De La Cruz Sulfur Ointment Acne Medication Maximum Strength Versus Dr. Dennis Gross Skincare DRx Blemish Solutions Clarifying Mask

When sulfur touches skin, it reacts with an amino acid in skin cells (called cysteine) to create cystine and hydrogen sulfide.

That hydrogen sulfide helps loosen dead skin cells to exfoliate. And here's a geeky detail: the smaller the Sulfur particles, the more they interact with skin and the better they work.

Sulfur also has antifungal and antibacterial activity, which is why you'll see it in both acne treatments and dandruff shampoos.

In the US, acne products can use 3-10% sulfur while dandruff products use 2-5%. It's also often paired with Sodium Sulfacetamide, and using that combo twice daily for 12 weeks reduced inflammatory acne spots by about 80%.

The most common complains are the smell and dryness. Otherwise, side effects are uncommon.

If you have a "sulfa" allergy, that's an allergy to sulfonamide drugs and this doesn't mean you'll react to elemental sulfur.

A 1972 study suggested sulfur might clog pores. Elemental sulfur caused some clogged pores on rabbit ears and human backs (though the researchers noted the effect was mild).

A 1978 follow-up tested this on 52 people. After six weeks of patches with 5% Sulfur, skin biopsies showed no link between Sulfur and clogged pores. The surprise? The base the Sulfur was mixed into was what caused clogged pores. Later reviewers also noted that other studies couldn't repeat the 1972 results.

So why does Sulfur have a comedogenic rating of 3?

That number comes from a 1989 rabbit ear study by dermatologist James Fulton, which gave a 3 to water-soluble sulfur specifically. Even so, a 3 isn't a big red flag. Fulton's own scale treats 2 to 3 as borderline.

Human testing has also proved that any finished product with a comedogenic ingredient won't automatically make you break out; it really comes down to concentration, formula, and your skin.