Rhododendron acid
Doctor, I have been using topical azelaic acid for two months and have seen some improvement, but I still have many closed comedones on my forehead.
Should I continue using it? Is there any way to completely eliminate the closed comedones?
Mo, 20~29 year old female. Ask Date: 2022/09/06
Dr. Li Yufen reply Dermatology
Hello: You can continue using the topical azelaic acid cream and monitor the results.
If the effectiveness is indeed unsatisfactory, you may consider switching to topical retinoic acid.
For detailed information about topical retinoic acid, you can refer to "Beauty's Good Friend" at https://www.medpartner.club/topical-retinoids-introduction/ and Dr.
Wang Hsiu-Han's "Top Ten Cautions for Topical Retinoic Acid" at https://www.skin168.net/2013/09/topical-retinoic-acid-cautions.html.
Thank you!
Reply Date: 2022/09/06
More Info
When considering the use of rhododendron acid (also known as tretinoin or retinoic acid) for treating closed comedones, it is important to understand both the mechanism of action of the medication and the typical timeline for seeing results. Rhododendron acid is a derivative of vitamin A and is commonly used in dermatology for its ability to promote cell turnover, prevent clogged pores, and improve overall skin texture.
Given that you have been using the topical treatment for two months and have noticed only slight improvements, it is essential to evaluate a few factors before deciding whether to continue or adjust your treatment plan. Here are some considerations:
1. Timeframe for Results: Topical retinoids like rhododendron acid often require several weeks to months to show significant results. While some individuals may see improvements within a few weeks, others may take longer. It is not uncommon for closed comedones to take time to resolve, especially if they have been present for an extended period.
2. Skin Tolerance: When starting a new topical treatment, it is common to experience an initial worsening of acne or the appearance of new comedones. This phenomenon is often referred to as "purging." If your skin is tolerating the medication well without excessive irritation, redness, or peeling, it may be beneficial to continue using it. However, if you are experiencing significant discomfort, you may need to adjust the frequency of application or consult your dermatologist.
3. Adjunct Treatments: In addition to rhododendron acid, consider incorporating other treatments that can help with closed comedones. For example, products containing salicylic acid can help exfoliate the skin and clear clogged pores. Chemical exfoliants like alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) can also be effective in promoting cell turnover and preventing the formation of new comedones.
4. Consultation with a Dermatologist: Since you have been using the medication for two months with only minimal improvement, it may be beneficial to consult with your dermatologist. They can assess your skin condition, determine if the current treatment is appropriate, and suggest alternative therapies or combinations that may yield better results. They may also evaluate other factors contributing to your closed comedones, such as hormonal imbalances, diet, or skincare routine.
5. Patience and Consistency: Lastly, consistency is key when using topical treatments. If you and your dermatologist decide to continue with rhododendron acid, it is crucial to use it as directed and be patient with the process. Improvements may take time, but with consistent use and possibly the addition of complementary treatments, you may achieve the desired results.
In summary, continuing the use of rhododendron acid for closed comedones can be beneficial, especially if you are tolerating the treatment well. However, it is essential to manage expectations regarding the timeline for results and consider consulting with a dermatologist for personalized advice and potential adjunct therapies.
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