Topical Antibacterial
Reviews
3.8
506 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
34.6%
4
30.8%
3
18.2%
2
8.9%
1
7.5%

Used Azelaic Acid? Rate It:

Choose from 1 to 5 stars
July 12, 2010

Pros:

You can see a difference the first day itself. redness reduced, tiny whiteheads starting to reduce in size as well. having read so much raves about this cream made me so hyped up about it, and indeed it does what many pimple creams fail to do. this is a must buy.

Cons:

not many hospitals/clinics have this here. it's not even well known in my country

get it, its non irritable, cheap, contains skin-friendly cream which benefits ur skin. i dont even bother writing reviews, but since this's so awesome i think i need to promote to all u people out there!
This Was Helpful

13 user(s) found this helpful

Report
November 15, 2009

Pros:

I have hyperpigmentation. it was very depressing as I always had good skin. I am using skinoren at night and nivea cell renewal sun cream during the the day. skin is clearer, dark patches fading slowly. Will continue use.

Cons:

slightly pricey, but lasts long.

Looks very promising. I have made this cream a part of my skin care routine. Will update later.
This Was Helpful

13 user(s) found this helpful

Report
August 7, 2009

Pros:

Clears up acne in the cheek area.

Cons:

Take almost 4 weeks to start working, itches and tingles for about 15 minutes and doesn't help on my chin acne

It's ok.
This Was Helpful

13 user(s) found this helpful

Report
November 11, 2017
Amazing cream
I have suffered from acne all my life and I am now 52 (female). The only pill that helped was Dianette but sadly they took me off it when I was forty due to the increase in risks of blood clots. My acne returned and I have been trying everything available as usual on the market, I even did a dairy free diet as there are links to dairy and acne, but nothing worked. I recently had a real bad outbreak of cystic acne and after looking to the internet saw the reviews for this cream. I half heartedly bought it thinking it wouldn't work but had to put my review on, I have only been using for two weeks (I have very sensitive skin) and the results are amazing, all my cystic acne, blackheads have gone and my red scars are gradually diminishing and this cream hasn't irritated my skin! I am amazed and hope these results continue, I am soooo happy.
This Was Helpful

12 user(s) found this helpful

Report
September 19, 2018
Just an update on my post above, only use cream once a day every other day and it has kept my acne at bay and scars have gone. After a lifetime with acne I just wished I had discovered this sooner, has made such a difference to my confidence and appearance. Just a bit apprehensive about stopping it altogether as only meant to use for one year. Has anyone used it for longer?
February 11, 2016
Anti-inflammatory and anti-bacterial benefits!
I started using Finacea last night and a HUGE patch of hyper-pigmentation has pretty dramatically toned down. It has amazing ant-inflammatory properties AND is an anti-bacterial. It will itch at first, but it has not flaked/irritated my horribly sensitive skin. In fact, after I apply it my skin calms down in minutes. If you are worried about buying a whole bottle's worth of this stuff, ask you derm for samples! That's what I did, and I'm hooked! I also want to mention that tretenoin (.025%) destroys my skin, causes inflamed purging, and even makes me red. This is what I will use now, and only use the retinol once or twice a week.
This Was Helpful

12 user(s) found this helpful

Report
December 9, 2016
Retinol causes cystic purging in me, too
October 13, 2011

Pros:

It works! My skin cleared up for the first time in years within 2 weeks of using this product.

Cons:

stings & tingles slightly for the first few times of use

This really worked for me, after having severe acne after stopping the pill and then even in pregnancy. This product finally gave me the relief I have been looking for. I use it at night and during the day I use the effaclar series by LaRoche Posay.
This Was Helpful

12 user(s) found this helpful

Report
February 17, 2010

Pros:

leaves skin baby smooth; does not irritate or cause bothersome peeling; promotes fast heeling of pimples; unclogs poors

Cons:

if you use too much it causes a tingling sensation; more of a preventative acne solution versus a treatment

did wonders for me. suffered from acne for almost 4 years. keeps my skin soft and touchable. not a pore in sight! i use it every night even though you are supposed to use it twice a say. my skin is waaaay too sensitive for the twice a day thing: once at night is just right for me.
This Was Helpful

12 user(s) found this helpful

Report
September 1, 2009

Pros:

Didn't experience any of the painful itching or stinging other people have.

Cons:

Painful cystic breakouts, worse than before I started!

I've only been using this product for 2 - 3 weeks. I keep hoping that things'll settle down as my skin gets used to it, but so far... no sign of improvement. The acne on my chin and jawline is worse than ever! So far... definitely not recommended. I'm going to try it for one more week; then it's back to Proactiv for me. If I really do have rosacea, per the dermatologist that prescribed this stuff, I'll try a new pair of creams from Prescriptives.
This Was Helpful

12 user(s) found this helpful

Report
September 4, 2013
skinoren works for me!

Pros:

slow but effective
prevents redness and reduces breakouts

Cons:

very itchy at first time

I am 40 yrs old. My skin is not flawless but always been good enough to the point that im satisfied. I have few blemishes and pores but can fix them with a little bit of foundation or face powder. I wasnt been an acne prone person but 5 months ago, I started noticing some big pimples with puss and really hurts when I do my night facial regime. I didnt pay attention so much b/c I thought it will pass. But day after day after day my breakout is getting worse and so I started to be worried. I was scared that Im developing rosacea. Last month I went to see my dermatologist for a consultation and she confirmed that im having acne and not rosacea so I was a bit relieved. She prescribed me skinoren and dalacin 10mg. Been using skinoren and dalacin for 20 days now and im happy with the results. My face is clearing up and smoother. Skinoren works for me but apparently it has different effects to others.
This Was Helpful

11 user(s) found this helpful

Report
July 21, 2013
Best product for mild rosacea and hormonal acne

Pros:

Decreases redness
Smooth, clear skin
Decreases hyper-pigmentation

Cons:

Burns a bit if I try to use it twice a day.

I've struggled with my skin ever since I began having serious outbreaks in my mid-20s. I used isotrexin for three years with moderate success, but I noticed increasing general redness, particularly in my cheeks and was getting new broken capillaries at an alarming rate. I changed to finacea just two weeks ago and the redness is already nearly gone. There have been no new broken capillaries, and it has also been very effective in controlling my mild hormonal acne. I would highly recommend this product to anyone who has the combination of sensitive skin/mild rosacea with some hormonal acne. My skin has become very smooth and clear, and I can't wait to see any continued improvement over the next months.
This Was Helpful

11 user(s) found this helpful

Report

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.