Can AHA Peels Help with Acne Scars on the T-Zone? - Dermatology

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Facial chemical peel?


Is it possible to undergo chemical peels with glycolic acid for frequent acne breakouts on my face, particularly in the T-zone, which have left numerous acne scars? How long does the treatment take? After the treatment, will I still experience breakouts? I live in Taipei, and someone recommended the dermatology department at Keelung Hospital, mentioning that they go once a week and have seen good results.
Can I continue to work during the treatment period?

Jia Jia, 30~39 year old female. Ask Date: 2006/09/29

Dr. Jiang Yujiao reply Dermatology


Hello: In response to your question, generally, long-lasting acne does not leave scars, but may result in post-inflammatory hyperpigmentation.
You can consider undergoing a chemical peel with alpha hydroxy acids (our clinic uses an updated and improved version with citric acid), which has shown good results.
You can continue working after the procedure, although there may be some mild peeling.

Reply Date: 2006/09/29

More Info


AHA (Alpha Hydroxy Acid) peels, commonly known as fruit acid peels, can indeed be beneficial for treating acne scars, particularly in the T-zone area of the face, which includes the forehead, nose, and chin. These areas are often prone to oiliness and breakouts, leading to the formation of acne scars. AHA peels work by exfoliating the outer layer of the skin, promoting cell turnover, and improving skin texture and tone.

How AHA Peels Work
AHA peels, such as glycolic acid and lactic acid, penetrate the skin to dissolve the bonds that hold dead skin cells together. This process not only helps to clear out clogged pores but also stimulates collagen production, which is essential for skin healing and reducing the appearance of scars. Over time, regular use of AHA peels can lead to smoother skin and a reduction in the visibility of acne scars.


Treatment Frequency and Duration
Typically, AHA peels are administered in a series of treatments. Depending on the concentration of the acid used and your skin's tolerance, treatments can be scheduled every 1 to 4 weeks. A common recommendation is to start with a lower concentration and gradually increase it as your skin adjusts. The total duration of treatment can vary, but many patients see noticeable improvements after 4 to 6 sessions.


Post-Treatment Care and Side Effects
After an AHA peel, it is crucial to follow proper aftercare. Your skin may be sensitive and more susceptible to sun damage, so using a broad-spectrum sunscreen is essential. You may also experience mild redness, peeling, or irritation, which usually subsides within a few days. It’s advisable to avoid harsh skincare products and treatments during this time.


Will Acne Return?
While AHA peels can significantly improve the appearance of acne scars, they do not prevent future breakouts. The underlying causes of acne, such as hormonal fluctuations, excess oil production, and bacteria, still need to be managed. Therefore, it is essential to maintain a consistent skincare routine and possibly incorporate other treatments, such as topical retinoids or benzoyl peroxide, to help prevent new acne from forming.


Work and Daily Activities
Regarding your question about continuing work while undergoing AHA peel treatments, most people can resume their normal activities immediately after a peel, especially if they have mild reactions. However, if you experience significant redness or peeling, you might want to consider scheduling your treatments during a time when you can afford to take it easy or work from home.


Conclusion
In summary, AHA peels can be an effective treatment for acne scars in the T-zone, with noticeable results typically seen after several sessions. It's essential to consult with a dermatologist to determine the best treatment plan tailored to your skin type and concerns. They can provide guidance on the appropriate concentration of AHA, the frequency of treatments, and additional skincare recommendations to help manage acne and prevent future breakouts. If you are considering this treatment, it would be beneficial to visit a reputable dermatology clinic, such as the one you mentioned in Keelung, to discuss your options further.

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