What Anti-Aging Ingredients Have Real Evidence?

Three categories have robust clinical evidence: UV protection (broad-spectrum SPF 30+), retinoids (tretinoin, retinol, adapalene), and antioxidants (L-ascorbic acid vitamin C, niacinamide). Everything else has limited, preliminary, or no evidence. These three form the foundation of evidence-based anti-aging skincare.

Strong EvidenceDecades of RCTs and the landmark Australian sunscreen aging prevention study provide strong evidence for the core three actives.

A landmark Australian study followed 903 adults over 4.5 years and found that daily sunscreen use resulted in 24% less skin aging compared to discretionary use. UV exposure causes 80% of visible facial aging (photoaging) — making sunscreen the single most important anti-aging product. Tretinoin is the most studied topical anti-aging ingredient with over 40 years of research demonstrating increased dermal collagen, reduced fine lines, improved skin texture, and reduced hyperpigmentation.

L-ascorbic acid vitamin C at 10-20% concentration provides antioxidant protection against UV-generated free radicals, stimulates collagen synthesis, inhibits melanin production, and enhances sunscreen photoprotection by 4-8x when layered underneath. Formulation matters — L-ascorbic acid must be at pH 2.5-3.5 for penetration and is unstable in light and air. Niacinamide (vitamin B3) at 4-5% improves skin barrier function, reduces pore appearance, and has anti-inflammatory properties with excellent tolerance.

Australian study found daily sunscreen resulted in 24% less skin aging over 4.5 years

How Should You Build an Anti-Aging Routine?

Morning: gentle cleanser, vitamin C serum, moisturizer, SPF 30+ sunscreen. Evening: gentle cleanser, retinoid (start low, increase gradually), moisturizer. Introduce one active at a time with 2-4 week intervals. Consistency over months matters more than product variety.

Start retinoids slowly to minimize irritation (retinization period). Begin with retinol 0.25% two nights per week, increasing to every other night, then nightly over 6-12 weeks. If tolerated, progress to 0.5-1% retinol or prescription tretinoin 0.025%. Apply a pea-sized amount to dry skin after cleansing. Moisturizer applied before (buffering technique) or after retinoid reduces irritation without significantly reducing efficacy.

Avoid combining retinoids with AHAs/BHAs, vitamin C, or benzoyl peroxide in the same routine step — use them at different times (vitamin C in morning, retinoid at night). Niacinamide can be used with either. Peptides (copper peptides, matrixyl) have emerging evidence for collagen stimulation but are less proven than the core three actives. Hyaluronic acid is an excellent moisturizing ingredient but does not have anti-aging effects beyond hydration.

Tretinoin has over 40 years of clinical evidence for anti-aging efficacy