Today's skin-care products do more than just clean and moisturize: They
promise smoother, clearer, more radiant skin with fewer fine lines and
wrinkles. But there's a downside to some of the ingredients.
A seemingly endless array of creams, lotions and cleansers use alpha hydroxy
acids to improve skin texture and make it firmer by thickening the collagen
beneath the surface. But these acids also can make the skin more sensitive to
the ravages of the sun. It becomes more apt to burn, which not only
contributes to aging but also can lead to skin cancer.
The product packaging, however, doesn't specify how the acids work or that
they can make the skin irritated and sun-sensitive.
Now federal regulators are recommending that consumers be warned about the
risks of alpha hydroxy acids. The Food and Drug Administration is collecting
public comments until the end of January and will review them before making a
final decision on the wording.
With manufacturers "putting more and more active ingredients in products, such
as AHAs, they should be warning the public that there may be side effects such
as sun sensitivity," said Dr. Elisabeth Shim, a skin cancer specialist in
Santa Monica and Pasadena. Such sensitivity can be a hidden risk, she said,
because it's not as apparent as the redness and irritation the products also
can cause.
Alpha hydroxy acids, which come from fruit and milk sugars, exfoliate the
skin, which means they strip dead cells from the skin's top layers. But in
thinning that outermost shield against the elements, they can increase the
possibility of sunburn and sensitivity for up to a week after they've been
applied.
The dangers can be avoided with careful use of sunscreens, but that message
apparently isn't getting through.
The FDA has proposed that labels state: "Sunburn Alert: This product contains
an alpha hydroxy acid (AHA) which may increase your skin's sensitivity to
sunburn. Use a sunscreen and limit sun exposure while using this product and
for a week afterward." However, because the recommendation doesn't have the
force of law, the manufacturers must decide whether to warn customers.
Dr. Richard Glogau, a dermatologist at UC San Francisco, said patients who
regularly use these products often complain that their skin is irritated and
getting redder, even if they get only intermittent exposure to sunlight. He
advises that they use sunscreens with a high SPF, such as 30 or 40. "Most of
the people I see get the stern skin cancer lecture and go out the door with a
much better sunscreen than they were using when they came in."
Most cosmetic products containing alpha hydroxy acids have concentrations of
6% to 10% of the acid. Stronger versions are used by cosmetologists,
facialists and dermatologists for various facial peels. The category includes
glycolic acid, lactic acid, citric acid and malic acid.
But Shim said alpha hydroxys shouldn't be singled out; other active
ingredients cause similar irritation and sensitivity. They include some
vitamin A-derived chemicals, such as retinol (which helps fade age spots and
plump up tiny lines) and salicylic acid (which is used to exfoliate). Both can
be found alongside the AHAs on store shelves.
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