Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





Can chemical peels be used for active acne to reduce clogged pores and treat PIH? (photo)

Acne & Scars Skin, Hair & Nails

I have many re-occurring clogged pores on my cheeks, that develops into inflammatory acne quite frequently. Currently taking doxy to reduce the inflammatory acne, which is working ok, but I would still need help on reducing the PIH and clogged pores. Can chemical peels be used for active acne to reduce clogged pores and treat PIH? Which type would be more suitable? What is the expected costs and amount of treatments needed? 

DOCTOR’S ANSWER (3)

Dear J Y,

Glad that doxycycline has helped improve your acne, and sorry to hear that you're still struggling with comedonal acne.

Can chemical peels be used for active acne to reduce clogged pores and treat PIH?

Chemical peels can be used for active acne to reduce clogged pores and treat PIH. 

Chemical peeling is defined as the application of chemical agents, of variable strength, on the skin that results in the controlled destruction of the epidermis and dermis. The induced exfoliation is followed by dermal and epidermal regeneration from adjacent epithelium and skin adnexa, which results in improved surface texture and appearance of the skin. 

Chemical peels target most of the pathophysiological factors involved in acne vulgaris. They:

  • break down corneosomes with subsequent exfoliation
  • induce keratolysis
  • have comedolytic effects
  • decrease sebum production and pore size
  • have anti-inflammatory and anti-bacterial properties
  • promote the penetration and absorption of other topical therapies by reducing the barrier effect of the stratum corneum

Common options include trichloroacetic acid, salicylic acid, glycolic acid and Jessner's Peel. Based on studies, the effect of each chemical peel is approximately equivalent. Some physicians feel that salicylic acid, being lipophilic, may be better at penetrating pores. Personally, I favour trichloroacetic acid as it is easier to control the peel depth.

Chemical peels do help with post-inflammatory hyperpigmentation (PIH) as well, by speeding up the removal of pigmentation through exfoliation. However, I prefer to treat PIH with picosecond or ruby laser which produce a much faster resolution of pigmentation.

Chemical peels start from around $150-200, and I usually recommend 4-6 sessions.

Based on the photograph you have sent, you have inflammatory and comedonal acne as well as significant PIH and dilated pores.

You may wish to consider adding on a topical vitamin A/retinoid such as Differin which would help unblock the pores and prevent further clogging. Fractional lasers or fractional microneedle radiofrequency would also help. Recalcitrant acne may benefit from a course of isotretinoin.

Hope this helps!

Warmest regards,

Dr Wan Chee Kwang

References

  1. Castillo et al. Chemical peels in the treatment of acne: patient selection and perspectives. Clin Cosmet Investig Dermatol. 2018; 11: 365–372.
  2. Chen et al. Chemical peels for acne vulgaris: a systematic review of randomised controlled trials. BMJ Open 2018;8:e019607.
  3. Hassanain Al-Talib et al. Efficacy and safety of superficial chemical peeling in treatment of active acne vulgaris . An Bras Dermatol. 2017 Mar-Apr; 92(2): 212–216
0 462 views 30 Oct 2018
Contact Doctor

Depending on the type, strength and depth of the chemical peel, chemical peels can be used for active acne to reduce clogged pores and PIH. Chemical peels result in accelerated exfoliation of the skin induced by the peel acids.

This in turn signals the cells within the skin to regenerate faster, resulting in increased cell turnover, improved skin texture, reduction in pigmentation and prevent pores from being clogged.

For acne-prone and oily skin types, superficial chemical peels like Alpha Hydroxy Acids (AHAs) are useful in increasing cell turnover to achieve a brighter complexion, reducing PIH and clogged pores. Beta Hydroxy Acids like salicylic acid peels are also very useful for oily, congested, acne-prone skin as they tend to penetrate slightly deeper in oily skin due to its lipophilic nature.

Jessner's peel, which combines a few different types of acids and comes in different strengths, is also useful as it combines the strengths and benefits of different acids. 

Chemical peels start generally from $150 onwards per session. There are other modalities of treatments that you can consider for treatment of acne and PIH marks, such as topical creams, oral supplements, LED light therapy and lasers.

0 422 views 1 Nov 2018
Contact Doctor
Hi JY,

Thank you for your close-up photo.

Yes, chemical peels can be used for active acne to reduce clogged pores and treat PIH (post-inflammatory hyperpigmentation).

Glycolic acid and salicylic acid peels are the best chemical peels for active acne. They also help to fade PIH.

Chemical peels which are better for PIH are Jessner's peel. This is a chemical peel that combines several types of acids to lighten pigmentation. 

Expected cost of each chemical peel: range from $150 upwards.

Minimum number of sessions: 3-5 sessions. 

Hope that this helps!

0 469 views 30 Oct 2018
Contact Doctor
Not the answer you're looking for? Browse other answers tagged Acne & Scars Skin, Hair & Nails or ask your own question now FOR FREE.