What is benzoyl peroxide in skincare?
Benzoyl peroxide is an organic peroxide used topically for acne. It releases oxygen into the follicle, which kills Cutibacterium acnes – the bacterium that drives inflammatory breakouts – and mildly loosens the plug of dead cells at the same time.
Its great advantage is that bacteria do not develop resistance to it, unlike topical antibiotics. Over-the-counter strengths run from 2.5% to 10%.
What skin concerns does benzoyl peroxide treat?
It is most effective on inflammatory acne – red papules and pustules – and less so on plain blackheads, where salicylic acid or a retinoid does more.
Trial evidence is consistent, and importantly shows 2.5% works about as well as 10% with considerably less dryness and irritation. Starting low is genuinely the better strategy, not a compromise.
What ingredients are best paired with benzoyl peroxide?
Niacinamide, hyaluronic acid, ceramides and squalane offset the dryness it causes. Using it as a short-contact wash – applied, left five minutes, rinsed – gives most of the benefit with far less irritation.
Keep it away from retinoids and vitamin C in the same application, since it can oxidise them; use one in the morning and the other at night. It bleaches fabric, so expect marks on towels and pillowcases. Take our Skin Quiz.
What are age spots?
Age spots – known clinically as solar lentigines, and sometimes as liver spots – are flat, well-defined brown or tan patches that appear on skin with the most cumulative sun exposure: the face, backs of the hands, forearms, shoulders and upper chest.
Despite the name, they are not caused by age itself. They are a record of ultraviolet exposure, which is why they are common from the forties onward and why they cluster on areas that rarely get sunscreen.
What causes age spots?
Long-term UV exposure drives melanocytes to over-produce melanin in concentrated spots, and the surrounding keratinocytes stop clearing that pigment efficiently as skin ages.
Fair skin, a history of sunburns, tanning beds and outdoor work all raise the risk. Any new spot that changes shape, colour or size, bleeds or has an irregular border should be checked by a doctor rather than treated cosmetically.
What ingredients are best for age spots?
Topical treatment works but needs patience – expect three to six months. Retinoids speed turnover so pigmented cells shed faster, vitamin C and niacinamide brighten and protect, and alpha arbutin, kojic acid, azelaic acid and liquorice root inhibit new pigment.
Glycolic or lactic acid helps lift existing pigment from the surface. Daily broad-spectrum SPF, including on hands and chest, is what prevents new spots forming. Take our Skin Quiz.
