Can Acidic Skincare Products Cause Hairline Recession? - Dermatology

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Does applying acids to the hairline cause hair loss?


I have recently developed a lot of acne along my hairline.
I applied azelaic acid at the hairline and I'm concerned that using azelaic acid or other acids, if they come into contact with the scalp and hair, could cause my hairline to recede.

Xiao Xiong, 20~29 year old female. Ask Date: 2022/06/06

Dr. Wu Yuxin reply Dermatology


No.

Reply Date: 2022/06/06

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When it comes to the concern about whether acidic skincare products, such as azelaic acid, can cause hairline recession, the short answer is no; they typically do not lead to hair loss or a receding hairline. However, it is essential to understand the context and the underlying mechanisms involved.

Acidic skincare products, including alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs), are primarily used for their exfoliating properties. They help in removing dead skin cells, unclogging pores, and improving skin texture. Azelaic acid, in particular, is known for its anti-inflammatory and antibacterial properties, making it effective for treating conditions like acne and rosacea. When applied to the hairline or scalp, these acids can help reduce acne and inflammation, which may be beneficial for individuals experiencing breakouts in those areas.

However, the concern arises when these products come into contact with the scalp or hair follicles. While there is no direct evidence linking the use of these acids to hair loss, there are a few indirect factors to consider. For instance, if the acidic product causes irritation, inflammation, or an allergic reaction on the scalp, it could potentially lead to temporary hair shedding. This is often referred to as telogen effluvium, a condition where hair follicles prematurely enter the shedding phase due to stress or irritation.

Moreover, if the acidic product is not properly rinsed off or if it builds up on the scalp, it could lead to scalp issues such as dryness or flakiness, which might affect hair health. Maintaining a healthy scalp environment is crucial for hair growth, so any product that disrupts this balance could potentially have an impact on hair health over time.

If you are experiencing breakouts along your hairline and are concerned about using acidic products, it is advisable to take a cautious approach. Here are some recommendations:
1. Patch Test: Before applying any new product to your hairline or scalp, perform a patch test on a small area of skin to check for any adverse reactions.

2. Application Technique: When applying acidic products, be careful to avoid direct contact with the scalp as much as possible. Use a cotton swab or a targeted applicator to minimize the risk of irritation.

3. Moisturization: After using acidic products, ensure that you follow up with a suitable moisturizer to maintain skin hydration and prevent dryness.

4. Consult a Dermatologist: If you have ongoing concerns about breakouts or hair loss, it may be beneficial to consult a dermatologist. They can provide personalized advice and recommend suitable treatments for both your skin and hair concerns.

5. Monitor Changes: Keep an eye on any changes in your hairline or scalp condition after using acidic products. If you notice increased irritation or hair loss, discontinue use and seek professional advice.

In summary, while acidic skincare products like azelaic acid are generally safe and effective for treating skin issues, it is crucial to use them carefully, especially around sensitive areas like the hairline. By taking appropriate precautions and monitoring your skin's response, you can minimize any potential risks to your hair health.

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