Adult Acne: Causes and Solutions for Persistent Breakouts

Annoying Pimple Miss and Acne Mr?

Hello, Doctor: I’m not sure why, even after puberty, I still get acne and pimples.
They usually appear on my chin, starting as small white bumps that are hardly noticeable as pimples.
However, after about a week, they develop into whiteheads that can be squeezed out.
Additionally, I also get large pimples on the sides of my face, which consistently appear in the same areas and won’t go away.
I rarely eat fried or spicy foods, sleep six to seven hours a night, and I even bought cleansing oil for makeup removal, but it still persists.
People say that those who have acne don’t get freckles, but I actually have freckles on my face as well, which is really upsetting.
I don’t know how to help myself.
Please help me with this, Dr.
Zheng.
Thank you very much!

Kandi, 20~29 year old female. Ask Date: 2000/11/15

Dr. Zheng Lizhen reply Dermatology

Acne and freckles are two different issues, and it's not uncommon to have both.
Acne, scientifically known as "acne vulgaris," is prevalent among adolescents, which is why it's referred to as teenage acne; however, it doesn't mean that it won't occur after puberty! For regular facial cleansing, using a makeup remover lotion is sufficient, unless you're wearing heavy makeup, in which case a cleansing oil may be necessary.
After removing makeup, follow up with a facial cleanser.
Research indicates that there is no significant correlation between acne and diet, unless you personally notice that certain foods trigger breakouts.
Otherwise, there is no need for strict dietary restrictions.
If you have taken all preventive measures and still experience breakouts, it may indicate that you need medical assistance.
At this point, don't hesitate to seek help from a dermatologist!

Reply Date: 2000/11/15

More Info

Adult acne is a common concern that affects many individuals even after the teenage years. It can be frustrating and disheartening, especially when you feel like you are doing everything right in terms of diet and skincare. Understanding the causes of adult acne and exploring potential solutions can help you manage and reduce breakouts effectively.

Causes of Adult Acne
1. Hormonal Fluctuations: One of the primary causes of adult acne is hormonal changes. This can occur due to menstrual cycles, pregnancy, or conditions like polycystic ovary syndrome (PCOS). Hormones can increase oil production in the skin, leading to clogged pores and breakouts.

2. Stress: Stress triggers the release of cortisol, a hormone that can increase oil production in the skin. This can lead to more acne, particularly in areas like the chin and jawline, which are common spots for hormonal acne.

3. Diet: While you mentioned that you avoid fried and spicy foods, other dietary factors can contribute to acne. High glycemic index foods (like white bread and sugary snacks) can spike insulin levels, leading to increased oil production. Dairy products have also been linked to acne in some studies.

4. Skincare Products: Sometimes, the products you use on your skin can contribute to breakouts. Comedogenic ingredients can clog pores, leading to acne. It's essential to choose non-comedogenic products, especially if you have oily or acne-prone skin.

5. Genetics: If your family has a history of acne, you may be more prone to experiencing it as well. Genetics can play a significant role in how your skin responds to various factors.

6. Environmental Factors: Pollution, humidity, and other environmental stressors can also affect your skin. These factors can lead to increased oil production and clogged pores.

Solutions for Persistent Breakouts
1. Consult a Dermatologist: If you haven't already, consider seeing a dermatologist. They can provide personalized advice and may prescribe topical or oral medications to help manage your acne. Options include retinoids, antibiotics, or hormonal treatments.

2. Skincare Routine: Ensure that you have a consistent skincare routine that includes gentle cleansing, exfoliation, and moisturizing. Look for products that contain salicylic acid or benzoyl peroxide, which can help treat and prevent acne.

3. Dietary Adjustments: Consider keeping a food diary to identify any potential triggers. Reducing dairy and high glycemic index foods may help. Incorporating more whole foods, fruits, and vegetables can also support skin health.

4. Stress Management: Since stress can exacerbate acne, finding ways to manage stress is crucial. Techniques such as yoga, meditation, or regular exercise can help reduce stress levels.

5. Avoid Picking or Squeezing: It can be tempting to pick at acne, but this can lead to scarring and further inflammation. Try to avoid touching your face and keep your hands clean.

6. Hydration: Ensure you are drinking enough water daily. Staying hydrated can help maintain skin health and may reduce the severity of breakouts.

7. Sun Protection: Protecting your skin from the sun is essential, especially if you are using acne treatments that can make your skin more sensitive to sunlight. Use a non-comedogenic sunscreen daily.

Conclusion
Adult acne can be a complex issue influenced by various factors, including hormonal changes, stress, and genetics. By understanding these causes and implementing a comprehensive approach to treatment, including consulting with a dermatologist, adjusting your skincare routine, and managing stress, you can work towards clearer skin. Remember that patience is key, as it may take time to see significant improvements. Don't hesitate to reach out for professional help if your acne persists or worsens.

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