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Walk into any high-end med spa in Las Vegas and you will hear the same two words over and over again: retinoids and facials. Both are considered essentials for luminous, age-defying skin. Put them together, though, and suddenly even seasoned skincare devotees start asking careful questions. If you are using a prescription retinoid like tretinoin, tazarotene, or adapalene, you are already playing in the big leagues of skincare. Layering professional facial treatments on t