Keratosis Pilaris: Can Glycolic Acid Peels Help?

Q: Keratosis Pilaris: Can Glycolic Acid Peels Help?

Hello： In response to your question, keratosis pilaris is a hereditary condition, and some studies have found that nearly half of the population has this "phenomenon" to some extent. <br>Therefore, it is important not to be overly distressed about your skin. <br>In terms of treat

Keratosis pilaris - I would like to undergo a chemical peel?

I have had keratosis pilaris for over ten years, but I have tried many medications without any effectiveness.
I have spent a considerable amount on my skin, but the results have been minimal.
I have researched that chemical peels with alpha hydroxy acids (AHAs) can be an option, but doctors only prescribe medications.
Can I directly request a chemical peel from my doctor? Since it is summer now, is skincare more complicated? What is the typical cost for this treatment?
Additionally, I visited Shin Kong Hospital a couple of days ago and mentioned that sometimes a part of my arm itches.
The doctor prescribed an antifungal ointment.
Can this ointment treat keratosis pilaris, or should I only apply it to the itchy areas? Is it safe to apply it to the areas affected by keratosis pilaris as well? Does this ointment contain corticosteroids? If it does, I would prefer not to use it.

When I was 15, I visited a dermatologist, but I am not sure what caused it—was it the medication? As a result, part of my skin on my arm has atrophied.
Sometimes, when I see others wearing sleeveless tops, I feel really frustrated about having this peculiar condition that may not improve until I am in my forties or fifties.
Sometimes, I even consider cosmetic surgery as an option, as I have lost hope in dermatologists.

Ke, 20~29 year old female. Ask Date: 2004/07/11

Dr. Chen Yiying reply Dermatology

Hello: In response to your question, keratosis pilaris is a hereditary condition, and some studies have found that nearly half of the population has this "phenomenon" to some extent.
Therefore, it is important not to be overly distressed about your skin.
In terms of treatment, moisturizing products, retinoids, and keratolytics (such as alpha hydroxy acids and salicylic acid) can help improve symptoms, but none can completely "cure" this condition.
Chemical peels with alpha hydroxy acids can also be beneficial, but the cost may not be proportional to the results, which is why most physicians do not readily recommend them.
You might consider trying topical retinoids, alpha hydroxy acids, or other keratolytics, and learning to accept and appreciate your skin.
Approaching this with a long-term skincare mindset is a more constructive attitude.
As for the medications from Shin Kong Hospital, we are not familiar with their ingredients, so please consult the physician who prescribed them for you.

Reply Date: 2004/07/11

More Info

Keratosis pilaris, often referred to as "chicken skin," is a common skin condition characterized by small, rough bumps, typically found on the upper arms, thighs, cheeks, and buttocks. It occurs when keratin, a protein in the skin, builds up and clogs hair follicles. This condition is generally harmless and often improves with age, but it can be frustrating for those who experience it, especially if they have tried various treatments without success.

Regarding your question about glycolic acid peels, they can indeed be beneficial for treating keratosis pilaris. Glycolic acid is an alpha hydroxy acid (AHA) that helps exfoliate the skin by breaking down the bonds between dead skin cells, allowing them to shed more easily. This can lead to smoother skin texture and a reduction in the appearance of bumps associated with keratosis pilaris. Regular glycolic acid peels can help to improve the overall appearance of the skin, making it a viable option for those struggling with this condition.

When considering glycolic acid peels, it is essential to consult with your dermatologist. You can certainly express your interest in this treatment option during your appointment. A professional can assess your skin type and condition, determine the appropriate concentration of glycolic acid for your needs, and create a treatment plan tailored to you.
As for the timing of treatments, summer can pose some challenges due to increased sun exposure. Glycolic acid can make your skin more sensitive to the sun, so it is crucial to use sunscreen diligently after any chemical peel. Your dermatologist may recommend scheduling peels during the cooler months or suggest additional sun protection measures if you choose to proceed in the summer.

Regarding the cost of glycolic acid peels, it can vary widely depending on the location, the provider's expertise, and the specific treatment plan. On average, you might expect to pay anywhere from $75 to $200 per session. Some clinics offer packages that can reduce the cost per treatment if multiple sessions are purchased upfront.

Regarding the topical medication you received for itching, it is essential to clarify its purpose. If the ointment is a topical steroid, it can help reduce inflammation and itching but should be used cautiously. While it may provide relief for itchy areas, it is not a treatment for keratosis pilaris itself. If you have concerns about the ingredients in the ointment, particularly if you have experienced skin thinning in the past, it is advisable to discuss this with your dermatologist. They can guide you on the best course of action and whether the ointment is suitable for use on keratosis pilaris-affected areas.

Lastly, it is understandable to feel frustrated with the appearance of your skin, especially when it affects your confidence. Remember that many people experience similar issues, and there are various treatment options available. While it may take time to find the right solution, working closely with a dermatologist can help you achieve the results you desire. If you ever feel overwhelmed, consider seeking support from friends, family, or even support groups where you can share experiences with others facing similar challenges.

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