What Do I Use First Retin-A or Night Cream?

Apply toner before retin a. However, witch hazel may not be the best toner to use in combination with retin a due to the possibility of irritation.

We routinely prescribe retinoids for our patients as it has been shown to be an excellent anti-aging product for the skin. Proper moisturization is a key element to the application of retinoids and has been shown to increase compliance. Opti-Ceramides, as in Elevase Moisture Booster help keep the skin properly moisturized and we recommend combination treatment to all of our patients More information about Elevase Moisture Booster can be found on the link below. 

Topical Retinoids (i.e. retin a) are the gold standard for anti aging. They help improve fine lines and wrinkles, dyspigmentation, pore size as well as acne. One common side effect which occurs while starting to use a retinoid is redness and peeling. This can be minimized by every other night application for one to two weeks, as well as the use of a moisturizer after applying the retin a. It is important to apply the product to a clean and dry face. This means waiting 15-20 minutes after washing your face so that your pores have a chance to "close" and the product is not absorbed to rapidly. 

There are many great cleansers and toners, but in my opinion witch hazel is far too astringent and harsh to use on your skin. I would find an alternate, and begin using your retin a. You will see results starting around one month of use.