In a TikTok clip, the doctor, who goes by @socialplasticsurgeon on social media, explained: « The first thing is soap – you need a gentle facial cleanser with no perfumes and no dyes. The next is a toner that is pH-balanced and actually helps regulate the pH of your skin. » He then recommended incorporating glycolic acid, retinoic acid and hydroquinone, noting that « the size of a pea » is sufficient when working with prescription-strength formulations.
He advised following this with a moisturiser – once again free from dyes or fragrances – to replenish the skin’s hydration, before concluding with quality sun protection to guard against UV damage. He stated: « That’s how you can remove three to five years. »
In the comments, one viewer requested a specific product list from the plastic surgeon. Rather than listing individual items, he recommended: « The easiest way is to go to a medspa, plastic surgeon, or dermatologist and use a professional skincare line – Obagi or Image, for example. »
Another viewer queried: « Should you use glycolic acid with retinol? I did once and my skin was so raw. I have to alternate, but I want to bump up my asked use to every day. »
In response, Dr Nykiel clarified: « Hold on – learning is great – but this MUST be done under an MD’s supervision. You could cause a serious burn or injury.
« Glycolic acid is used in the morning and Retin-A in the evening. Yes, glycolic acid and retinol can be used in the same skincare routine, but retinol should be started two to three times a week, depending on skin sensitivity. »
Another user remarked: « Hydroquinone – wow. You must live in the States, because everyone has banned it unless prescribed. It causes skin cancer. »
Addressing the concern, Dr Nykiel responded: « All of these products should be used under MD supervision and prescription only. »
Overall, Dr Nykiel encourages individuals to consider updating their skincare routine – but emphasises the necessity of consulting with a medical professional before incorporating new products. You can locate a local dermatologist on the NHS’s website.
