Azelaic Acid: The Calming Multitasker for Acne, Redness and Pigmentation

Why azelaic acid is different

Unlike many acids that focus mainly on exfoliation, azelaic acid works through multiple biological pathways. It reduces the growth of acne causing bacteria, calms inflammatory responses and helps normalise how skin cells shed within the pore.

Azelaic acid and acne

Azelaic acid reduces bacterial load, decreases inflammation and helps prevent blocked pores. It is particularly useful for inflammatory acne, adult acne and sensitive acne prone skin.

It does not cause bacterial resistance and can be used long term.

Azelaic acid and redness

Azelaic acid has strong anti inflammatory properties. It is widely used in rosacea management to reduce redness, flushing and inflammatory papules.

Azelaic acid and pigmentation

Azelaic acid inhibits tyrosinase, the enzyme involved in melanin production. This makes it effective for:

• Post inflammatory hyperpigmentation
• Melasma
• Uneven skin tone
• Red and brown acne marks

Azelaic acid and texture

By normalising cell turnover, azelaic acid helps smooth texture and reduce congestion without aggressive exfoliation.

How often should azelaic acid be used

Most people tolerate azelaic acid well. It can often be used once or twice daily depending on formulation and skin sensitivity.

Who should be cautious

People with very sensitive skin or compromised barriers should introduce azelaic acid gradually.

Azelaic acid and sun sensitivity

Azelaic acid does not significantly increase sun sensitivity, but daily sunscreen is still essential when treating pigmentation.

The take home message

Azelaic acid is one of the most effective ingredients for managing acne, redness and pigmentation at the same time. It is well tolerated, suitable for long term use and particularly valuable for sensitive or rosacea prone skin.

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Written by Dr Brandon Kober-Brown MBBS, ProfDipMensHlth, GCCM

Registered Medical Practitioner (General Registration) MED0002581903