Salicylic Acid and Treatments for Skin Pits

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Question 1: Is salicylic acid considered a mild medication?
Question 2: Does salicylic acid have the effect of minimizing pores?
Question 3: Does salicylic acid have side effects, such as skin redness?
Question 4: What is the cost of a single session of cryo laser treatment?
Question 5: If calculating the cost for a circular area of 5 cm on both cheeks, how much would it be?
Question 6: There is a method that uses autologous fat to extract collagen and inject it into depressions; how long does this effect last? I know that the Real and United Clinic offers this service, but I would like to ask the doctor about the effectiveness.

Question 7: Are there any medications or skincare products that can promote the regeneration of depressed skin, aside from hyaluronic acid and alpha hydroxy acids, that show more significant effects?
Question 8: Can topical collagen products on the market stimulate the regeneration of depressions? They claim that reducing the molecular weight allows for easier absorption by the skin; is this true?
Question 9: What medications or skincare products are top-rated for minimizing pores that are gentle and have no side effects, aside from hyaluronic acid and alpha hydroxy acids? I want to continuously improve my distressing depressions, and I hope the doctor can help me.
This is a significant blow to my social relationships, and I would be extremely grateful for any assistance.
Thank you, doctor.

Xiao Hai, 20~29 year old female. Ask Date: 2003/08/11

Dr. Huang Ruiyun reply Dermatology

1.
The concentration of the product is 1.5%, which is mild for most people; however, wart ointments can erode the stratum corneum.
2.
The size of pores is mostly determined by individual constitution and genetic differences; salicylic acid can help improve this condition.
3.
The concentration of salicylic acid should be based on individual skin type.
4.
Our clinic does not offer this service; however, it is understood that the price in Taipei is approximately NT$10,000 per session.
5.
We are not sure, as our clinic does not have the equipment; please inquire at other facilities.
6.
Autologous fat injections are typically used for large depressed scars or cheek augmentation! For acne scars, collagen products are injected and gradually absorbed over six months to a year.
7.
The effects are all limited.
8.
It is not possible.
9.
There are no topical products available.
Unless trying new light therapy, but there are still very few actual statistical reports.

Reply Date: 2003/08/11

More Info

Salicylic acid, a beta hydroxy acid (BHA), is widely recognized for its effectiveness in treating various skin conditions, particularly acne. Let’s address your questions regarding salicylic acid and its implications for skin health, especially concerning skin pits and enlarged pores.

1. Is Salicylic Acid a Gentle Product?
Salicylic acid is generally considered a mild exfoliant compared to stronger acids like glycolic acid. It penetrates the pores and helps to dissolve the debris that can lead to acne, making it effective for oily and acne-prone skin. However, its strength can vary based on concentration. Lower concentrations (typically around 0.5% to 2%) are often well-tolerated, while higher concentrations can lead to irritation, especially for sensitive skin types.

2. Does Salicylic Acid Have Pore-Reducing Effects?
Yes, salicylic acid can help reduce the appearance of pores. It works by exfoliating the skin and preventing the buildup of dead skin cells and sebum that can clog pores. Regular use can lead to smoother skin texture and minimized pore appearance over time. However, it’s important to note that while it can help improve the look of pores, it may not completely eliminate them.

3. Are There Side Effects of Salicylic Acid, Such as Redness?
While salicylic acid is generally safe, some individuals may experience side effects, including redness, dryness, or peeling, especially when first starting treatment or using higher concentrations. It’s crucial to introduce it gradually into your skincare routine and to follow up with a good moisturizer to mitigate these effects. If severe irritation occurs, it may be necessary to reduce usage frequency or concentration.

4. What is the Cost of Cryotherapy?
The cost of cryotherapy, or cold laser treatment, can vary widely based on location, the provider's expertise, and the specific treatment being performed. Typically, a single session can range from $200 to $500. It’s advisable to consult with a dermatologist or a licensed practitioner for a precise quote based on your individual needs.

5. Cost Estimation for a 5 cm Circular Area on the Cheeks?
For a localized treatment area, such as a 5 cm circular area on the cheeks, the cost would likely fall within the same range as mentioned above, but it could be adjusted based on the specific area being treated and the number of sessions required. Again, a consultation with a professional would provide the most accurate estimate.

6. Autologous Fat Grafting for Skin Pits
Autologous fat grafting involves extracting fat from one part of the body and injecting it into areas with volume loss, such as skin pits. The results can be quite effective, and the longevity of the results can vary. Typically, the effects can last from several months to a few years, depending on individual factors such as metabolism and skin condition.

7. Products to Promote Skin Regeneration Beyond AHA and BHA
In addition to alpha hydroxy acids (AHAs) and BHAs, other treatments that may promote skin regeneration include retinoids (like tretinoin), which encourage cell turnover and collagen production. Additionally, products containing peptides or growth factors can also support skin healing and regeneration.

8. Can Topical Collagen Stimulate Skin Regeneration?
Topical collagen products claim to penetrate the skin and stimulate collagen production. However, the efficacy of these products is debated, as collagen molecules are typically too large to penetrate the skin effectively. Smaller peptides may have better absorption and potential benefits for skin health.

9. Best Products for Pore Minimization
For minimizing pores, look for products containing niacinamide, which is known for its ability to improve skin texture and reduce pore size. Additionally, products with witch hazel or clay can help absorb excess oil and tighten the skin, contributing to a smoother appearance.

Conclusion
Addressing skin concerns such as pits and enlarged pores requires a multifaceted approach. Salicylic acid can be a valuable part of your skincare regimen, but it’s essential to use it correctly and in conjunction with other treatments tailored to your skin type. Consulting with a dermatologist can provide personalized recommendations and treatment plans to help you achieve your desired skin goals. Remember, patience is key, as improvements in skin texture and appearance often take time.

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