18 FACTS ABOUT AZELAIC ACID | Dermatologist @DrDrayzday

00:23:41
https://www.youtube.com/watch?v=Y4ctj0gDiW0

الملخص

TLDRAquest vídeo és un seguiment d'un anterior sobre l'àcid azelaic, responent a preguntes freqüents dels espectadors. L'àcid azelaic és un medicament que tracta l'acne, la rosàcia, la melasma i la hiperpigmentació. No és efectiu per a cicatrius deprimides, però pot ajudar amb la hiperpigmentació. Es recomanen hidratants per combatre la sequedat i la irritació que pot causar. També es discuteix la neteja de la cara, l'ús d'àcid azelaic amb altres ingredients, i la seva seguretat per a persones amb vitiligo. Finalment, es respon a preguntes sobre l'ús de l'àcid azelaic en diverses condicions de la pell.

الوجبات الجاهزة

  • 💡 L'àcid azelaic no ajuda amb cicatrius deprimides.
  • 🌞 Pot ajudar amb la hiperpigmentació al coll i al pit.
  • 🧴 Recomanacions d'hidratants per a la sequedat.
  • 🧼 Netejar la cara una vegada al dia és suficient.
  • 💰 L'Ordinary és una opció econòmica d'àcid azelaic.
  • 👩‍⚕️ Segur per a persones amb vitiligo.
  • 🔬 Pot utilitzar-se amb ingredients fermentats.
  • ❌ No ajuda amb les bosses sota els ulls.
  • 🌅 Es pot combinar amb vitamina C.
  • 🔄 Pot ser útil per a la queratosi pilaris.

الجدول الزمني

  1. 00:00:00 - 00:05:00

    Fa dues setmanes, es va fer un vídeo sobre l'àcid azelaic, un medicament receptat per tractar l'acne, la rosàcia i la hiperpigmentació. En aquest vídeo de seguiment, es responen preguntes freqüents, com si l'àcid azelaic és efectiu per a cicatrius deprimides, on es conclou que no ho és, i que es necessiten altres tractaments o procediments per a millorar-les.

  2. 00:05:00 - 00:10:00

    Es discuteix la possibilitat de tenir melasma al coll i al pit, i com l'àcid azelaic pot ajudar a tractar la hiperpigmentació. Tot i que pot ser útil, no és suficient per si sol, i es recomana un enfocament multimodal per a tractar la hiperpigmentació. També es mencionen precaucions sobre l'ús de perfums que poden irritar la pell i provocar hiperpigmentació.

  3. 00:10:00 - 00:15:00

    Es recomanen hidratants per combatre la sequedat i la irritació causades per l'àcid azelaic, com el Procure Rosacare i el CeraVe. Es destaca la importància de la hidratació per a la tolerància de l'àcid azelaic, i es discuteix la neteja facial, que pot ser diària o només al vespre, depenent del tipus de pell.

  4. 00:15:00 - 00:23:41

    Finalment, es responen preguntes sobre l'ús de l'àcid azelaic amb altres ingredients, com el vitamina C i el peróxido de benzoil, així com la seva efectivitat en condicions com la queratosi pilaris i la hidradenitis supurativa. Es conclou que l'àcid azelaic pot ser útil en diverses situacions, però sempre amb precaució i considerant la tolerància individual.

اعرض المزيد

الخريطة الذهنية

فيديو أسئلة وأجوبة

  • L'àcid azelaic és bo per a cicatrius deprimides?

    No, l'àcid azelaic no és efectiu per a cicatrius deprimides.

  • Pot l'àcid azelaic ajudar amb la melasma al coll i al pit?

    Sí, l'àcid azelaic pot ser útil per a la hiperpigmentació en aquestes àrees.

  • Quins hidratants recomanaries per a la sequedat causada per l'àcid azelaic?

    Hidratants amb niacinamida o arrel de regalèssia són bones opcions.

  • He de netejar la cara dues vegades al dia?

    Netejar una vegada al dia és suficient per a moltes persones.

  • Quin és el millor àcid azelaic econòmic?

    L'Ordinary 10% Azelaic Acid Suspension és una bona opció.

  • L'àcid azelaic és segur per a persones amb vitiligo?

    Sí, no hauria d'afectar la piga normal.

  • Puc utilitzar àcid azelaic amb ingredients fermentats?

    Sí, presumiblement es poden utilitzar junts.

  • L'àcid azelaic ajuda amb les bosses sota els ulls?

    No, no ajuda amb les bosses sota els ulls.

  • Puc utilitzar àcid azelaic amb vitamina C?

    Sí, es pot utilitzar juntament amb vitamina C.

  • L'àcid azelaic pot ajudar amb la queratosi pilaris?

    Pot ser útil, però pot empitjorar la sequedat en algunes persones.

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التمرير التلقائي:
  • 00:00:00
    well hey guys about two weeks ago I did
  • 00:00:04
    a video all about everything you need to
  • 00:00:06
    know about azelic acid what to expect
  • 00:00:09
    and y'all did such a great job leaving
  • 00:00:11
    your comments and questions that I
  • 00:00:13
    thought I would do a follow-up part two
  • 00:00:15
    answering some of the most frequently
  • 00:00:17
    asked questions that I saw now as a
  • 00:00:19
    quick reminder azelic acid is a
  • 00:00:21
    prescription medication used to treat
  • 00:00:25
    acne rosacea melasma hyperpigmentation
  • 00:00:27
    it's also used to treat perioral
  • 00:00:29
    dermatitis you can also find it as a
  • 00:00:31
    cosmetic ingredient at a weaker strength
  • 00:00:34
    in various and a sundry cosmetic
  • 00:00:37
    products is azelic acid good for
  • 00:00:40
    improving small pitted scars short
  • 00:00:42
    answer is no azelic acid is a mild
  • 00:00:44
    exfoliant so it can smooth the Skin's
  • 00:00:48
    surface and help in fading post acne
  • 00:00:50
    marks but if you have a scar that is
  • 00:00:52
    depressed meaning not flat to the
  • 00:00:54
    surface that means that there's
  • 00:00:55
    something down deeper that that needs to
  • 00:00:57
    be addressed and azelic acid doesn't
  • 00:00:59
    affect change in the deeper layers of
  • 00:01:01
    the skin medications that might improve
  • 00:01:04
    pitted scars would be topical tretinoin
  • 00:01:06
    but usually it's going to be procedures
  • 00:01:09
    to improve those types of scars I have a
  • 00:01:12
    video as a side note on TCA cross for
  • 00:01:14
    pitted scars and I also have videos on
  • 00:01:17
    acne scars that go into detail as to the
  • 00:01:19
    different types of procedures to address
  • 00:01:21
    pitted scars those videos go into detail
  • 00:01:23
    as to the different types of procedures
  • 00:01:26
    that address a depressed scars so check
  • 00:01:28
    that one out but in short now azelic
  • 00:01:30
    acid is not going to do anything
  • 00:01:33
    necessarily for pitted scars is it
  • 00:01:35
    possible to have melasma on the chest
  • 00:01:38
    and neck and if so would azelic acid
  • 00:01:40
    help it certainly is possible to have
  • 00:01:42
    melasma on the neck and chest that does
  • 00:01:44
    in fact happen there's also a variety of
  • 00:01:46
    other conditions of hyperpigmentation
  • 00:01:47
    that can occur on the chest and neck
  • 00:01:50
    there's this condition known as Riles
  • 00:01:53
    melanosis or a pigmented contact
  • 00:01:55
    dermatitis that can appear on the sides
  • 00:01:57
    of the neck and the upper chest kind of
  • 00:02:00
    looks like melasma sought to be a
  • 00:02:03
    photodermatitis basically the result of
  • 00:02:05
    maybe the prolonged exposure to a
  • 00:02:07
    cosmetic that's been there that's
  • 00:02:09
    irritating interacting with the sun
  • 00:02:10
    leading to this pattern of
  • 00:02:13
    hyperpigmentation for example a lot of
  • 00:02:16
    people who spray perfume on their neck I
  • 00:02:17
    was always thought that that might be a
  • 00:02:19
    trigger for this type of thing so for
  • 00:02:22
    that reason I always suggest that if you
  • 00:02:23
    are a fan of wearing perfume Don't Spray
  • 00:02:26
    it on your neck spray it like on your
  • 00:02:28
    waistband where it's protected out of
  • 00:02:30
    the sun because the oils and perfumes
  • 00:02:33
    they can interact with sunlight be very
  • 00:02:35
    irritating and and potentially trigger
  • 00:02:37
    hyperpigmentation now all that being
  • 00:02:39
    said yes absolutely osceolic acid can
  • 00:02:40
    definitely be helpful in these
  • 00:02:43
    situations because azelic acid targets
  • 00:02:46
    the enzyme tyrosinase to help with
  • 00:02:49
    whitening hyperpigmentation and it
  • 00:02:51
    doesn't necessarily matter if it's
  • 00:02:54
    melasma or if it is
  • 00:02:56
    hyperpigmentation from prior
  • 00:02:58
    inflammation or post-inflammatory
  • 00:03:01
    hyperpigmentation azelic acid can be
  • 00:03:03
    beneficial Now is it going to be
  • 00:03:05
    sufficient enough on its own probably
  • 00:03:08
    not as is the case with melasma in the
  • 00:03:10
    face generally speaking when when it
  • 00:03:12
    comes to targeting hyperpigmentation you
  • 00:03:15
    really need a multimodal approach rarely
  • 00:03:18
    is it enough to just get away with a
  • 00:03:20
    single ingredient but azelic acid
  • 00:03:22
    definitely can be a beneficial player in
  • 00:03:25
    fading hyperpigmentation on the neck and
  • 00:03:27
    chest provided you tolerate it as I said
  • 00:03:29
    in that video azelic Acid is generally
  • 00:03:31
    pretty well tolerated although it is
  • 00:03:33
    drying and it can be irritating some
  • 00:03:35
    people find it burns instead things when
  • 00:03:36
    we're talking about the skin on the neck
  • 00:03:38
    the skin on the neck is a lot more
  • 00:03:40
    delicate so you may be more prone to
  • 00:03:42
    dryness and irritation from azelic acid
  • 00:03:44
    in that area but all that to say it
  • 00:03:47
    definitely can be used there and can be
  • 00:03:49
    beneficial for hyperpigmentation in that
  • 00:03:50
    area can you recommend you recommend
  • 00:03:53
    good moisturizer to help with the
  • 00:03:56
    dryness and irritation from azelic Acid
  • 00:03:58
    so as I pointed out in that video while
  • 00:04:00
    adolike acid is pretty well tolerated it
  • 00:04:02
    can be pretty drying and a lot of people
  • 00:04:05
    find that it stings elicits symptoms of
  • 00:04:08
    itch and one way to minimize that is to
  • 00:04:09
    make sure that you're moisturizing the
  • 00:04:11
    skin now there are so many moisturizers
  • 00:04:13
    out there on the market tons and tons of
  • 00:04:15
    facial moisturizers and by and large
  • 00:04:17
    there's not a wrong choice if you find a
  • 00:04:19
    moisturizer you like and it's working
  • 00:04:21
    for you there's no need to abandon ship
  • 00:04:24
    per se but moisturizers that have
  • 00:04:26
    ingredients in them that are beneficial
  • 00:04:28
    for both acne rosacea and
  • 00:04:31
    hyperpigmentation all three of which are
  • 00:04:33
    things that azelic acid is frequently
  • 00:04:35
    indicated for
  • 00:04:37
    um I often like to lean into
  • 00:04:39
    moisturizers that have niacinamide
  • 00:04:42
    provided you tolerate it niacinamide is
  • 00:04:44
    anti-inflammatory it has anti-redness
  • 00:04:46
    properties it's helpful for oily acne
  • 00:04:49
    prone skin and it's also helpful for
  • 00:04:51
    hyperpigmentation it's an antioxidant
  • 00:04:53
    another ingredient is licorice root
  • 00:04:55
    licorice root is very calming helps with
  • 00:04:58
    barrier function soothing reducing
  • 00:05:00
    inflammation one moisturizer I'm rather
  • 00:05:04
    a fan of is the procure rosacare I like
  • 00:05:06
    it because it has a little green tint to
  • 00:05:08
    it that can help offer some cosmetic
  • 00:05:11
    color correction to persistent facial
  • 00:05:13
    redness so that's a great option it's
  • 00:05:15
    very lightweight but yet deeply
  • 00:05:17
    hydrating so if you're somebody who
  • 00:05:19
    feels that heavy moisturizers make you
  • 00:05:22
    feel overheated and if you have rosacea
  • 00:05:24
    that precipitates a flush of facial
  • 00:05:25
    redness I happen to think that's a
  • 00:05:27
    really good option the other one that's
  • 00:05:29
    a really good option is the Aveeno calm
  • 00:05:31
    and restore redness relief facial
  • 00:05:33
    moisturizer it's a bit thicker in
  • 00:05:35
    consistency and compare comparison to
  • 00:05:37
    the procure Rosa care one so if you want
  • 00:05:39
    something a bit more moisturizing
  • 00:05:42
    especially to address the dryness issue
  • 00:05:44
    that's a great option it has fever few
  • 00:05:46
    extract in it which is anti-inflammatory
  • 00:05:49
    and it has of course oat which is a
  • 00:05:51
    wonderful anti-inflammatory ingredient
  • 00:05:54
    moisturizers and also is hydrating
  • 00:05:57
    soothing and then of course there's the
  • 00:05:59
    CeraVe facial moisturizer either their
  • 00:06:01
    am moisturizer with sunscreen or their
  • 00:06:04
    PM moisturizer without sunscreen both of
  • 00:06:05
    those are great options they're very
  • 00:06:07
    hydrating yet lightweight enough to not
  • 00:06:10
    make you feel overheated and potentially
  • 00:06:12
    aggravate a flush if you aren't aware
  • 00:06:14
    YouTube has this new shopping feature
  • 00:06:16
    there should be a little shopping bag in
  • 00:06:19
    your lower corner of the screen if you
  • 00:06:21
    tap on that I will put these things in
  • 00:06:23
    there so you can read more about them I
  • 00:06:25
    have cystic acne being treated with
  • 00:06:29
    azelic acid topical isotretinoin and
  • 00:06:32
    erythromycin gel do I need to cleanse my
  • 00:06:34
    face twice a day or is it sufficient to
  • 00:06:36
    wash my my face just once a day in the
  • 00:06:38
    evening it's fine to just wash your face
  • 00:06:40
    once a day at the end of the day if
  • 00:06:42
    that's what you like some people who
  • 00:06:44
    have an oilier skin type find that they
  • 00:06:46
    prefer to wash their face twice a day
  • 00:06:49
    and in the case of acne that may help in
  • 00:06:51
    minimizing the frequency of breakouts
  • 00:06:53
    because a big part of acne is excessive
  • 00:06:55
    oiliness that oil on the surface of the
  • 00:06:58
    skin can break down and Trigger more
  • 00:07:00
    breakouts so some people who have very
  • 00:07:02
    oily skin fine that they really need to
  • 00:07:04
    cleanse twice a day whereas other people
  • 00:07:07
    uh you know once a day is enough and in
  • 00:07:10
    fact for many people once a day is more
  • 00:07:12
    than enough and and cleansing too
  • 00:07:14
    frequently makes their skin more
  • 00:07:16
    sensitive dries out the skin to be clear
  • 00:07:19
    if you're using this regimen that you've
  • 00:07:22
    outlined at night time the following
  • 00:07:24
    morning you don't need to wash the
  • 00:07:26
    actives off that's a common
  • 00:07:28
    misconception you don't need to wash
  • 00:07:30
    them off if you're someone who just
  • 00:07:31
    likes to wash your face in the evening
  • 00:07:33
    and you don't find the need to wash
  • 00:07:35
    again in the morning you're more than
  • 00:07:37
    fine to do that you don't need to wash
  • 00:07:39
    the actives off as side note here in the
  • 00:07:42
    U.S topical isotradinoin we don't use
  • 00:07:45
    that frequently at all to manage acne
  • 00:07:48
    but in other countries y'all do and I
  • 00:07:49
    have a recent video comparing it to
  • 00:07:51
    topical tretinoin so definitely check
  • 00:07:52
    that out if you're someone who is using
  • 00:07:54
    topical isotread no one want to learn
  • 00:07:57
    more about it we go into the details in
  • 00:07:59
    that video what is the best budget
  • 00:08:03
    friendly cosmetic azelaic acid this
  • 00:08:04
    person specifically mentioned that they
  • 00:08:06
    love the polished Choice azelic acid
  • 00:08:09
    that I mentioned in that video but it is
  • 00:08:11
    a bit expensive is there something more
  • 00:08:14
    budget friendly absolutely so as Lake
  • 00:08:15
    acid as I mentioned in the beginning of
  • 00:08:17
    the video it's a prescription medication
  • 00:08:19
    but you can also find it in weaker
  • 00:08:22
    strengths in various and Sundry cosmetic
  • 00:08:25
    products now to be clear the efficacy of
  • 00:08:29
    azelic acid in a cosmetic is not well
  • 00:08:32
    researched because the research that we
  • 00:08:33
    have is looking at the prescription
  • 00:08:36
    strength azolic acid that's not to say
  • 00:08:37
    that the Cosmetic ingredients are not
  • 00:08:40
    helpful or a waste of time some people
  • 00:08:41
    really really do find that they're
  • 00:08:44
    beneficial for acne hyperpigmentation
  • 00:08:46
    redness overall skin tone as I mentioned
  • 00:08:49
    in the last video azelic acid also a lot
  • 00:08:51
    of people find that they have their skin
  • 00:08:53
    is less oily less greasy when they use
  • 00:08:55
    it so those are all great things that a
  • 00:08:57
    lot of people appreciate with the with
  • 00:08:59
    the just the weaker strength cosmetic
  • 00:09:01
    stuff that being said because these are
  • 00:09:03
    cosmetics and not the medication version
  • 00:09:06
    you really can't say for sure that
  • 00:09:09
    anyone is the best because we don't have
  • 00:09:10
    studies to actually prove that
  • 00:09:12
    objectively speaking you can't actually
  • 00:09:14
    say this is the best this is the best
  • 00:09:18
    but all that all that aside the ordinary
  • 00:09:21
    10 azelic acid suspension I think it's
  • 00:09:23
    about 11
  • 00:09:28
    for a 30 ml tube and that's you know a
  • 00:09:31
    great option how does adelaic acid
  • 00:09:33
    interact with fermented ingredients such
  • 00:09:35
    as bifida and galactomyces fermented
  • 00:09:37
    ingredients in skin care they're really
  • 00:09:40
    popular brands will make a lot of claims
  • 00:09:42
    which you know some of them have some
  • 00:09:43
    research to back them up things like
  • 00:09:45
    well these ingredients help with
  • 00:09:47
    moisture they help improve skin
  • 00:09:48
    elasticity they help brighten the skin
  • 00:09:51
    they have antioxidants all of these
  • 00:09:52
    things but long story short when it
  • 00:09:54
    comes to fermented ingredients there's
  • 00:09:56
    really an overall lack of high quality
  • 00:09:58
    research and it's actually a pretty
  • 00:10:00
    broad category of different ingredients
  • 00:10:03
    and the ingredients vary quite a bit in
  • 00:10:06
    terms of the Constitution because a
  • 00:10:08
    fermented ingredients basically the
  • 00:10:11
    ingredient you know bacteria or yeast
  • 00:10:13
    ferment the ingredient and that process
  • 00:10:15
    is not going to yield identical results
  • 00:10:17
    every time different bacteria different
  • 00:10:20
    yeast may have different compounds
  • 00:10:23
    different initial starting materials for
  • 00:10:26
    example soy ferment actually may be more
  • 00:10:28
    beneficial than just soy as an
  • 00:10:30
    ingredient because the ferment patient
  • 00:10:33
    process can enrich for the active forms
  • 00:10:35
    of certain antioxidants but again more
  • 00:10:37
    research is needed so is it okay to use
  • 00:10:39
    azelic acid alongside fermented
  • 00:10:41
    ingredients presumably
  • 00:10:43
    but we don't have any research actually
  • 00:10:44
    looking at that
  • 00:10:46
    I'll see any reason why it wouldn't
  • 00:10:48
    azelaic acid is already naturally
  • 00:10:50
    present on your skin there's nothing
  • 00:10:53
    about azelic acid that should
  • 00:10:56
    counteract whatever potential beneficial
  • 00:10:58
    properties are in the ferment that being
  • 00:11:00
    said fermented ingredients it can
  • 00:11:03
    improve moisture content because they do
  • 00:11:06
    have humectants in them and they may
  • 00:11:08
    because of that enhance penetration of
  • 00:11:11
    azelic acid so they may make it so that
  • 00:11:12
    either it's more effective because it's
  • 00:11:14
    easier for it to get in or they may make
  • 00:11:16
    it so that it's just too irritating For
  • 00:11:19
    You especially in the beginning and I
  • 00:11:20
    can't predict that for any one person
  • 00:11:22
    it's going to vary from person to person
  • 00:11:25
    but I see no reason why the two should
  • 00:11:27
    not be used together provided you
  • 00:11:29
    tolerate them it's Atomic acid safe for
  • 00:11:33
    people to use to have Vitiligo yes acid
  • 00:11:36
    it inhibits the enzyme tyrosinase and
  • 00:11:38
    that's how it works to treat
  • 00:11:40
    hyperpigmentation but it doesn't affect
  • 00:11:44
    the pigment of a normal of your normal
  • 00:11:46
    skin now with Vitiligo on the other hand
  • 00:11:49
    you get complete loss of pigment because
  • 00:11:51
    your immune system attacks the pigment
  • 00:11:54
    cells the melanocytes
  • 00:11:57
    topical azolic acid should not influence
  • 00:12:00
    that whatsoever but there's no research
  • 00:12:01
    actually looking at azelic acid in
  • 00:12:04
    Vitiligo but there's no reason to to
  • 00:12:06
    suspect that say for example you have
  • 00:12:09
    Vitiligo on your hands acne on your face
  • 00:12:11
    you want to use azelic acid to treat the
  • 00:12:13
    acne on the face shouldn't have any
  • 00:12:16
    issue there what about potassium Azul
  • 00:12:18
    glycinate so this is a cosmetic
  • 00:12:22
    ingredient that is basically azelic acid
  • 00:12:25
    that has undergone a reaction with
  • 00:12:28
    glycine so has glycine glycines attached
  • 00:12:30
    to it and that's thought to make it a
  • 00:12:32
    more hydrating ingredient
  • 00:12:34
    possibly reducing dryness and irritation
  • 00:12:37
    now this is a cosmetic ingredient it's
  • 00:12:38
    not a medication so we don't have
  • 00:12:41
    research showing how it works in
  • 00:12:44
    comparison to azolic acid in theory is
  • 00:12:46
    less drawing in theory it's is going to
  • 00:12:48
    be accompanied with less irritation but
  • 00:12:50
    is it effective who knows there are two
  • 00:12:52
    studies that I'm aware of looking at
  • 00:12:55
    potassium as oil diglycinate one for
  • 00:12:57
    rosacea and one from melasma I believe
  • 00:12:59
    and they show Improvement but the
  • 00:13:01
    problem is the product that they use in
  • 00:13:04
    those studies also has other ingredients
  • 00:13:06
    in it that could explain the Improvement
  • 00:13:08
    so more research is needed not a bad
  • 00:13:10
    ingredient seems to be well tolerated so
  • 00:13:12
    all that to say if you want to derive
  • 00:13:14
    the benefit from azelic acid from a
  • 00:13:16
    cosmetic product I would not suggest
  • 00:13:19
    going with the the potassium asolyl
  • 00:13:22
    diglyosinate simply because at least we
  • 00:13:24
    have research on azelic acid we don't
  • 00:13:27
    with pad as we like to call it what
  • 00:13:29
    about mixing azelic acid and benzoyl
  • 00:13:31
    peroxide I assume you mean for acne
  • 00:13:32
    because both of those are acne any
  • 00:13:35
    treatments now regardless I never
  • 00:13:37
    recommend mixing two separate things
  • 00:13:39
    together and putting it on the skin
  • 00:13:42
    because doing this can mess up the
  • 00:13:45
    formulations and mess up the
  • 00:13:47
    distribution of the active ingredient on
  • 00:13:49
    the skin surface one formulation you try
  • 00:13:51
    and mix it like say into your lotion
  • 00:13:53
    your cream or you're trying to mix two
  • 00:13:55
    different products together they can be
  • 00:13:57
    very incompatible so I don't recommend
  • 00:13:59
    doing that now that being said can you
  • 00:14:02
    apply benzoyl peroxide and apply azoleic
  • 00:14:06
    acid one after the other you can azelic
  • 00:14:08
    acid as I pointed out in the last video
  • 00:14:10
    it can be used alongside any ingredient
  • 00:14:12
    provided to tolerate the combination can
  • 00:14:14
    azelic acid be used with copper peptides
  • 00:14:17
    presumably we don't really have you know
  • 00:14:20
    good research on copper peptides in the
  • 00:14:21
    setting of using azelic acid but
  • 00:14:23
    presumably they can there's a reason to
  • 00:14:25
    assume that they can't as I said azelic
  • 00:14:27
    acid can be used alongside any
  • 00:14:29
    ingredient provided that you tolerate
  • 00:14:31
    the combination it's not going to render
  • 00:14:33
    the copper peptide Tides ineffective
  • 00:14:36
    degrade them or it shouldn't I mean but
  • 00:14:38
    again we don't have research on on this
  • 00:14:41
    type of thing to to say how how that
  • 00:14:44
    impact results but in theory it should
  • 00:14:46
    be just fine can azelic acid help with
  • 00:14:48
    keratosis pilaris that's a great
  • 00:14:50
    question because it might actually be
  • 00:14:52
    very helpful for keratosis pylons or it
  • 00:14:55
    may aggravate it so keratosis pilaris is
  • 00:14:57
    a dry skin condition where you have kind
  • 00:14:59
    of a problem with the skin cells not
  • 00:15:02
    turning over efficiently around the
  • 00:15:04
    around the hair follicle around your
  • 00:15:06
    pore so you get a buildup of dry rough
  • 00:15:08
    skin and that can end up that's
  • 00:15:11
    basically a little a little focal area
  • 00:15:14
    of of a Skin Barrier issue and not only
  • 00:15:17
    is it rough and dry but you can develop
  • 00:15:19
    background redness so azoleic acid is a
  • 00:15:21
    very gentle exfoliant so it can help
  • 00:15:23
    soften and exfoliate the build up dried
  • 00:15:25
    stuff and it can also help with the
  • 00:15:26
    redness but
  • 00:15:30
    in the beginning especially some people
  • 00:15:33
    find that azolic acid is too dry so if
  • 00:15:34
    it's true drying then it may actually
  • 00:15:37
    end up worsening the keratosis pilaris a
  • 00:15:40
    lot of people have keratosis pilaris on
  • 00:15:42
    the face that is red and azelic acid is
  • 00:15:45
    is a good option to to trial in a lot of
  • 00:15:48
    those patients if you are using athletic
  • 00:15:49
    acid in the morning can you still use
  • 00:15:52
    your vitamin C absolutely you know
  • 00:15:56
    vitamin C is popularly utilized in the
  • 00:15:58
    morning with the idea that you know it's
  • 00:16:01
    an antioxidant so it should in theory
  • 00:16:03
    provided that it works and everything it
  • 00:16:04
    should get into your skin and help
  • 00:16:08
    combat the oxidative stress that occurs
  • 00:16:10
    upon exposure to all the environmental
  • 00:16:11
    stressors that you are exposed to
  • 00:16:14
    throughout the day um you all know from
  • 00:16:16
    my videos vitamin C specifically
  • 00:16:18
    ascorbic acid it's a it's a tricky
  • 00:16:20
    ingredient it's not very stable and it's
  • 00:16:23
    penetration into the skin is limited but
  • 00:16:26
    that being said it there's no reason for
  • 00:16:28
    you to worry about using it and then
  • 00:16:31
    applying azelaic acid on over it by and
  • 00:16:32
    large it's a good idea if you're going
  • 00:16:35
    to use a vitamin C serum uh in the
  • 00:16:38
    morning to put it as the first step in
  • 00:16:40
    your morning skincare routine to really
  • 00:16:42
    help maximize penetration since
  • 00:16:45
    penetration is such an issue with it
  • 00:16:47
    um and you know you can let it absorb
  • 00:16:48
    shouldn't take you very long it
  • 00:16:49
    shouldn't take very long for it to
  • 00:16:52
    absorb and then you can apply azolite
  • 00:16:53
    acid on over it now if you're using
  • 00:16:55
    prescription azelic acid whether it be
  • 00:16:57
    the cream or the gel depending on the
  • 00:16:58
    vitamin C that you're using you might
  • 00:17:00
    might end up getting some pilling so
  • 00:17:02
    away around that to make sure you're not
  • 00:17:05
    using too much of either product that's
  • 00:17:07
    really where you can get pilling is like
  • 00:17:09
    if you have a gel and a cream and you
  • 00:17:11
    put on either too much or sometimes just
  • 00:17:13
    gel and cream don't Vibe well together
  • 00:17:14
    so that that can be an issue with
  • 00:17:17
    formulation what azulic acid be useful
  • 00:17:20
    to use in the groin or underarm area for
  • 00:17:23
    hydroadenitis to purativa it can be and
  • 00:17:25
    the idea being azelic acid is is
  • 00:17:28
    antimicrobial with hidradenitis
  • 00:17:29
    suppurativa you have these recurrent
  • 00:17:33
    painful oils that come together and make
  • 00:17:35
    these sinus tracts and then that area of
  • 00:17:37
    the skin can become colonized with
  • 00:17:40
    bacteria that further flare the the
  • 00:17:43
    disease so anti-microbials like benzoyl
  • 00:17:45
    peroxide
  • 00:17:47
    chlorhexidine which is sold under the
  • 00:17:49
    brand name of hibiclens can be utilized
  • 00:17:52
    to help cut down on that bacteria and
  • 00:17:54
    likewise azelic acid can be helpful the
  • 00:17:57
    issue with hydroadenitis suppurativa
  • 00:18:00
    unfortunately and and why these topical
  • 00:18:03
    antimicrobials sometimes are of limited
  • 00:18:05
    benefit is that the bacteria can
  • 00:18:08
    actually form pretty tenacious and
  • 00:18:12
    biofilms especially within the sinus
  • 00:18:15
    tract and you know so much so that
  • 00:18:17
    sometimes the the topical antimicrobial
  • 00:18:19
    stuff is not as effective I got some
  • 00:18:21
    questions about moisturizing with
  • 00:18:22
    azulaic acid should you put your
  • 00:18:24
    moisturizer on first and then as oleic
  • 00:18:26
    acid should you put your moisturizer on
  • 00:18:28
    after azelic acid or should you do this
  • 00:18:29
    sandwich technique where you put
  • 00:18:32
    moisturizer on then azelic acid then
  • 00:18:34
    moisturizer there's really no wrong
  • 00:18:36
    answer here you can do whatever works
  • 00:18:38
    best for you if you're someone who finds
  • 00:18:41
    that azelic acid burns and stings I
  • 00:18:43
    suggest putting moisturizer on first
  • 00:18:45
    that can help cut down on the sensation
  • 00:18:46
    of burning and stinging help you
  • 00:18:49
    tolerate it better and if you find that
  • 00:18:52
    it's it's too drying even doing that you
  • 00:18:55
    may do the sandwich technique or you may
  • 00:18:57
    want to enhance penetration especially
  • 00:18:59
    if you're someone who has like acne
  • 00:19:01
    that's you've got a lot of cystic
  • 00:19:04
    pimples and the cystic acne you know the
  • 00:19:06
    skin is thick so you really want to
  • 00:19:08
    maximize penetration you may find that
  • 00:19:09
    you know it's in your best interest to
  • 00:19:12
    just apply it straight on there let it
  • 00:19:14
    absorb and then apply moisturizer on
  • 00:19:15
    over to cut down on Uranus and
  • 00:19:17
    irritation for you that may help you
  • 00:19:20
    with the penetration can acidic
  • 00:19:22
    help with dark circles unfortunately no
  • 00:19:24
    dark under eye circles they're either
  • 00:19:26
    hereditary in most cases or you know
  • 00:19:28
    they're part of the natural aging
  • 00:19:32
    process with age you get redistribution
  • 00:19:34
    of fat pockets you get resorption of
  • 00:19:37
    Bones and the eye socket actually widens
  • 00:19:39
    but everything around it kind of sags
  • 00:19:41
    down a bit and then you get Descent of
  • 00:19:43
    the cheek pulling down that tear trough
  • 00:19:46
    and through light scattering you have
  • 00:19:48
    more prominent dark under eye circles
  • 00:19:51
    Hollows azelic acid is not going to
  • 00:19:53
    address that azelic acid helps with
  • 00:19:55
    hyperpigmentation but it's not going to
  • 00:19:57
    address like the anatomical changes
  • 00:20:00
    around the eye now if you have
  • 00:20:02
    post-inflammatory hyperpigmentation
  • 00:20:04
    under the eye that azolic acid may
  • 00:20:05
    actually help someone asked how does 15
  • 00:20:08
    azelic acid compare to 20 azelic acid
  • 00:20:10
    now these are both the prescription
  • 00:20:13
    strengths 15 azolic acid it's the gel it
  • 00:20:15
    penetrates the skin better than the 20
  • 00:20:18
    azelic acid cream you get about eight
  • 00:20:21
    percent azelic acid penetration in the
  • 00:20:22
    gel and you get about three percent
  • 00:20:24
    azelic acid penetration with the cream
  • 00:20:27
    how about using azelic acid with
  • 00:20:29
    differin in your evening routine
  • 00:20:31
    absolutely you can do this
  • 00:20:33
    um again you can use azleic acid
  • 00:20:36
    alongside any ingredient provided you
  • 00:20:38
    tolerate the combination now what order
  • 00:20:40
    should you apply these it really doesn't
  • 00:20:42
    matter you could do azelic acid first
  • 00:20:45
    and then a dappling or vice versa again
  • 00:20:47
    you may run into some issues with
  • 00:20:49
    pilling depending on the vehicles that
  • 00:20:51
    you are using so this combination can be
  • 00:20:54
    effective for acne for sure and it's
  • 00:20:56
    best if you're using it to treat the
  • 00:20:59
    entire face sparing of course the eyelid
  • 00:21:01
    air area and the mouth because a
  • 00:21:03
    dabbling can be too irritating in those
  • 00:21:05
    areas it's best to use it that way
  • 00:21:07
    because not only is it going to help
  • 00:21:10
    address active breakouts but by using
  • 00:21:12
    either ingredient or the ingredients
  • 00:21:16
    together this way it helps to control
  • 00:21:20
    and prevent future breakouts as opposed
  • 00:21:23
    to using either ingredient as a spot
  • 00:21:25
    treatment neither neither azelic acid
  • 00:21:27
    nor a dappling they're not really spot
  • 00:21:29
    treatments meaning if you suddenly get a
  • 00:21:32
    pimple reaching for either of these and
  • 00:21:34
    trying to get it to go away overnight
  • 00:21:35
    with either ingredient or the
  • 00:21:37
    combination it's not going to cut it you
  • 00:21:40
    know it needs to be consistently present
  • 00:21:42
    in your skin and ideally to the entire
  • 00:21:44
    face sparing the eyelids and around the
  • 00:21:46
    mouth and like this part of the nose
  • 00:21:49
    here just because those ingredients can
  • 00:21:51
    be too irritating there but yeah it's
  • 00:21:53
    best that way and staying consistent
  • 00:21:56
    with it does azelic acid kill Demodex
  • 00:21:59
    um it might so Demodex mites are
  • 00:22:01
    naturally present on everyone's skin but
  • 00:22:04
    with rosacea Which azelic acid is a
  • 00:22:06
    treatment form with rosacea people who
  • 00:22:08
    have rosacea they have a lot more
  • 00:22:10
    Demodex on their skin like four-fold
  • 00:22:12
    greater burden of Demodex and it's
  • 00:22:15
    thought that these mites they contribute
  • 00:22:17
    to the immune dysregulation in the skin
  • 00:22:21
    with rosacea so much so that there is a
  • 00:22:24
    anti-mite medication that is used to
  • 00:22:26
    treat rosacea it's called Ivermectin
  • 00:22:28
    sold under the brand name cilantro I
  • 00:22:30
    have a video all about that as a side
  • 00:22:33
    note but acetylic acid might also help
  • 00:22:35
    cut down on the burden of Demodex mites
  • 00:22:38
    and people who have rosacea it's my it's
  • 00:22:40
    a mild exfoliant so that may be part of
  • 00:22:43
    how it could help in that regard and it
  • 00:22:46
    also has antimicrobial activity so it
  • 00:22:47
    may help there's a lot of active ongoing
  • 00:22:50
    research actually looking at azelic
  • 00:22:52
    acids effect on Demodex mites all right
  • 00:22:54
    y'all those are some really fantastic
  • 00:22:56
    questions that you left on my video I
  • 00:22:58
    greatly appreciate it that you guys
  • 00:23:00
    leave your comments your questions and I
  • 00:23:02
    really hope this video was informative
  • 00:23:04
    to you now if you missed that video it's
  • 00:23:06
    going to be linked on the end slate so
  • 00:23:08
    you can watch it next that way you are
  • 00:23:10
    all caught up on the wonders of azelic
  • 00:23:13
    acid and how it's utilized but if you
  • 00:23:14
    guys enjoyed this video give it a thumbs
  • 00:23:16
    up share it with your friends and as
  • 00:23:17
    always don't forget sunscreen And
  • 00:23:19
    subscribe I'll talk to you guys tomorrow
  • 00:23:22
    bye
  • 00:23:22
    foreign
  • 00:23:42
    [Music]
الوسوم
  • àcid azelaic
  • acne
  • rosàcia
  • melasma
  • hiperpigmentació
  • hidratants
  • cura de la pell
  • cicatrius
  • queratosi pilaris
  • vitamina C