Can alpha hydroxy acids (AHAs) eliminate acne scars?
About a year ago, I developed some acne that left behind some pitted scars.
They have faded a bit since then, but are still noticeable.
Occasionally, I still get small pimples.
I would like to know if using a 30% combination of alpha hydroxy acids (AHAs) and 4% mandelic acid would be effective for scar removal.
Additionally, I have been experiencing persistent dryness and cracking on my left hand.
I have visited a dermatology clinic multiple times, but it has not improved and has actually gotten worse, so I stopped going.
Initially, only my pinky finger was dry, cracked, and itchy, but after seeing the doctor and applying the medication, it felt like my skin became thinner.
It seemed to improve a bit, but when I went back for a second prescription, the condition started to spread.
After the fourth prescription, I stopped going.
Now, all five fingers and the wrist area are usually dry and cracked, but they do not itch regularly (they become intensely itchy when I stay up late or feel stressed).
Additionally, my fingernails have become thin, soft, and pitted.
I would like to know what methods I can use to improve this condition on a daily basis.
Xiao Lu, 20~29 year old female. Ask Date: 2021/01/18
Dr. Wu Yuxin reply Dermatology
For depressed scars, there is some help, but the primary treatment still relies on laser therapy.
As for the issue of cracked skin on the hands, the cause can only be determined after an examination.
Reply Date: 2021/01/18
More Info
When it comes to the use of fruit acids, such as alpha hydroxy acids (AHAs) and specifically glycolic acid and mandelic acid, they can indeed play a role in improving the appearance of acne scars and addressing issues related to dry skin. However, it is essential to understand their mechanisms, effectiveness, and limitations.
Effectiveness of Fruit Acids for Acne Scars
Fruit acids, particularly in higher concentrations like 30% combined with 4% mandelic acid, can help exfoliate the skin. This exfoliation process promotes the shedding of dead skin cells and encourages the growth of new, healthier skin. Over time, this can lead to a reduction in the appearance of superficial acne scars and improve skin texture. However, it is important to note that while AHAs can help with mild to moderate scarring, they may not be as effective for deeper scars. For more significant scarring, treatments such as laser therapy, microneedling, or chemical peels performed by a dermatologist may be more appropriate.
Addressing Dry and Cracked Skin
Regarding your concerns about dry, cracked skin on your hands, it sounds like you may be experiencing a condition known as hand dermatitis or eczema. This condition can be exacerbated by environmental factors, frequent handwashing, or the use of irritating substances. The fact that your condition worsened after using topical medications suggests that the treatment may have been too aggressive or not suited for your skin type.
To manage dry and cracked skin effectively, consider the following strategies:
1. Moisturization: Use a thick, emollient-rich moisturizer regularly, especially after washing your hands. Look for products containing ingredients like ceramides, glycerin, or hyaluronic acid, which help to lock in moisture.
2. Gentle Cleansing: Avoid harsh soaps and opt for gentle, hydrating cleansers. This will help prevent further irritation and dryness.
3. Protective Measures: When doing household chores or when exposed to cold weather, wear gloves to protect your hands from irritants and moisture loss.
4. Avoid Irritants: Identify and avoid any products that may irritate your skin, including certain soaps, detergents, or hand sanitizers that contain alcohol.
5. Consult a Dermatologist: Since your condition has not improved with previous treatments, it may be beneficial to seek a second opinion from a dermatologist. They can provide a tailored treatment plan, which may include prescription topical steroids or other medications to reduce inflammation and promote healing.
6. Hydration: Ensure you are drinking enough water throughout the day, as hydration plays a crucial role in skin health.
7. Diet and Lifestyle: A balanced diet rich in vitamins and minerals, particularly omega-3 fatty acids, can support skin health. Additionally, managing stress through relaxation techniques may help reduce flare-ups.
Conclusion
In summary, while fruit acids can assist in improving the appearance of acne scars, their effectiveness may vary based on the depth of the scars. For persistent dry and cracked skin, a comprehensive approach that includes proper moisturization, gentle cleansing, and protective measures is essential. If your condition does not improve, consulting a dermatologist is crucial for appropriate diagnosis and treatment. Always remember that skin care is highly individual, and what works for one person may not work for another.
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