Quick Comparison
| Azelaic Acid | Vitamin C (L-Ascorbic Acid) | |
|---|---|---|
| Typical Concentration | OTC: 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. | L-Ascorbic Acid: 10-20% at pH 2.5-3.5. Start with 10% if new to vitamin C. Apply in the morning under sunscreen for photoprotective synergy. The SkinCeuticals CE Ferulic formula (15% L-AA + 1% vitamin E + 0.5% ferulic acid) is the most studied and copied formulation. |
| Application | Topical (gel, cream, serum). Slightly gritty texture in some formulations. Apply to clean skin. | Topical (serum, usually water-based). Apply to clean, dry skin in the morning before sunscreen. Store in cool, dark place. Discard when it turns dark yellow or brown. |
| Research Papers | 9 papers | 10 papers |
| Categories |
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.
Vitamin C (L-Ascorbic Acid)
L-Ascorbic acid donates electrons to scavenge reactive oxygen species (superoxide, hydroxyl radical, singlet oxygen) and reactive nitrogen species from UV, pollution, and metabolism—preventing oxidative damage to lipids, proteins, and DNA. It inhibits tyrosinase (copper enzyme catalyzing tyrosine to L-DOPA to dopaquinone) through copper chelation and competitive inhibition. Ascorbate is an essential cofactor for prolyl and lysyl hydroxylase—enzymes that hydroxylate collagen residues for triple-helix formation and lysyl oxidase crosslinking. Vitamin C regenerates oxidized vitamin E, creating a sustained redox cycle. Ferulic acid stabilizes both vitamins; the CE Ferulic combination provides 4-8x greater photoprotection than vitamin C alone. Penetration requires pH 2.5-3.5.
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).
Vitamin C (L-Ascorbic Acid)
Common
Tingling/stinging on application (due to low pH), oxidation of product (turns yellow/brown — discard when this happens).
Serious
None.
Rare
Contact dermatitis, especially with oxidized product. May cause temporary orange staining of skin at high concentrations.
Full Profiles
Azelaic Acid →
A dicarboxylic acid naturally produced by yeast on the skin. Azelaic acid is a true multi-tasker that treats acne, rosacea, and hyperpigmentation simultaneously. It is one of the few active ingredients considered safe during pregnancy, and it uniquely targets only abnormal melanocytes — meaning it brightens dark spots without lightening normal skin. Effective for both inflammatory acne and post-inflammatory hyperpigmentation (PIH).
Vitamin C (L-Ascorbic Acid) →
The most potent topical antioxidant with strong clinical evidence for brightening, anti-aging, and photoprotection. L-Ascorbic Acid is the pure, active form that directly neutralizes free radicals, inhibits melanin production, and stimulates collagen synthesis. The challenge is formulation — it is notoriously unstable and must be at low pH (2.5-3.5) for skin penetration, which can cause irritation.