RETINOIDS SCHOOL PART I The first generation and its cascade
- Laurence Dryer MD

- Feb 25
- 3 min read

Few skincare ingredients are as researched, debated, and mythologized as retinoids. They’re praised as gold-standard anti-aging actives, feared for irritation, and often misunderstood as a single ingredient rather than what they truly are: a family of biologically interrelated molecules derived from vitamin A. Understanding retinoids requires zooming out from individual product claims to the biochemical cascade happening inside the skin.
“Retinoid” is an umbrella term for vitamin A and its natural and synthetic derivatives. In skin biology, retinoids act as signaling molecules, not exfoliants or surface-level treatments. Their job is to influence how skin cells grow, differentiate, and communicate. At the cellular level, retinoids regulate keratinocyte proliferation and differentiation, collagen synthesis and degradation, melanocyte activity, sebum production, and inflammatory signaling. In other words, retinoids don’t just improve how skin looks, they change how skin behaves.
Most topical retinoids are not active in the form you apply them. Instead, they must be metabolically converted within the skin to retinoic acid, the only biologically active form that binds nuclear receptors and alters gene transcription.
Here’s the simplified cascade for the first generation of retinoids:

Let’s break this down:
1. Retinyl Esters
Examples: retinyl palmitate, retinyl acetate
These are the most stable and least irritating retinoids. They are also the least potent.
In the body, they function as a storage reservoir of vitamin A.
They are biologically inactive and must first go through the full conversion cascade
2. Retinol
Retinol is the most common over-the-counter retinoid.
It is biologically inactive until oxidized into retinaldehyde, then retinoic acid
This step is enzyme-regulated and tightly controlled by the skin.
3. Retinaldehyde (Retinal)
One metabolic step away from retinoic acid.
Reputed to be more potent and faster-acting than retinol, but typically better tolerated than prescription retinoic acid (see below for why the potency comparison is not fully proven)
Often considered the “sweet spot” between efficacy and tolerability.
4. Retinoic Acid (Active Form)
Examples: tretinoin
This is the end goal for all first-generation retinoid metabolism.
Retinoic acid binds directly to retinoic acid receptors (RARs) and retinoid X receptors (RXRs) in the cell nucleus.
This binding alters gene expression, affecting cell turnover, collagen production, and pigmentation at a fundamental level.
A critical and often overlooked nuance: until retinoic acid is formed, retinoid metabolism is bidirectional. That is, retinol ⇄ retinaldehyde is a reversible reaction. This reversibility allows the skin to fine-tune retinoid activity and prevent overload. It acts as a built-in safety mechanism, reducing the risk of toxicity and irritation. Once retinaldehyde is converted into retinoic acid, however, the process becomes irreversible. Retinoic acid is then either used for receptor signaling, or rapidly degraded by enzymes to maintain homeostasis.
What does this mean? There is some evidence suggesting that retinal is more potent than retinol because of where it sits in the conversion cascade and shows faster and more potent activity. However, the evidence is not as extensive as the body of research on retinol itself, and some nuances matter. Formulation and skin tolerance are huge factors; potency estimates don’t always translate directly to consumer experience. The skin’s enzyme activity, barrier health, inflammation status, and even genetics influence how efficiently these conversions happen. Two people using the same retinol product may experience very different outcomes.
Unlike generally advertised, retinoids do not just polish the skin surface, they rewrite cellular behavior. Fundamentally, all first regeneration retinoids have the same set of activities, just not the same speed or potency.



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