Can Stress-Induced Acne Be Treated Beyond Oral A-Retinoids?

Can stress acne be cured even with oral isotretinoin?

Hello, doctor.
I have been struggling with acne since middle school, and it was most severe during my senior year of high school when stress caused my face to break out with pustular acne, making me feel disfigured.
Later, from 2017 to 2018, I visited Dr.
Lin Bing-Huang in Tainan and underwent nearly a year of oral isotretinoin treatment.
After stopping the medication, my facial and back skin remained in perfect condition for two years, and I continued to use topical isotretinoin as part of my daily skincare routine.

However, last year, possibly due to the pandemic and wearing masks, and this summer's extremely high temperatures, I began to develop cystic acne and comedonal acne in areas such as the lower cheeks near my neck, chin, in front of my ears, and behind them.
Additionally, after entering the workforce, I have experienced work-related stress.
Over the years, I have observed that I tend to be prone to anxiety and stress.
Besides wearing masks and the summer heat, I believe the main factor contributing to my acne is psychological stress, particularly from work.

What should I do to treat stress-related acne? It's impossible to live without stress, and I can't rely on oral isotretinoin for a lifetime.
If the root cause is stress, does that mean I will never be free from stress-related acne? The acne and comedones caused by stress have troubled me for many years, and even after completing the oral treatment, using topical isotretinoin daily doesn't seem to help.
I sincerely hope you can provide some advice.
Whenever I feel stressed, I suddenly break out in acne, which only increases my anxiety, creating a vicious cycle.
How can I reduce stress (though it seems impossible)?

Ning Ning, 20~29 year old female. Ask Date: 2022/08/18

Dr. Wu Yuxin reply Dermatology

It may be necessary to consider reinitiating oral isotretinoin therapy.

Reply Date: 2022/08/18

More Info

Stress-induced acne, often referred to as "stress acne," is a common issue faced by many individuals, particularly during periods of heightened anxiety or pressure. The relationship between stress and acne is well-documented; stress can trigger hormonal changes in the body, leading to increased oil production in the skin, which can subsequently result in clogged pores and breakouts. While oral A-retinoids, such as isotretinoin, can be effective in treating severe acne, they are not the only option available, especially for those who are concerned about long-term use or potential side effects.

To address your concerns about managing stress-induced acne beyond oral A-retinoids, there are several strategies and treatments that can be considered:
1. Topical Treatments: In addition to A-retinoids, there are various topical treatments that can help manage acne. These include benzoyl peroxide, salicylic acid, and topical antibiotics. These products can help reduce inflammation, kill acne-causing bacteria, and promote skin cell turnover, which can be beneficial in preventing breakouts.

2. Hormonal Treatments: For some individuals, particularly women, hormonal treatments such as oral contraceptives can help regulate hormones that contribute to acne. These medications can help balance hormone levels and reduce the frequency and severity of breakouts.

3. Lifestyle Modifications: Stress management is crucial in controlling stress-induced acne. Techniques such as mindfulness, meditation, yoga, and regular physical exercise can help reduce stress levels. Engaging in activities that you enjoy and that promote relaxation can also be beneficial.

4. Dietary Changes: Some studies suggest that diet can play a role in acne development. A diet rich in whole foods, fruits, vegetables, lean proteins, and healthy fats, while limiting processed foods and sugars, may help improve skin health. Staying hydrated is also essential.

5. Skincare Routine: Establishing a consistent skincare routine that includes gentle cleansing, moisturizing, and sun protection can help maintain skin health. Avoiding harsh scrubs or products that can irritate the skin is important, as irritation can exacerbate acne.

6. Professional Help: Consulting with a dermatologist or a healthcare provider specializing in skin conditions can provide personalized treatment options. They may recommend treatments such as chemical peels, laser therapy, or light therapy, which can help reduce acne and improve skin texture.

7. Cognitive Behavioral Therapy (CBT): If stress and anxiety are significant contributors to your acne, seeking therapy may be beneficial. Cognitive Behavioral Therapy can help you develop coping strategies to manage stress and anxiety more effectively.

8. Regular Follow-ups: Since you have previously experienced success with oral A-retinoids, it may be worth discussing with your dermatologist the possibility of a tailored treatment plan that includes both topical and systemic therapies, along with lifestyle modifications to address the underlying stress.

In conclusion, while oral A-retinoids can be effective for treating severe acne, they are not the only solution, especially for stress-induced acne. A multifaceted approach that includes topical treatments, lifestyle changes, stress management techniques, and professional guidance can help you manage your acne more effectively. Remember, it’s essential to be patient with your skin and to give any new treatment or lifestyle change time to show results. Regular communication with your healthcare provider will also ensure that you are on the right track to achieving clearer skin while managing stress effectively.

Similar Q&A

Managing Side Effects of A Acid Treatment for Acne: A Personal Journey

Oh, poor me... I started a retinoid treatment due to acne! After going through a breakout phase, my face suddenly became a mess... red acne scars and pitted skin, everything came at once! These are manageable, but the terrifying cheilitis has struck me – the corners of my mouth a...

Dr. Wu Yuxin reply Dermatology
The side effects of A acid on the lips can indeed be alleviated by applying more petroleum jelly. If the condition is severe, you may ask your physician to prescribe some anti-inflammatory ointment for treatment, but it should not be used for an extended period. As for the side e...

Effective Acne Treatment Options Beyond AHA and Retinoids

My acne is almost covering my entire face. I have used retinoids and alpha hydroxy acids to soften the keratin, but after using them for a while, there has been no significant improvement. Besides using retinoids and alpha hydroxy acids, what other methods can I use to eliminate ...

Dr. Huang Ruiyun reply Dermatology
While it is true that some people may have their faces covered in acne, it is not common. I hope you are not mistaking other conditions for acne. It is important to consult a dermatologist to determine the appropriate treatment method.

Can I Use Topical Retinoids for Acne After Rosacea Treatment?

Hello, doctor. I was previously diagnosed with papulopustular rosacea. After treatment with antibiotics and topical metronidazole, my condition is now stable with no recurrence. However, I still have issues with acne and comedones on my face. I usually use azelaic acid for treatm...

Dr. Wu Yuxin reply Dermatology
Sure.

Expert Answers to Common Dermatology Questions: Acne, Vitamin C, and More

Hello, doctor. I hope you don't mind answering my questions. Question 1: Is ice therapy effective for acne? Question 2: There was a report in the "Common Health" magazine about the remarkable effects of Isdin's Dehydroascorbic Acid (Vitamin C). Is this tru...

Dr. Zheng Lizhen reply Dermatology
1. When acne is severely inflamed, you can first apply a cold compress locally to alleviate redness, swelling, and pain, and consult a dermatologist for treatment. 2. Unclear. 3. No. 4. Currently, products like retinol and aldehyde are less likely to cause irritation and photosen...