Hello doctor,
Tiny red bumps started appearing on my chin and forehead, where I used to exfoliate 1 to 2 times a week. I recently started using new products in my skincare (I incorporated Azelaic acid 10 %, Niacinamide 15 %, and 5 % Salicylic acid), among others. Could it be just a reaction to over-exfoliating and too many products? I stopped using everything and only use water to cleanse my face now. I hope it is not fungal acne or whiteheads. What do I do?
Hello,
Welcome to icliniq.com.
As you mentioned, red lesions, irritant dermatitis, or exfoliative dermatitis may appear due to excess exfoliation, including using physical and chemical exfoliants. As you have mentioned, usage of exfoliants once or twice a week, along with new skincare products which also consist of chemical exfoliants like salicylic acid, niacinamide, and azelaic acid, may have led to irritant dermatitis leading to red bumps on the skin. My advice is. As you are rightly currently practicing, kindly refrain from using exfoliants or any skin care products, including face washes, for 4 weeks or till the rashes heal. In case of pain or tenderness on touch, Clindamycin gel alone may be used on the affected area daily at night. Continue using just water for cleansing your face for 4 weeks. Take Tablet Ascorbic acid 500 mg chewable tablet once daily after food at night for one month helps with faster healing. Take Capsule Evion 400 (Vitamin E) may be used in the morning after food for one month. They help with keeping skin hydrated. After the rashes are healed, make sure to exfoliate once in 2 weeks only, as too much exfoliation can strip natural oils off facial skin leading to easy susceptibility to infections and dermatitis or irritation of the skin. Avoid oily or fried food, dairy products, and sweets. And make sure to consume more fruits, vegetables, and at least 12 glasses of water daily. Cold compresses may also be applied to the affected area twice daily for a soothing effect. I would also like to request you provide an image, if possible, of the affected area for further assessment and management. I hope I could be of help. Stay happy, healthy, and safe.
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