Adult Acne: Causes, Treatments, and Solutions

Acne

Hello, Dr.
Jiang.
Since I was discharged from the military, I've been experiencing sporadic acne breakouts.
They would usually resolve in two to three days, but over time, the breakouts have increased significantly, and now my cheeks are constantly erupting with acne.
Some of the cysts are deep under the skin, and most of them are quite large and almost painless.
I've seen many dermatologists, but after two to three months of treatment with no progress, I switched doctors, which has left me feeling quite discouraged.
The acne takes several weeks to subside after it appears, and when I wash my face, sometimes the mature pimples burst, resulting in a lot of pus and blood.
Most of my acne is inflamed and red.
I am now 26 years old; am I still in my youth? The acne on my face is really causing me a lot of distress, and I don't know what to do.
I've become reluctant to go out.
My friends say I have a lot of heat in my body and suggested I see a traditional Chinese medicine doctor, who claimed that my liver and kidneys are not functioning well.
What exactly is the problem? Please help me, doctor! Thank you.

Xiao Wu, 20~29 year old female. Ask Date: 2007/11/03

Dr. Jiang Zheen reply Dermatology

Acne is related to one's constitution, and factors such as lifestyle (like staying up late), diet, and stress can exacerbate the condition.
For stubborn acne, the most effective medication currently is oral isotretinoin.
You can apply to use this medication at a dermatology clinic in a hospital.
Wishing you peace, and Jesus loves you.

Reply Date: 2007/11/03

More Info

Adult acne is a common and often distressing condition that can significantly impact an individual's self-esteem and quality of life. It is characterized by the presence of pimples, blackheads, and cysts on the skin, particularly on the face, back, and shoulders. Understanding the causes, treatments, and potential solutions for adult acne is essential for effective management.

Causes of Adult Acne
1. Hormonal Changes: Fluctuations in hormones, particularly androgens, can lead to increased oil production in the skin, which can clog pores and result in acne. This is often seen during menstrual cycles, pregnancy, or conditions like polycystic ovary syndrome (PCOS).

2. Stress: Stress can exacerbate acne by triggering hormonal changes and increasing oil production. The body's stress response can also lead to inflammation, which may worsen existing acne.

3. Diet: Certain dietary choices, such as high-glycemic foods (sugary and processed foods) and dairy products, have been linked to acne flare-ups. A diet rich in whole foods, fruits, and vegetables may help improve skin health.

4. Cosmetics and Skincare Products: Some makeup and skincare products can clog pores, leading to breakouts. It's essential to choose non-comedogenic products that do not contribute to acne.

5. Medications: Certain medications, including corticosteroids, lithium, and some contraceptives, can trigger or worsen acne.

6. Underlying Health Conditions: Conditions such as hormonal imbalances, metabolic disorders, or even certain infections can contribute to the development of acne.

Treatments for Adult Acne
1. Topical Treatments: Over-the-counter products containing benzoyl peroxide, salicylic acid, or retinoids can help reduce acne by unclogging pores and reducing inflammation. Prescription topical treatments may include stronger retinoids or antibiotics.

2. Oral Medications: For more severe cases, dermatologists may prescribe oral antibiotics to reduce bacteria and inflammation. Hormonal treatments, such as birth control pills, can also be effective for women by regulating hormones that contribute to acne.

3. Isotretinoin: For severe, persistent acne that does not respond to other treatments, isotretinoin (commonly known as Accutane) may be prescribed. This powerful medication can significantly reduce oil production and prevent future breakouts.

4. Chemical Peels and Laser Therapy: Dermatological procedures like chemical peels or laser treatments can help improve skin texture and reduce acne scarring.

5. Lifestyle Modifications: Maintaining a consistent skincare routine, managing stress through relaxation techniques, and adopting a balanced diet can support overall skin health.

Solutions and Recommendations
Given your situation, where you have experienced persistent and painful acne despite seeing multiple dermatologists, it may be beneficial to consider the following steps:
- Seek a Dermatologist Specializing in Adult Acne: Finding a dermatologist who specializes in adult acne can provide you with tailored treatment options and a comprehensive approach to managing your condition.

- Consider Hormonal Evaluation: Since hormonal fluctuations can play a significant role in adult acne, it may be worth discussing hormonal evaluations with your healthcare provider to rule out conditions like PCOS.

- Explore Dietary Changes: Keeping a food diary to identify potential triggers in your diet may help. Consider consulting a nutritionist for personalized dietary advice.

- Mental Health Support: The emotional toll of dealing with acne can be significant. Seeking support from a counselor or therapist may help you cope with the psychological impact of your skin condition.

- Patience and Consistency: Acne treatments often take time to show results. It's crucial to remain consistent with your treatment plan and give it adequate time to work.

In conclusion, adult acne can be a complex condition influenced by various factors. A comprehensive approach that includes medical treatment, lifestyle changes, and emotional support can lead to significant improvements. Don't hesitate to advocate for yourself and seek out the care that best meets your needs.

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