Should you use Azelaic acid for Pigmentation? | Dr Davin Lim
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- Опубликовано: 26 июл 2024
- Azelaic acid: Again this is found in nature. It decreases inflammation & reduces pigment production via the tyrosinase enzyme pathway. Concentrations vary between 10 to 20%, with the gel formulation being the most stable. Super safe ingredient make this the number one choice for treating acne, PIH, & melasma in pregnancy.
What is the best way to treat melasma pigmentation?
This form of pigmentation is super common affecting up to ⅓ of women. The best cream for fading melasma hyperpigmentation is hydroquinone, however this ingredient should be limited to finite timeframes. HQ is rotated with azelaic acid, Kojic Acid, retinol & botanicals. Vascular modulators are second line therapy, followed by lasers.
For more information on how I manage this condition go to @101.skin IG or refer to the RUclips videos & many article write ups, including the melasma homepage.
What are the best creams for acne pigmentation?
There are several standout topicals for PIH secondary to acne. These include-
Azelaic Acid as this reduces pigmentation & treats acne.
Retinol & retinoic acid also reduces breakouts & addresses PIH
AHA’s & BHAs act as exfoliants, speeding up pigment extrusion & unclogging pores
Hydroquinone as a spot treatment
How do you treat pigmentation in pregnancy?
Melasma is the most common cause of pigmentation in pregnancy, often referred to as ‘The Mask of Pregnancy.’ Sun protection is paramount, creams such as AHAs, low strength BHAs, azelaic acid, liquorice root extract & green tea are all useful & safe in pregnancy. 
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One of the best videos about AZ
I found in RUclips! Thanks Doc 👌🏼
That's an absolutely amazing video. Packed full of information, no wandering off topic or being too complicated like other dermatologists, but punchy and straight to the point.
Thank you so much.
Why the doctor, not botox? anyone know?
Complimenti Doc..per la tua professionalità e la tua gentilezza!😚... Complimenti per mantenerti sempre così giovane e in forma!😉🌷
@drdavinlim Winter is coming in Victoria. Would you sometime tell us if you have an opinion on the use of infrared heaters at home? I wonder if there is enough research to guarantee the safety of long-term exposure to those infrared rays. Any concerns related to premature aging of the skin, cancer, or the like?
Please do a video on
ascorbic acid vs tetrahexyldecyl ascorbate (THD) for Melasma.
Hi Dr Lim! In your recent videos, the audio levels are too low, FYI. I can hardly hear you on a laptop or a phone anymore, unless volume is maxxed out. Pls inform your video editor, so they can adjust the file compression settings upon output. thanks!
Please do a such kind of video on alpha arbutin ❤
Yes!!!
Could you review kojiesan soap
Hi! How specifically do you have patients use it for PIH ie before a microneedling for darker Fitz?
I find I can't use it in the AM because it pills. Any recommendations to help with that?
I've recently started to using Azelaic acid and I absolutely love it! My pimples are gone and hyperpigmentation is slowly fading away. I'm using 10% version.
Which AA?
@@ameeraasif908 Hemptouch Perfect complexion Azelaic serum
Which brand do you use?
Hemptouch, Perfect Complexion Azelaic acid serum.
@@bridgetdorian6126 Thanks!
Can i use it with benzoyl peroxide?
Can i use it with epiduo forte?
So it doesn't remove it but prevents new spots? I got this to clear my melasma...
There is something wrong with the sound level in this video.
can this be used for vitiligo?
How about l cysteine supplements for hyperpigmentation., Do they work ?
Glutathione works
Would this be good for aged spots on face and hands, if so, use only on these spots to fade, when, how often? What is the best Vit C for a 67 yr old female good skin good quality not expensive from say chemical warehouse or priceline? Do you use before moisturiser morning & night, THK YOU
I might check his vit c videos.
There's definitely more effective things but they're on prescription/things you can't use all the time (like hydroquinone, John Plunkett's Fade Cream 2% at Chemist Warehouse. I use a prescription retinoid, tretinoin, it's about 70 bucks a tube though it lasts for many many months and I love it). Azelaic is harder to get in Australia now, I used to get it from The Ordinary or Paula's Choice but it's pharmacy medicine only so the most readily available OTC is Azclear by Ego. It's pretty cheap and at all Australian chemists. You can use it twice a day as long as you tolerate it. Before or after moisturiser. It depends on the vehicle of the product. I find Azclear better over the top of things 'cos it leaves a sort of barrier. Can be a bit drying but then I'm using acids, tretinoin, vit-c, 20% niacinamide etc. so I really push my skin. You could get lower concentrations but you'd have to order in from overseas. Vitamin C, well that's a whole rabbit hole there. I'm a Paula's Choice girl but that's expensive. Try "The Ordinary", it's really affordable, it's at Priceline, it's fragrance free too, most other things have fragrance here. They have a range of formulations at different strengths, vehicles and types (e.g. L-Ascorbic Acid, which can be more irritating and also more unstable but is also the most effective, or more stable derivatives). As you're in your wiser years you may benefit from mid-strength concentration and maybe an oil suspension you might find their 23% or 39% too drying if you're a dry skin person. "Dr Davin Lim Vitamin C" in the YT search bar. I know he has some videos on it and seen him recommend The Ordinary.
*30% not 39%. I find the 30% more tolerable 'cos it's in that silicone base, the 23% is grainy and stings a bit but again, I'm a heavy active user. There's as low as 8% (the 8% C and 2% Alpha Arbutin has been interesting me for my hands). The Ordinary is a cheap source of retinol for you there too at Priceline (with the added benefit of no fragrance). That will help your spots too and wrinkles.
I use The Ordinary 1% Retinol in Squalene on my arms and hands it's so cheap and I save my prescription retinoid for my face and chest (and left over goes on backs of hands) and my Paula's Choice 1% retinol for my neck (It's more cosmetically elegant but like, 7 times the price).
Thank you! 😁
For some who experience stinging, one derm channel has suggested keeping the azelaic acid in the refrigerator and applying it cool to help mitigate some that.
Which channel?
Please provide a link to the video if possible?
simply start slowly
Interesting. I can get a bit of a sting but I'm using 16% Azclear which is designed for acne so it's got a kick to it (but my active use is high-to-intense. That's on me). Another tip I'd say either start at a lower percentage like 10% (though you can't really in Australia you'd have to order from O/S now) or just titrate it = mix a bit in lower concentrations with mostly moisturiser and then level up slowly. I just put up with it honestly.
I think we get Finacea here but Azclear is much easier to get OTC and Finacea is still 15% anyway.
What's your experience with Thiamidol?
Dr Alexis Stephens has a video on it.
Hi I have sunspots can I use azeliac acid
yes u can, plus sunscreen
@@Sky10811 thanks
Doc it looks like u lost weight.,,
i can see ur wri kles now on the forehead
I have been using compound Azelaic acid with j
Kojic acid and niacinamide. It made a huge difference in my melasma. For my extremely sensitive skin HQ was a complete disaster. After using it for, on &off for 18 months, it left my skin with permanent damage. It didn't work on my melasma but kept irritymt skin, my doctor told me to keep going. Big mistake. If your skin gets red with any skin care stop using it right away.
Non irritating?!? lol it BURNS. I use 15% and mix it with petroleum. I can’t really stand it in any other application.
start slowly: twice per week, then increase 1 time per week.
WITHOUT PETROLEUM because it seals and increases irritation
cover with Bepanthol derma nutritive 400 ml instead
Doc your comments section is full of bots 😅😂
Bots meaning? Sorry I am not aware
@@curly_jas it's important to thr video creator not to you.
Anyway Google is still useful for searching word meaning
Bot Comments Are Not Legit And Since It's A New Scam, Google Hasn't An Algorithm Yet To Fight It. Bot Comments Are Used To Cheat Algorithm For Showing Good Engagement And Those Videos Are Doing Good, Getting A Lot Of Views And Making A Good Amount Of Money.
Sound is TOO DAMN LOW 😢.
No wonder about the views