AHA Peels: When to Expect Results and Next Steps - Dermatology

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Alpha hydroxy acid (AHA) peel


Dr.
Cheng: Following the physician's recommendation, I underwent a glycolic acid peel treatment and completed two sessions.
The results were minimal (reducing from about 30 noticeable acne lesions to 25).
However, isn't it expected to see significant results after the first two sessions of glycolic acid peels? Friends around me have mentioned that glycolic acid peels are meant to remove acne scars and dark spots, strongly advising me to stop continuing the treatment.
Should I continue to follow my physician's advice?

Xiao Yu, 20~29 year old female. Ask Date: 2000/09/28

Dr. Zheng Lizhen reply Dermatology


In addition to improving acne scars and dark spots, chemical peels are also effective for acne.
Although Xiaoyu feels that the results are not significant, hasn't she noticed a reduction in acne? Don't worry; during the first one or two sessions, there may not be obvious improvements, and some people might even complain that their acne seems to increase.
This is because deeper acne is being brought to the surface.
After two or three sessions, as the deeper acne gradually clears up, noticeable improvements will become evident.
Combining this treatment with medication can help inflamed acne resolve more quickly.
If the traditional alpha hydroxy acids (AHAs) are not effective, there are now combination AHAs available to enhance results.
Xiaoyu should trust the advice of a dermatologist, and if there are any questions, she can consult her doctor.
Suggestions from friends and family come from a place of concern, but they often only see part of the picture and may not fully understand the situation.
Therefore, if there are any doubts, please do not hesitate to discuss them with your physician, as they will have a better understanding of the entire process and can even educate others!

Reply Date: 2000/09/28

More Info


When it comes to understanding AHA (Alpha Hydroxy Acid) peels, it's essential to recognize that results can vary significantly from person to person. AHA peels are commonly used for treating various skin issues, including acne, hyperpigmentation, and signs of aging. They work by exfoliating the top layer of skin, promoting cell turnover, and revealing fresher, healthier skin underneath.

In your case, you've undergone two AHA peel treatments and observed a modest reduction in the number of visible acne lesions, from approximately 30 to 25. It's important to note that while some individuals may see immediate improvements after just one or two treatments, others may require a more extended series of sessions to achieve noticeable results. Factors such as skin type, the severity of the condition being treated, and the specific formulation and concentration of the AHA used can all influence the outcomes.

Typically, dermatologists recommend a series of treatments spaced a few weeks apart to allow the skin to heal and regenerate between sessions. If your dermatologist has advised you to continue with the treatments, it may be worth considering their professional opinion, especially if they believe that further sessions could yield better results. However, it's also crucial to communicate your concerns about the effectiveness of the treatment and any side effects you may be experiencing.

Regarding your friends' opinions about AHA peels, it's essential to remember that everyone's skin is different. What works for one person may not work for another. While AHA peels can help reduce acne scars and hyperpigmentation, they may not be the sole solution for everyone. If you're concerned about the effectiveness of the treatment or if you're experiencing any adverse effects, it might be beneficial to seek a second opinion from another dermatologist. They can provide additional insights into your specific skin condition and recommend alternative treatments if necessary.

In addition to AHA peels, there are various other treatments available for acne and acne scars, including topical retinoids, chemical peels with different acids, laser therapy, and microneedling. Each of these options has its own set of benefits and potential side effects, so discussing these alternatives with your dermatologist could help you make a more informed decision about your treatment plan.

It's also essential to maintain a proper skincare routine at home to support the results of your treatments. This includes using non-comedogenic moisturizers, sunscreen, and gentle cleansers, as well as avoiding harsh scrubs or products that could irritate your skin.

In summary, while your initial results from the AHA peels may not be as dramatic as you hoped, it's important to give the treatment time and to follow your dermatologist's recommendations. Open communication with your healthcare provider about your concerns and expectations will help ensure that you receive the best possible care tailored to your skin's needs. If you continue to have doubts or if the treatment does not seem to be effective after a reasonable number of sessions, don't hesitate to explore other options or seek a second opinion. Your skin health is paramount, and finding the right treatment plan is crucial for achieving the results you desire.

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