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Salicylic Acid & Acne - WHAT IT IS

Salicylic acid is a mild acid that works as a keratolytic agent — it encourages the sloughing of dead skin cells. It’s a safe, effective treatment for mild acne, oily skin, textural changes and post-inflammatory hyperpigmentation in patients of most skin types. 

Salicylic Acid & Acne - HOW IT WORKS 

Mild acid solutions, such as salicylic acid and glycolic acid, can be effective on acne. These encourage the peeling of the top layer of skin and the opening of plugged follicles, which helps reestablish the normal skin-cell replacement cycle. For milder acne, salicylic acid helps unclog pores to resolve and prevent lesions. It does not have any effect on the production of sebum or the presence of P. acnes bacteria. Like many other topical acne treatments, salicylic acid must be used continuously, even after acne lesions have healed. Its effects stop when you stop using it, so your skin will return to its uneven shedding; pores become clogged, and acne returns.  

Salicylic Acid & Acne - WHERE TO GET IT 

Salicylic acid is present in many “over-the-counter” acne products, including lotions, creams, alcohol-based solutions and medicated pads. As with any product, read the label carefully and follow the instructions for proper use.  

Salicylic Acid & Acne - COMMON SIDE EFFECTS 

Dryness: The most common side effect, dryness, is usually mild. If the skin is visibly scaly, apply a light oil-free moisturizer.

Irritation: Children are more likely to get skin irritation from salicylic acid. If you experience mild irritation, try decreasing the frequency of use. If irritation is severe or persists even with infrequent application, discontinue use.

Salicylic Acid & Acne - PRECAUTIONS 

The approved range of salicylic acid concentrations for acne treatment is 0.5%–2%. This medicine can be very drying to the skin, even in low concentrations. If you experience dryness or irritation, take a look at the other skin products you're using. Some products can enhance the keratolytic properties of salicylic acid, leaving your skin dry. A few things to avoid when you are using salicylic acid products: 

•  Abrasive soaps or cleansers

•  Alcohol-containing preparations

•  Any other topical acne preparation or preparation containing a peeling agent
   (benzoyl peroxide, resorcinol, sulfur, or tretinoin [vitamin A acid])

•  Cosmetics or soaps that dry the skin

•  Medicated cosmetics

•  Other topical skin medicine 

NOTE: This medicine may be absorbed through the skin. If you are using salicylic acid over a large area of your body and wish to become pregnant, consult with your doctor.

Contributing Doctors
Dr. Kathy Fields and Dr. Katie Rodan
Leading dermatologists with successful private practices specializing in acne treatments, dermatologic surgery, and cosmetic surgery. After their medical internships, both doctors completed their residencies in Dermatology at Stanford University School of Medicine. Both are board certified before the American Board of Dermatology. In addition, they share their skills through teaching: Dr. Rodan is an Adjunct Clinical Assistant Professor, Dermatology, Stanford University School of Medicine; Dr Fields is Clinical Instructor of Dermatology at the University of California in San Francisco.

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