Choosing Between Glycolic Peels and Retinoid Creams for Acne

I would like to ask you about choosing between chemical peels with alpha hydroxy acids (AHAs) or using topical retinoids (such as tretinoin)?

Hello, Doctor.
I would like to ask you about whether to choose glycolic acid peels or tretinoin cream.
I have a question regarding my skin condition.
Currently, my T-zone is oily, I have a lot of comedones, and my cheeks are red.
I am unsure whether to opt for glycolic acid peels or tretinoin cream.
Which would be the correct choice? Thank you.

Tracy, 20~29 year old female. Ask Date: 2006/02/20

Dr. Jiang Zheen reply Dermatology

Alpha hydroxy acid (AHA) peels can improve pore congestion and enhance the absorption and efficacy of acne medications.
As for tretinoin (commonly referred to as retinoic acid), it is the most effective medication for acne, but it requires at least four months of use.
In my personal opinion, AHA can be used once every 3 to 4 weeks, while a small amount of tretinoin can be applied during the remaining time.
Wishing you peace, and Jesus loves you.

Reply Date: 2006/02/20

More Info

When it comes to treating acne, both glycolic peels and retinoid creams (such as tretinoin) have their unique benefits and can be effective, but the choice between them depends on individual skin conditions and concerns.

Glycolic Peels: Glycolic acid is an alpha-hydroxy acid (AHA) derived from sugar cane. It works by exfoliating the outer layer of the skin, promoting cell turnover, and helping to unclog pores. This can be particularly beneficial for individuals with oily skin and clogged pores, as it helps to remove dead skin cells and reduce the appearance of acne. Glycolic peels can also improve skin texture and tone, making them a good option for those with post-acne scars or uneven skin. However, they can cause irritation, especially for those with sensitive skin, and may not be suitable for everyone.

Retinoid Creams: Retinoids, such as tretinoin, are derived from vitamin A and are known for their ability to promote cell turnover and prevent the formation of new acne lesions. They work by increasing the rate of skin cell turnover, which helps to keep pores clear and reduces the formation of comedones (clogged pores). Retinoids can also help to reduce inflammation and improve skin texture over time. While they are effective for treating acne, they can also cause initial irritation, dryness, and peeling, especially when starting treatment.

Given your description of having oily skin with many comedones (blackheads and whiteheads) and redness on the cheeks, here are some considerations:
1. Skin Sensitivity: If your skin is sensitive or easily irritated, you might want to start with a lower concentration of glycolic acid or a milder retinoid. Gradually increasing the strength can help your skin adjust.

2. Combination Approach: Some dermatologists recommend using both treatments in a complementary manner. For instance, glycolic peels can be used periodically to provide a deeper exfoliation, while retinoid creams can be applied regularly to maintain clear pores and prevent new acne from forming.

3. Consultation with a Dermatologist: It’s always best to consult with a dermatologist who can assess your skin type and condition. They can provide personalized recommendations based on your specific needs, including the severity of your acne, skin sensitivity, and any other skin concerns you may have.

4. Post-Treatment Care: Regardless of the treatment you choose, it’s essential to follow up with a good skincare routine that includes moisturizers and sunscreen. Both glycolic peels and retinoids can increase your skin's sensitivity to the sun, so protecting your skin from UV damage is crucial.

5. Monitoring Results: Whichever treatment you choose, monitor your skin's response. If you experience excessive irritation or if your acne worsens, it may be necessary to adjust your treatment plan.

In conclusion, both glycolic peels and retinoid creams can be effective for treating acne, but the best choice depends on your skin type, sensitivity, and specific acne concerns. A dermatologist can help guide you in making the right decision for your skin.

Similar Q&A

Oral A-Retinoids vs. Glycolic Peels: Risks and Considerations

During the use of oral isotretinoin, one should avoid undergoing dermabrasion procedures due to the risk of hypertrophic scarring. Is there a similar risk associated with receiving chemical peels, such as alpha hydroxy acid (AHA) peels?

Dr. Zheng Lizhen reply Dermatology
Hello, yes, there is a risk of hypertrophic scarring when undergoing chemical peels while taking oral isotretinoin. It is generally recommended to wait at least 6 months before proceeding with such treatments. Sincerely, Dr. Cheng Li-Chen, Department of Dermatology, Taoyuan Hospi...

Can You Combine Oral A Acid with Glycolic Peels?

Hello Doctor, I am currently taking oral isotretinoin. I would like to ask if it is safe to undergo glycolic acid peels during the treatment period. I am considering having the peels once a month; will this have any effects? Additionally, can I use topical retinoids and acne medi...

Dr. Wu Yuxin reply Dermatology
In principle, topical medications have minimal impact. For this issue, you should consult your attending physician, as they are most familiar with your condition and can help you choose the appropriate medication.

Achieving Smooth Skin: Solutions for Acne and Skin Care Concerns

Hello Doctor: My skin was originally good, but since moving to Hsinchu, it has not been well. I easily develop comedones on my cheeks and forehead, which are open comedones. After extracting them with a comedone extractor, they do not fade easily. I have fair skin, so any acne sc...

Dr. Jiang Zheen reply Dermatology
You can try using salicylic acid for chemical peeling, which is relatively less irritating. As for Differin and Airol, both are forms of vitamin A acid; however, Differin is a second-generation retinoid while Airol is a first-generation retinoid. The main difference lies in their...

Understanding the Differences Between AHA and Retinoids for Skin Health

If applied topically, it can cause the skin to become thinner and lead to increased sensitivity and allergic reactions.

Dr. Zheng Yizhan reply Pharmacology
Tretinoin, commonly known as Retin-A, is not only highly effective in treating acne but also significantly improves skin texture with long-term use. It helps to lighten hyperpigmentation, increases collagen in the papillary dermis, and restores skin elasticity and thickness. This...