Blackheads: Do Topical Treatments Like Lezinc Work? - Dermatology

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Blackheads


Doctor, I went to the dermatology clinic for blackheads, and they only prescribed me a topical treatment called Lactic Acid.
Shouldn't they have prescribed something like Tretinoin instead? Does Lactic Acid have any effect on blackheads? I haven't seen any results so far.

isaiahtomas, 10~19 year old female. Ask Date: 2016/04/29

Dr. Wu Yuxin reply Dermatology


You should consult your attending physician about this issue, as they are most familiar with your condition and can help you choose the appropriate medication.

Reply Date: 2016/04/29

More Info


When it comes to treating blackheads, understanding the underlying causes and the efficacy of various topical treatments is crucial. Blackheads, or open comedones, are a common form of acne that occurs when hair follicles become clogged with oil (sebum) and dead skin cells. They appear black due to oxidation when the clogged material is exposed to air.
Topical treatments for blackheads often include ingredients like salicylic acid, benzoyl peroxide, and retinoids (like tretinoin or adapalene). Salicylic acid is particularly effective because it is a beta hydroxy acid (BHA) that penetrates the pores and helps to dissolve the debris that causes blockages. Retinoids, on the other hand, promote cell turnover and prevent the formation of new comedones.

In your case, you mentioned that your dermatologist prescribed Lezinc (which contains zinc oxide) for your blackheads. While zinc has anti-inflammatory properties and can help with acne, it is not primarily known for its effectiveness in treating blackheads specifically. Lezinc may help soothe the skin and reduce inflammation, but it might not be as effective as other treatments like salicylic acid or retinoids in directly addressing the root cause of blackheads.

If you are not seeing results with Lezinc, it may be worth discussing with your dermatologist the possibility of incorporating a more targeted treatment. A topical retinoid could be beneficial, as it not only helps to clear existing blackheads but also prevents new ones from forming by promoting skin cell turnover. Additionally, regular exfoliation, either through chemical exfoliants (like AHAs or BHAs) or physical exfoliants, can help keep the pores clear.

It's also important to consider your skincare routine as a whole. Using non-comedogenic products, maintaining a consistent cleansing routine, and avoiding heavy or oily products can significantly impact the management of blackheads. Furthermore, professional treatments such as chemical peels or extractions performed by a licensed esthetician or dermatologist can provide immediate results and help maintain clearer skin.

In summary, while Lezinc may offer some benefits, it may not be the most effective option for treating blackheads. Discussing alternative treatments, such as salicylic acid or retinoids, with your dermatologist could lead to better outcomes. Remember, patience is key in skincare; it can take several weeks to see significant improvements, especially with topical treatments. Regular follow-ups with your dermatologist will help tailor your treatment plan to achieve the best results for your skin type and concerns.

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