Salicylic acid is the most widely studied beta hydroxy acid used in skincare. It is valued for its unique ability to penetrate oil, clear blocked pores and reduce inflammation. For this reason, it remains a cornerstone ingredient in the management of acne prone and congested skin.

Unlike alpha hydroxy acids, which are water soluble and work mainly on the surface, salicylic acid is oil soluble. This allows it to move through sebum and travel deep into the pore, targeting congestion at its source.
Inside the follicle, salicylic acid loosens compacted dead skin cells and dissolves trapped debris. This helps prevent microcomedone formation and reduces the development of blackheads and whiteheads. By clearing the pore environment, it also reduces the conditions that allow inflammation to escalate.
Pores are not just surface openings. They are dynamic structures influenced by oil production, cell turnover and inflammation. Salicylic acid improves pore function by normalising how cells shed within the follicle and reducing oil related congestion. Over time, this leads to clearer pores and a smoother skin surface.
With consistent, appropriate use, salicylic acid can help improve:
• Blackheads and whiteheads
• Congestion and clogged pores
• Inflammatory breakouts
• Post breakout redness
• Excess oil and surface shine
• Enlarged looking pores
It is particularly effective for the nose, jawline and T zone, where oil production and congestion are more common.
Salicylic acid has inherent anti inflammatory properties. This makes it especially useful for red, tender or swollen breakouts. In addition to clearing pores, it helps calm surrounding tissue, reducing the risk of prolonged redness and post inflammatory pigmentation.

Frequency depends on concentration, formulation and individual barrier tolerance.
Lower strength leave on products are often best used two to three times per week. Cleansers containing salicylic acid may be used more frequently due to their short contact time.
Using salicylic acid too often can disrupt the skin barrier, leading to dryness, irritation and rebound oil production, which can worsen breakouts rather than improve them.
People with very dry skin, eczema, rosacea, aspirin sensitivity, compromised barriers or recent procedures should be assessed before introducing salicylic acid into their routine.
Salicylic acid increases sun sensitivity by accelerating cell turnover. Daily sunscreen use is essential when using products that contain it, even on cloudy days or when mostly indoors.
Salicylic acid is one of the most effective and evidence based ingredients for managing congestion and acne prone skin. When used correctly, it improves pore function, reduces inflammation and supports clearer, calmer skin over time.
Written by Dr Brandon Kober-Brown MBBS, ProfDipMensHlth, GCCM
Registered Medical Practitioner (General Registration) MED0002581903