Can I Use AHA on My Neck? Skin Reactions and Care - Dermatology

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Can A acid be applied to the neck?


Director Wu, may I ask if applying 1% retinoic acid on my neck every night and using sunscreen during the day is appropriate? Now, after one month, I've noticed that the horizontal lines on my neck have changed from red and swollen to severe dryness.
Is this a permanent scar? What should I do? Thank you.

Shīpiān, 40~49 year old female. Ask Date: 2020/11/25

Dr. Wu Yuxin reply Dermatology


Using tretinoin will not cause scarring, but for your specific concerns, you should consult your prescribing physician, as they are most familiar with your condition.

Reply Date: 2020/11/25

More Info


Using AHA (Alpha Hydroxy Acid) products, such as A酸 (retinoic acid), on the neck can be beneficial for improving skin texture and reducing signs of aging. However, as you've experienced, it can also lead to adverse reactions, especially if the skin is sensitive or if the product is used too frequently or in too high a concentration.
From your description, it sounds like your neck has reacted negatively to the A酸 treatment, resulting in redness, pain, and now severe dryness and fine lines. These symptoms suggest that your skin may be experiencing irritation or over-exfoliation, which can occur when using potent active ingredients like A酸 without adequate care or adjustment to your routine.


Understanding Skin Reactions
1. Irritation and Sensitivity: The neck area is often more sensitive than other parts of the body. It can react to AHA products with redness, burning, or stinging sensations, especially if the skin barrier is compromised.
2. Dryness and Fine Lines: The appearance of fine lines or "dry纹" (dry lines) can be a sign of dehydration or irritation. When the skin is over-exfoliated, it can lose its natural moisture, leading to dryness and the exacerbation of fine lines.
3. Potential for Permanent Changes: While most skin reactions are temporary, persistent irritation can lead to long-term changes in skin texture. However, it is unlikely that the changes you are experiencing will result in permanent scarring. The skin has a remarkable ability to heal, but this process can take time.


Recommendations for Care
1. Discontinue Use of A酸: Given the current state of your skin, it would be wise to stop using the A酸 on your neck for the time being. Allow your skin to recover and restore its barrier function.

2. Hydration and Moisturization: Focus on using gentle, hydrating products. Look for moisturizers that contain ingredients like hyaluronic acid, glycerin, or ceramides, which can help restore moisture and repair the skin barrier. Avoid products with alcohol or strong fragrances, as these can further irritate the skin.

3. Soothe the Skin: Consider using soothing agents such as aloe vera, chamomile, or calendula to help calm the irritation. These ingredients can provide relief and promote healing.

4. Sun Protection: Continue using sunscreen during the day, as your skin may be more susceptible to UV damage after using AHA products. A broad-spectrum sunscreen with SPF 30 or higher is recommended.

5. Gradual Reintroduction: Once your skin has healed, you can consider reintroducing AHA products, but do so gradually. Start with a lower concentration and apply it less frequently (e.g., once a week) to assess how your skin reacts.

6. Consult a Dermatologist: If the symptoms persist or worsen, it is advisable to consult a dermatologist. They can provide a thorough evaluation and recommend appropriate treatments or adjustments to your skincare routine.


Conclusion
Using AHA products like A酸 can be effective for improving skin appearance, but it is crucial to listen to your skin and adjust your routine accordingly. Your neck's reaction indicates that it may need a break from active ingredients and a focus on hydration and barrier repair. With proper care, your skin should recover, and you can gradually reintroduce active ingredients in a way that is more suitable for your skin type.

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