BEAUTYTALKS

The long read Skin

Your barrier is not broken. It is over-managed.

Eleven steps, four acids and a peel on Sunday. We asked four dermatologists what actually happens to skin that is asked to do too much, and what a two-week reset really looks like, night by night.

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The files

Everything we published this week

  1. A clinician examining a patient skin under a lamp

    Skin

    A dermatologist can guess your bathroom shelf before she sees your face

    We sat in on a week of consultations. The most common presentation was not a condition. It was a routine.

    Nadia Rahman - 1 min

The ingredient index

What to layer, what to leave a night between

ActiveWhat it actually doesUse itPairs withNot the same night
Vitamin CAn antioxidant that also inhibits pigment transfer; unstable in water at high pH.---
Salicylic acidA beta hydroxy acid that is oil-soluble, so it works inside the pore rather than only on the surface.---
RetinolThe most studied over-the-counter retinoid; two conversion steps from retinoic acid.--Salicylic acid
NiacinamideSupports barrier lipid synthesis and moderates sebum. One of the few actives that plays well with everything.AM or PM, daily--
Glycolic acidAn alpha hydroxy acid that loosens the bonds between surface corneocytes.PM, 1-2x a week--
RetinalA retinoid one conversion step from retinoic acid, so it works faster than retinol at similar tolerability.PM, 2x a week to startNiacinamideGlycolic acid
Most of what I treat in clinic is not a skin condition. It is a routine.
Dr. Imani Osei, consultant dermatologist

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