My 17 year old son has quite bad acne and is on antibiotics and Azalea Acid 15%. I have started using a 10% sallicylic acid peel once a week, starting at one minute and then adding a minute on each week. Is this a good idea? He has tried other medications, but they have not helped.
Sallicylic acid peels?
Doctor Answers 2
Beta Hydroxy Acid (salicylic acid) Peels Work Well For Acne Treatment & Post Inflammatory Hyperpigmentation
I have been using salicylic acid peels successfully, in the form of in-office treatments, in maximal concentrations (as opposed to low strength home peels) for many years with gratifying results in concert with topical anti-acne medications, such as retinoids, azelaic acid, and benzoyl peroxide. Typically a series of four treatment sessions, spaced at two to four week intervals is needed to achieve optimal results.
Since post-inlammatory hyperpigmentation (PIH), the blotchy and aesthetically troubling skin staining that follows as the aftermath to active acne lesions, plays such a significant role in the whole acne evolution, salicylic acid, which can help to fade these stains, can additionally play a significant role in reducing the degree of post-clearing dyspigmentation and its duration, which, if left to spontaneously resolve, may last for many weeks to month.
I have found that OTC salicylic acid preparations, which contain very low percentages (typically about 2%) can be helpful, as well, in acne treatment, but cannot compare in speed of response and overall efficacy to the in-office, high potency versions.
Consultation with a board certified dermatologist is the best way to create an anti-acne treatment regimen that is tailored to specific needs.