Quick Comparison

Azelaic AcidGreen Tea Extract (EGCG)
Typical ConcentrationOTC: 10% (The Ordinary). Prescription: 15% gel (Finacea for rosacea), 20% cream (Azelex for acne). Apply twice daily. Well-tolerated but may sting/itch initially. Full effects at 8-12 weeks.Topical: 1-5% green tea extract in formulations. Look for products with EGCG specifically listed. Oral: 400-800 mg green tea extract (standardized to EGCG) daily. Apply topical products before sunscreen for additional photoprotection.
ApplicationTopical (gel, cream, serum). Slightly gritty texture in some formulations. Apply to clean skin.Topical (serum, cream, toner) or oral (supplement, tea). Topical is effective for localized skin benefits.
Research Papers9 papers9 papers
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Mechanism of Action

Azelaic Acid

Azelaic acid exhibits multi-modal activity: (1) Tyrosinase inhibition—competitively inhibits tyrosinase selectively in hyperactive melanocytes (melasma, PIH) while sparing normal ones; may involve mitochondrial enzyme interference in dysregulated melanocytes. (2) Antimicrobial—bacteriostatic against Cutibacterium acnes by inhibiting bacterial protein synthesis. (3) Comedolytic—normalizes follicular keratinization, reducing hyperkeratinization and corneocyte cohesion; may modulate keratinocyte differentiation. (4) Anti-inflammatory—scavenges ROS, inhibits neutrophil free radicals, reduces pro-inflammatory cytokines. Inhibits 5-alpha-reductase in sebocytes, potentially reducing sebum. Multi-pathway activity explains efficacy in acne, rosacea, and hyperpigmentation. Safe during pregnancy.

Green Tea Extract (EGCG)

EGCG scavenges ROS (superoxide, hydroxyl radical, peroxynitrite) and chelates iron/copper that catalyze Fenton reactions. Inhibits MMP-2 (gelatinase A) and MMP-9 (gelatinase B) that degrade collagen types I, III, IV and elastin in photoaged skin — these enzymes are UV-upregulated via AP-1 and NF-kappa B. Reduces sebum by inhibiting 5-alpha reductase type 1 (testosterone to DHT conversion in sebaceous glands). Anti-inflammatory: NF-kappa B inhibition (I-kappa B degradation prevention), COX-2 suppression, TNF-alpha/IL-1beta reduction. Promotes keratinocyte differentiation via involucrin and filaggrin upregulation. Catechol structure enables dual antioxidant and metal-chelating activity. Topical EGCG reduces UV-induced erythema and prevents collagen degradation when used before sun exposure.

Risks & Safety

Azelaic Acid

Common

Stinging, burning, itching on initial application (usually subsides within 2 weeks). Mild dryness.

Serious

None. Safe during pregnancy and breastfeeding.

Rare

Allergic contact dermatitis, hypopigmentation (rare at cosmetic concentrations).

Green Tea Extract (EGCG)

Serious

None topically. Oral high-dose EGCG supplements have rare liver toxicity reports.

Rare

Contact dermatitis.

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