Dealing with Acne: Insights on Glycolic Acid Peels and Skin Care - Dermatology

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Suddenly experiencing a lot of acne? Consider glycolic acid peels?


Dear Dr.
Cheng,
I have recently experienced a sudden outbreak of acne over the past month, with several pimples appearing that resemble comedones on my nose, forehead, chin, and cheeks.
My daily routine has been normal, but I have been experiencing stomach pain intermittently for the past two months.
Additionally, the acne I have developed over the past year does not seem to heal as it used to; instead of my skin returning to its original smoothness, it often appears darkened.
I recently consulted a dermatologist who recommended a chemical peel with glycolic acid.

Could you please advise me on how to improve my condition and what precautions I should take? Are there any potential side effects or complications I should be aware of?
Thank you for your guidance, Dr.
Cheng.

Mei Zhen, 20~29 year old female. Ask Date: 2005/01/28

Dr. Zheng Lizhen reply Dermatology


Hello: The treatment for acne requires taking medication or applying topical treatments for a period of time, which necessitates cooperation between the patient and the physician.
If financial conditions allow, chemical peels using alpha hydroxy acids can be considered.
Current formulations of alpha hydroxy acids are becoming milder, and as long as the procedures are performed in qualified facilities, most cases should not pose significant issues.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2005/01/28

More Info


Dealing with acne can be a challenging experience, especially when it involves sudden breakouts and changes in skin texture. Based on your description, it seems you are experiencing an increase in acne, particularly in the form of comedones (blackheads and whiteheads) on your nose, forehead, chin, and cheeks. Additionally, you mentioned a history of stomach pain and that your skin does not seem to recover as it used to, leaving dark spots after breakouts.
The recommendation from your dermatologist to undergo glycolic acid peels is a common approach to treating acne and improving skin texture. Glycolic acid, an alpha hydroxy acid (AHA), is known for its ability to exfoliate the skin, promote cell turnover, and help in the treatment of acne. Here are some insights on how to effectively deal with your acne and what to expect from glycolic acid peels:

Understanding Glycolic Acid Peels
1. Mechanism of Action: Glycolic acid works by breaking down the bonds that hold dead skin cells together, allowing for easier exfoliation. This process helps to unclog pores, reduce the appearance of acne, and improve overall skin texture.

2. Frequency of Treatment: Depending on your skin type and the severity of your acne, glycolic acid peels can be performed every 2-4 weeks. It’s essential to follow your dermatologist's recommendations regarding the frequency of treatments.

3. Potential Side Effects: While glycolic acid peels are generally safe, they can cause some side effects, especially if your skin is sensitive. Common side effects include:
- Redness and irritation
- Peeling or flaking skin
- Temporary sensitivity to sunlight
- Stinging or burning sensation during and after the treatment
4. Post-Peel Care: After a glycolic acid peel, it is crucial to take care of your skin properly:
- Hydration: Use a gentle, hydrating moisturizer to help soothe the skin.

- Sun Protection: Apply broad-spectrum sunscreen daily, as your skin will be more susceptible to sun damage after the peel.

- Avoid Harsh Products: Refrain from using other exfoliating products (like retinoids or other acids) for a few days post-peel to prevent excessive irritation.


Additional Considerations for Acne Management
1. Diet and Lifestyle: You mentioned experiencing stomach pain, which could indicate dietary issues or stress. Maintaining a balanced diet rich in fruits, vegetables, and whole grains while staying hydrated can support skin health. Consider keeping a food diary to identify any potential triggers for your acne.

2. Skin Care Routine: Alongside glycolic acid peels, consider incorporating a gentle cleanser and non-comedogenic moisturizers into your daily routine. Avoid products that contain heavy oils or fragrances, as they can exacerbate acne.

3. Consultation with a Dermatologist: If your acne persists or worsens, it may be beneficial to discuss additional treatment options with your dermatologist. This could include topical retinoids, oral medications, or other types of chemical peels.

4. Monitoring Changes: Keep track of your skin's response to the glycolic acid peels and any other treatments. If you notice any adverse reactions or if your acne does not improve, return to your dermatologist for further evaluation.


Conclusion
In summary, glycolic acid peels can be an effective treatment for acne when used correctly and with proper aftercare. It’s essential to maintain a consistent skincare routine, protect your skin from sun exposure, and monitor your skin’s response to treatments. If you have concerns about your acne or the treatments you are undergoing, don’t hesitate to reach out to your dermatologist for personalized advice and adjustments to your treatment plan.

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