Acne: Can Chemical Peels Provide a Lasting Solution?

Alpha hydroxy acid (AHA) chemical peel

Hello Dr.
Cheng: I am not sure why, at 35 years old, I still frequently experience acne, and it seems to be increasing year by year, especially before my menstrual period.
I often get breakouts around my mouth, and some areas tend to recur.
I have previously sought help from a dermatologist, but topical treatments and antibiotics have not improved my condition.
I get plenty of sleep, have regular menstrual cycles, and maintain thorough facial hygiene.
I avoid fried and highly stimulating foods, but whenever I do indulge, I inevitably break out with one or two pimples the next day.
Could this be due to my constitution? Is there a connection with poor digestive health? Can chemical peels provide a complete cure?

Cao Jinqi, 30~39 year old female. Ask Date: 2000/12/11

Dr. Zheng Lizhen reply Dermatology

According to research, there is no direct relationship between acne and food.
Therefore, unless a specific food is consistently linked to your acne, it is unnecessary to avoid it.
Acne is primarily a skin issue and should not be used to predict the health of internal organs.
If acne appears on the forehead, you should consider whether your bangs are too long or if you are using mousse or hair gel that may clog your pores.
If it occurs on the chin or jawline, pay attention to whether you have a habit of resting your chin on your hand, and also evaluate whether your skincare products, such as lotions, are too greasy.
Some people believe that constipation can worsen acne, but there is currently no conclusive evidence for this.
Alpha hydroxy acids can help exfoliate dead skin cells at the pore openings, providing a therapeutic effect for acne.
However, due to the multifactorial nature of acne, dermatologists often employ a combination of treatments, so it is essential to work closely with a dermatologist for optimal results.

Reply Date: 2000/12/11

More Info

Acne is a common skin condition that affects many individuals, including adults in their 30s and beyond. The persistence of acne, especially around the mouth and in relation to hormonal fluctuations such as those experienced during the menstrual cycle, can be frustrating. It is essential to understand that acne can result from a combination of factors, including hormonal changes, genetics, diet, and skin care practices.

In your case, it seems that you have already taken several steps to manage your acne, including consulting a dermatologist, using topical medications, and taking antibiotics. However, since you have not seen significant improvement, it may be worthwhile to explore other treatment options, including chemical peels.

Chemical peels, particularly those containing alpha hydroxy acids (AHAs) like glycolic acid or beta hydroxy acids (BHAs) like salicylic acid, can help exfoliate the skin, unclog pores, and reduce inflammation. They work by removing the outer layer of dead skin cells, which can help prevent the formation of new acne lesions. Additionally, chemical peels can improve skin texture and tone, making them a popular option for individuals with acne-prone skin.

However, it is important to note that while chemical peels can provide significant benefits, they may not be a "one-size-fits-all" solution. The effectiveness of chemical peels can vary based on the individual's skin type, the severity of the acne, and the specific formulation of the peel used. For some individuals, chemical peels may lead to temporary improvement, but they may not completely eliminate acne. Therefore, it is crucial to have realistic expectations and understand that ongoing maintenance may be necessary.

Moreover, the underlying causes of your acne should be addressed. Hormonal imbalances, for instance, can play a significant role in adult acne. Conditions such as polycystic ovary syndrome (PCOS) can lead to increased androgen levels, which may contribute to acne development. If hormonal factors are suspected, a healthcare provider may recommend hormonal treatments, such as oral contraceptives or anti-androgens, to help regulate hormone levels and reduce acne flare-ups.

Diet can also influence acne. While you mentioned avoiding fried and high-calorie foods, it may be beneficial to assess your overall diet. Some studies suggest that high-glycemic-index foods and dairy products may exacerbate acne in certain individuals. Keeping a food diary to track your diet and any corresponding acne flare-ups could provide valuable insights.

Additionally, digestive health may play a role in skin health. A well-functioning digestive system is essential for nutrient absorption and detoxification. If you suspect digestive issues, consider consulting a healthcare provider or a nutritionist to evaluate your gut health and explore dietary adjustments that may support both digestion and skin health.

In conclusion, while chemical peels can be a helpful component of an acne treatment regimen, they may not provide a permanent solution for everyone. A comprehensive approach that includes addressing hormonal imbalances, evaluating dietary habits, and considering digestive health is essential for achieving long-term improvement. Consulting with a dermatologist who specializes in adult acne can help tailor a treatment plan that suits your specific needs and skin type.

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