Retinol and Retinoids

What’s your perfect day and night beauty regimen for a mid-40s male?

Hiya, TTG editor Georgia here. Without knowing what your skin is like or any specific aesthetic concerns you have, the go-to, cosmetic-doctor-approved routine for just about anyone is: cleanse, antioxidant serum and SPF of at least 30 in the AM; cleanse, other treatment product if needed (maybe to hydrate, maybe for acne, maybe for pigmentation, etc.) and retinol in the PM....

Hi Alice, I am 55 and take good care of my skin: LED, NuFACE, fillers, botox, RF. I use ferulic vit C and the peptide serum you recommend as well as prescription retinol 2/3 times a week. I am interested in the Calecim cream you list and also the...

Wow, that sounds like quite the regime! Yes, Calecim is great, you could use it on nights when you are not using the prescription retinoid. I like it for skin recovery after procedures. The Neostrata neck product is fab, I'd use this after the vitamin C and before moisturiser/ sunscreen in the morning, and use it at night, too. If you're using the retinol on your neck, you could use this either afterwards or before the retinol, and see how it works for you....

I’m 38 and still get acne on my cheeks but skin also dry and sensitive skin, and I can see the ageing… I use ZO end to end but not sure it’s the answer, plus it’s very £££. I looked at your Acne Fixers Bundle but how do I also tackle...

Dry and sensitive skin suggests that your skin barrier isn't in great shape. Work on this by focussing on gentle, hydrating products – a hyaluronic acid serum, sealed in with a moisturiser and, in the morning, topped with sunscreen. Once your skin is feeling stronger and more comfortable, start using a product with retinol or another retinoid (start slowly, with tiny amounts and twice a week at first) to help with acne management. Taking lots of omega-3 supplements can really help with skin hydration and skin quality, too. These are my current favourites....

Could you recommended a good retinol to help with quite deep smokers lines, please?

Hi there, this is a great one – lots of info on that link as to why I like it so much (I put some of my favourite products in the shop on The Tweakments Guide). It’s a step-up system, so if your skin is fine with this, you can move onto this one. It will help with all of your skin including smoker’s lines, though tweakments, if you were up for them/ had the budget for them, would help more – here’s a link to the info on the site on smoker's/ 'barcode' lip lines....

Can you recommend the best home device for wrinkles and texture for smoothing the skin on the face, please?

Hiya, TTG editor Georgia here. There aren't really any devices as such for treating texture at home. Aside from DIY microneedling with a roller – which Alice and I rarely advise – your best bet will be a home peel and active skincare, something with smoothing AHAs (alpha-hydroxy acids) to regulate textural issues. This will also help address wrinkles at the same time, as will a retinol product – which you should absolutely be using in your daily routine. If you did want to invest in a device for your wrinkles alone, you could try the NuFace Line Fix Smoothing Device, which is particularly good around the eyes and mouth, but it's not...

What is the best treatment for the décolletage area, please? Creases are starting to appear.

Laser or radiofrequency microneedling would both be great choices, to refresh and remodel the skin – possibly followed by hydrating, skin-conditioning injectable moisturiser treatments. While you're deciding, and going forward, use the same skincare on your chest as you do on your face, perhaps a vitamin C serum plus a hydrating serum or moisturiser in the mornings, with a retinoid at night, and make sure you're using SPF50 every day, from your hairline down your neck to your chest....

Is it ok to use a face oil or other cream on top of retinol? Thank you.

Hi, yes, it absolutely is. Just let the retinol (or any other retinoid that you're using) sink in, then apply the cream or oil on top. The retinol will go about its work in your skin and the cream/ oil will keep your skin feeling comfortable, which is helpful if the retinol is making your skin feel a tad dry.

Hi Alice, Do you know anything about the Facial-Flex facial exerciser that Rosemary Conley uses? I have one and cannot find any recent reviews but want to firm up the area around my mouth and cheeks! I also take collagen supplements plus retinol.

Not much, sorry. I was interested in trying it but my doctor friends said forgodsake no, because it would only make already over-tight muscles in my jaw and neck tighter still. Collagen supplements and retinol are both a really good idea, so keep up with those.

After toxin and filler, my forehead is still a bit textured and rough. Would a laser treatment be the solution for smooth skin? If yes, which one?

Yes, possibly. Does your practitioner offer laser? If not, take a look at our practitioner finder to find someone in your area (for me, it's all about the person using the device, even more so than the device they're using). Or it might be that a couple of rounds of an injectable moisturiser treatment like Belotero Revive or Volite might do the job as these hydrate the skin, encourage the skin to remodel itself and make it smoother/ stronger/ tighter. Also, make sure you're using good quality skincare. I'd suggest vitamin C serum, moisturiser and sunscreen in the mornings and some sort of retinoid in the evenings  – see the shop on the...

I'm 51 with very dry skin/sun damage (Queensland, Australia) with no skincare routine or tweakments. I don't know where to start! Skin treatment? With menopause I just look so tired!

Ah, sympathies. I'd start with your doctor, to consider hormone replacement, as this has such a huge and fundamental effect on everything from brain and heart health, to our skin (more oestrogen means more collagen in the skin, which means stronger, firmer, better hydrated skin that doesn't look so old and tired). Then skincare! Take a look at the skincare advice on our downloadable factsheet about dry, rough skin, which you can grab on this page.  If you want more detail, I've written a whole book called Start with Skincare which you can find on Amazon. In terms of products, start with a gentle cleanser, a vitamin C serum, a moisturiser...

What are the best skin products for sebaceous hyperplasia? I am 48 years old. I have taken care of my skin since early 20’s with cleansing, acids, moisturising and then Vitamin C, nicinamide and Retinol 1%. But hyperplasia is difficult to treat.

You're right, sebaceous hyperplasia, where you get lots of little bumps under the skin where oil has become trapped, is an absolute pain. I have lots of them on my face and when I went to see a dermatologist about this recently, he told me that they become more common with age, and to get rid of existing ones you need to tackle them directly with lasers. To reduce the rate at which they're forming, he suggested sticking to skincare that would clean, hydrate and regenerate the skin without adding any extra oil, so that's a glycolic or vitamin-C based wash-off cleanser, an L-ascorbic acid vitamin C serum in the mornings, plus a hyaluronic acid...

Buying from your website post-Brexit – I live in France... will I be charged import taxes?

There's always a chance you'll be charged import taxes but we can't say for certain either way. Please email us at [email protected] with details of what you'd like to order and your address, and we will give you a shipping quote which will include any extra costs/ taxes we are informed about.

I'm 57 with thin, dull skin, dark circles/ hollow under eyes, lack volume. What do you suggest please? 🙏

Hi, I'd suggest starting with some great skincare to address the quality of your skin and get it looking a bit fresher and livelier. Take a look at some of the products in the TTG shop eg this radiance-boosting bundle - there are videos explaining what the products do and why I rate them. It's worth considering hormone replacement treatment (start with your GP). Losing oestrogen as we go through the menopause wreaks havoc on the skin (as well as on our moods, joints, sleep etc) and replacing it helps the skin to function so much better and to regain a good deal of its strength, bounce and hydration. Re dark hollows under your eyes and...

I am 57, have regular Caci & RF treatments. I also use my Nuface Mini. Been reading up about Coolsculpting and considering it for jowl area. My skin is in pretty good shape overall and would love your advice. Also, I live in Brighton area, so...

Hi, it sounds like you are taking great care of your skin. I'd always suggest a consistent skincare regime with active ingredients like vitamin C serum in the morning to brighten and strengthen the skin, plus a hydrating sunscreen, and retinol or another kind of retinoid at night to stimulate collagen boosting and improve skin texture. CoolSculpting aka fat freezing or crylipolysis can be really helpful for shrinking fat below the jaw - you need an expert practitioner to assess your face and jawline and see if you would be a good candidate for this. They also need to explain the potential complications of the procedure, which is something...