Hi Dr. Bailey!
I use and enjoy several of the products you recommend on your site. There may be others like me though that get particularly dry in the fall and winter months. I’m a Retin A user and find these times of the year to be more problematic. I’m using the Citrix Antioxidant Sunscreen and the Daily Moisturizing Face Cream for Oily to Normal Skin. I like them both but don’t find them moisturizing enough during the fall and winter months.
Do you have other suggestions? Also, due to the hard economic times that many of us are facing, some good drugstore options might be a great subject for one of your articles!
Thanks in advance,
This is a great question and one that many Retin A (tretinoin) users have in the winter. I’m just back from visiting family in the warm Southern Hemisphere and your question is a great one to jump into now that the weather is definitely cold here at home in the Northern Hemisphere.
It’s hard to know exactly why your particular skin is getting dry during the winter when you use Retin A, but in general, the exfoliation one gets with Retin A makes skin more sensitive to chapping from cold, dry, windy weather. With my patients I often find that if we just change the cleansing step of their skin care regimen we can control the chapping. This is because most cleansers are just too drying for Retin A treated skin. I recommend to my Retin A patients that they avoid foaming cleansers, especially those with the sodium laurel sulfate family of ingredients. I tell them that if an ingredient in their cleanser sounds like sodium laurel sulfate then they should avoid the product. My two favorite cleansers for Retin A treated skin are Toleriane Cleanser and Noble Zinc Soap. Both contain glycerin, which is very hydrating. These are both very affordable and a little goes a long way so the products will last a long time. Neutrogena’s Extra Gentle Cleanser is a drug store option that is fairly similar to the Toleriane Cleanser.
Using the right moisturizer is also important for controlling chapped Retin A treated skin. My two Replenix Creams contain hyaluronic acid which binds a huge amount of water to the skin. They are very effective at helping people tolerate Retin A, but Replenix Cream is an investment. The anti inflammatory characteristics of these remarkable products also help to sooth slightly chapped skin and thus help with Retin A tolerance during the. Daily Moisturizing Face Cream for Dry to Normal Skin is more hydrating than the Daily Moisturizing Face Cream for Oily to Normal Skin and can be applied on top of Replenix Cream. Neither of the Daily Moisturizing Face Creams are very expensive. Drug store options include Cetephil Restoraderm, DML Forte Cream and Vanicream. I really do prefer the Daily Moisturizing Face Creams over these other options though.
It’s important to understand that some winter climates are so harsh that using Retin A becomes too problematic. Options include stopping the Retin A during the cold/dry winter or using it much less frequently. This will allow the dead skin cells to build back up and protect the skin from severely irritating climactic conditions. In a prior blog post I go over some more of my tips for successfully using Retin A.
I hope that helps,
Cynthia Bailey MD, Dermatologist
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