I have been using Tretinoin .05% for 4 weeks 1x a day but have been on .1% in the past for over 2 years. So I’m not new to tretinoin. As for Azelaic Acid, I am not new either. When I was on tretinoin .1% in the past I also used AA 10% (Paula’s Choice OTC). I absolutely LOVED the combo so I got AA 20% (Azelex RX) from my dermatologist since I am using only .05% Tretinoin currently. Today was the first day I tried it but I got pilling when applying the Tretionin over the AA. I get so frustrated when I start pilling up because then I feel like I wasted product. Even though this happened I continued to put my moisturizers and sunscreen on and the pilling completely went away and I guess was kind of mixed in? Before today when I added the AA, I would use Cream Skin by Laneige to dampen my skin before applying my Tretionin which I didn’t do today because I know that having wet or damp skin can make burning worse with AA. I didn’t get any burning or itching with it on dry skin so I guess tomorrow I will try putting it on before the AA and see how that goes. Please let me know your routine and order of application with Tretionin and Azelaic Acid. Any tips or constructive criticism are greatly appreciated! Please read below for my routine. Ps… I only wash and do my routine 1x per day, don’t come at me for that I’m lazy lol.

1st - Cleanse in the shower with LRP Toleriane Hydrating Gentle Cleanser, doing a double cleanse every other day.

2nd - Apply 1 pump of Cream Skin by Laneige to dampen skin 
Note: Today I skipped this and replaced this step with Azelex 20% Azelaic Acid)

3rd - Tretinoin .05%

4th - Mix & apply a pea size of LRP Double Repair Moisturizer with a pea size of LRP Cicaplast Balm B5

5th - Apply 2 full pumps of elta MD UV Skin Recovery SPF 50



Tretinoin .05% and Azelaic Acid 20%