I burnt healthy skin accidentally with 20% salicylic acid while treating acne, what do I do? (Photo)

Question

I used a 20% salicylic acid to treat a pimple on my cheek and got some of it accidently on healthy skin. I now have a tiny dark spot / burn near my lip. It does not hurt much and the skin on the spot is not rough like it should have been for it to peel off. The skin on the acne feels tight and hard. But the burnt spot on the healthy skin (below it near my lip) does not - how can I treat/cure it? Any suggestions / comments from experts will greatly help. Thank you.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about healing after salicylic acid treatment. The skin is in a very fragile state immediately after a peel.  It is not uncommon to sometimes have an area or two that becomes irritated or raw, especially if you peel rather than trim the dead skin away.  To avoid hyperpigmentation or scarring it is important that you keep these areas moist with Aquaphor or Vaseline...or any post-procedure ointments your provider may have recommended.  Also, do not pick or scrub these areas, and avoid the sun.  If you notice any discharge from the area, you need to contact your provider.
To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Raffy Karamanoukian, MD, FACS · Answer

I would use a combination of Melarase AM and Melarase PM to lighten the dark discoloration burn after your chemical peel. Best, Dr. KaramanoukianLos Angeles

Jason Emer, MD · Answer

I recommend following up with a cosmetic dermatologist for after care. Hyperpigmentation be improved with a combination of lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. See an expert. Best, Dr. Emer

I burnt healthy skin accidentally with 20% salicylic acid while treating acne, what do I do? (Photo)

Answers (3)