What Is It: Glycolic Acid and Other AHAs
Thank goodness for Truth in Aging, right?
What it is. Glycolic acid is a member of the α-hydroxy acid (AHA) family, and is one of the most commonly used chemical peeling agents employed to address a wide variety of skin care complaints, including: acne, hyperpigmentation, and fine lines/wrinkles.
In addition to being deeply penetrating, cleansing and exfoliating, topical application of glycolic acid has been shown to be an effective anti-ager: reversing sun damage (such as mottled pigmentation), stimulating collagen & elastin production, quickening cell turnover, increasing skin's thickness, firmness & hydration, and smoothing rough and wrinkled skin.
And although the mechanism of exactly how glycolic acid works to "de-age" the skin is unknown, several articles and research studies suggest that it is the ability to increase skin renewal (which decreases by 7% every ten years).
Here's how it works: Once applied, glycolic acid reacts with the upper layer of the epidermis, weakening the binding properties of the lipids that hold the dead skin cells together. This allows the outer skin to "dissolve" revealing the underlying skin. To note, the greater the ability to stimulate cell renewal the greater the potential for skin irritation.
So how and where is it used? Well, GA can be found most often as a chemical peel performed by a dermatologist in concentrations of 20%-80% or at-home kits in lower concentrations of 15% or less. One at-home treatment TIA reviewed was Dermaquest's Glyco Creamy Cleanser at a 15% concentration.
Do they work? And at different concentrations? Well, yes: as published in the Journal of Cosmetic Dermatology, among others, they do. These include: Significant anti-aging benefits for the skin with 70% GA treatments; significant improvement to photodamaged skin with 50% GA treatments; and, successful treatment of superficial scarring and melasma with topical application ranging from ten percent to 30% in 2-week intervals for 16 weeks.
In addition, long-term daily use of low-strength products have been demonstrated clinically and historically to be effective in photodamaged skin, and are recommended for those unable to tolerate peels at higher concentrations.
You've got the wrong idea. There are some ideas out there that GA treatments can cause a number of undesirable effects: photosensitivity, skin dryness, irritation, and dermal thinness. Some of this is true, some of this is not.
Despite what you may have heard about AHA's, they do not cause skin dryness or irritation; rather, as FutureDerm points out, "it is often the formulation (i.e., the other ingredients) of the AHA treatment that is the source of discomfort, as found in a study by Yu et. al... [With a] second study [pointing out] that transepidermal water loss (TEWL) is not altered by application of AHAs." In fact, as another study points out, skin hydration in all test groups undergoing various AHA treatments reported modest increases in skin moisturization.
Nor do GA treatments cause the skin to thin -- in fact, it's quite the opposite. As recorded here, Twenty percent glycolic acid lotion applied twice a day to sun-damaged forearm skin for 3 months increased epidermal thickness, epidermal and dermal hyaluronic acid staining, and collagen gene expression.
What they do do, however, is enhance possible photodamage by ultraviolet light, with even short-term application of 10% glycolic acid sensitizes the skin to the damaging effects of UV light. However, as one study points out, this photosensitivity is reversed within a week of terminating treatments.