Topical Antibacterial
Reviews
3.8
501 Reviews
Topical Antibacterial
Efficacy
68%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Topical Antibacterial
Side Effects
Low-Medium
Topical Antibacterial
Acne.org’s Real World Take
At prescription strengths (15 - 20%) studies show it should help reduce mild-to-moderate acne by a significant and noticeable amount after 3 months or so of treatment, so that’s not too shabby. However, it is unlikely to completely clear the skin on its own.
Topical Antibacterial
How to Get It
Azelaic acid is available in 15% - 20% by prescription. Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one. Azelaic acid is also available over-the-counter in strengths 10% and lower. Here are some places you can find it online.
Read All About Azelaic Acid
Compare To Other Treatments
5
34.5%
4
31%
3
18.3%
2
8.9%
1
7.3%

Used Azelaic Acid? Rate It:

Choose from 1 to 5 stars
May 19, 2010

Cons:

Caused hypopigmentation... I started using Azelaic Acid 20% on my face as prescribed in January... by July - when I went to the beach - my skin was totally blotchy... I have patches of white where the cells have been damaged. Some doctors tried to tell me that it's Vitiligo, but the white patches are exactly where I applied the medicine. It's been over three years and it isn't much better. It is mostly noticeable in the summer I tried topicals

DON'T USE IT!!!
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January 31, 2009

Pros:

acne scars do seem to fade faster

Cons:

made me break out in cystic acne in areas of my face that used to be clear.

not worth the money, time, or stress.
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January 8, 2009

Pros:

Coulndn't mention any

Cons:

Dries out skin. Burns and leaves skin itchy and red.

I've been using this product for nearly 3 months now and i'm giving up. My skin looks older and ragged due to the drying effect. This product has not been working for me at all!
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August 30, 2008

Pros:

I have been using this product for a few weeks now and overall i think it has made my acne worse.

Cons:

Makes skin really red and itchy and makes breakouts look even worse.

My doctor told me to try this after having been prescribed many other creams/gels, which also did not work but overall this has got to be the worst cream out of them all, i have stopped using it for now and i have another appointment this tuesday so ill keep my fingers crossed she gives me something that actually works.
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June 24, 2008

Pros:

it made my skin less red.

Cons:

it made break out more,since them I have been batling acne.

not worth for me.
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December 18, 2006

Pros:

Worked for about one week

Cons:

Extremely dry skin, cysts, white heads, more sensitive skin

After using Poractiv for about 2 years. My dermotologist perscribed Finacea for me, about 3 months ago. At first my face cleared instantly, I thought I had finally found a product that works for my VERY oily skin and large pores and mild to moderate acne. But the more I used the Finacea the worse my skin got. I applied it morning and night all over my face. It made my face break out where it normally never breaks out, especially on my forehead! It made these horrible cysts on my chin that would be purple in color and nothing but blood would come out! It also caused a little scarring on my left cheek! My skin has never been so dry!!! It is so embarassing! My skin has never looked worse! I have been trying White distilled vinager as a astringent for about 3 days now, and my face looks ALOT better, maybe by Christmas I can look good!
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.