· 18:42· Feb 7, 2026

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Board certified dermatologist Dr. Dray answers your skincare questions in this in depth Q and A. Topics include tretinoin, exfoliation, oily skin, Poikiloderma of Civatte, supplements, ingredients to avoid, azelaic acid, skin tags, and more. This video is packed with evidence based dermatology advice to help you build a safe and effective skincare routine. 🕒 TIMESTAMPS 0:00 Introduction 0:24 Do you need an exfoliant like glycolic acid if you already use tretinoin 0.025 percent most days? 2:30 How to layer CeraVe SA Lotion on the face. Lotion vs serum and benefits for oily skin 4:47 Products and treatment options for Poikiloderma of Civatte on the neck and chest 6:51 Thoughts on hyaluronic acid supplements 8:45 Is there a list of skincare ingredients to avoid? 10:38 Eye makeup appreciation and tips 11:03 Do silica supplements work? 12:39 Retin A and reports linking long term use to osteoporosis 14:16 Medical grade skincare brands like SkinBetter and ZO. Are they worth it? 16:07 Are skin tags genetic and how can they be removed? 17:29 Can tretinoin 0.05 percent gel and azelaic acid be used together daily? 17:40 Outro 🧴 POIKILODERMA OF CIVATTE OVERVIEW Daily sunscreen with SPF 50 or higher is essential to prevent progression. Mineral sunscreens with zinc oxide are often preferred. Prescription tretinoin may improve texture and collagen but can irritate the neck. Skin lightening agents such as hydroquinone, kojic acid, or arbutin may help pigmentation. Low potency topical steroids like hydrocortisone may be used short term under medical guidance. Glycolic acid can help with discoloration and texture. Avoid perfumes and scented lotions on the neck to reduce photosensitivity. ▶️ SUGGESTED VIDEO Exfoliating with retinol https://youtu.be/cMfO3meixs0 🛍️ PRODUCTS MENTIONED White eyeliner I use https://amzlink.to/az0YBvko4SwkH Dark eyeliner I use https://amzlink.to/az05qn9Z2VCOn Smokey grey eyeliner I use https://amzlink.to/az0FCoG1v4wdf FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links. 💜Shop my Amazon store https://o.bttn.io/0BwiPWFIZLG 💜Follow me on liketoknowit https://www.liketoknow.it/drdrayzday 💜Social media Instagram @drdrayzday Pinterest https://www.pinterest.com/drdrayzday/ Facebook @DrDrayzDay Twitter: @drdrayzday Tiktok: @drdrayzday Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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