Managing Skin Issues: Do You Really Need AHA for Acne and Wrinkles? - Dermatology

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Skin issues


Can the various shades of black and white comedones on the face metabolize and fall off on their own without using retinoids? Will the pores gradually diminish on their own? Is it sufficient to use only white petroleum jelly for facial care, applying just a thin layer? If I only wash my face with water, will this lead to an increased likelihood of developing wrinkles in the future? Is it necessary to use antioxidant skincare products for effective results?

xiang pi fu bian hao, 20~29 year old female. Ask Date: 2014/09/26

Dr. Wu Yuxin reply Dermatology


Acne can naturally metabolize and fall off, but new ones will continuously form, so the ongoing use of retinoids or alpha hydroxy acids can be beneficial.
It is recommended to use some type of cleanser for washing the face, while skincare should be tailored to individual skin type needs.
If the skin is very dry, using petroleum jelly is certainly an option.

Reply Date: 2014/09/26

More Info


Managing skin issues, particularly acne and wrinkles, can be a complex process, and the use of products like AHA (alpha hydroxy acids) and retinoids (like A acid) often comes into play. However, it's essential to understand the role of these ingredients and how they can affect your skin.

Firstly, regarding your question about whether you can allow blackheads and whiteheads to naturally exfoliate without using AHA or other exfoliating agents: While the skin does have a natural turnover process, this can be quite slow, especially if you have oily skin or are prone to acne. AHA and similar products help accelerate this process by promoting cell turnover, which can prevent clogged pores and the formation of acne. If you choose not to use AHA, you may find that your skin takes longer to clear up, and you might continue to experience breakouts.

As for the concern about enlarged pores, they do not "disappear" on their own, but their appearance can be minimized. Regular exfoliation, whether through AHA, BHA (beta hydroxy acids), or retinoids, can help keep pores clear and reduce their visibility. Additionally, maintaining a consistent skincare routine that includes proper cleansing and moisturizing can also help.

Using a simple product like white petroleum jelly (Vaseline) can provide a barrier and help lock in moisture, but it may not be sufficient for addressing acne or wrinkles on its own. While it can be beneficial for dry patches or as an occlusive agent, it does not contain active ingredients that target acne or aging. If you apply it lightly, it may not clog your pores, but it also won't provide the benefits of more specialized treatments.

When it comes to washing your face with just water, this might not be enough to remove excess oil, dirt, and impurities, especially if you have oily skin. A gentle cleanser is typically recommended to help maintain a balanced complexion without over-drying the skin. Over time, neglecting proper cleansing can lead to more breakouts and potentially contribute to premature aging.

Regarding wrinkles, while hydration is crucial, antioxidants and other active ingredients are also important for preventing and treating signs of aging. Antioxidants help combat free radicals, which can damage skin cells and accelerate aging. Products containing vitamin C, retinoids, or peptides can be beneficial in promoting collagen production and improving skin texture.

In summary, while you can manage your skin with minimal products, incorporating AHA or other exfoliating agents can significantly enhance your skincare routine, especially for acne-prone skin. Additionally, using a gentle cleanser and including antioxidants in your regimen can help prevent wrinkles and maintain a youthful appearance. If you're unsure about which products to use or how to create a routine that works for your skin type, consulting with a dermatologist can provide personalized guidance tailored to your specific needs.

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