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

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 stero