Facial Acne: Causes and Solutions for Cheek Breakouts - Dermatology

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I keep getting acne on my cheeks!


Hello Doctor: I used to have acne primarily on my forehead, which was due to my irregular sleep schedule and frequent late nights.
However, recently I've noticed something strange.
Due to increased stress and more late nights, along with an irregular diet, the acne on my forehead has decreased, but now I have larger breakouts on my cheeks and smaller ones on my chin.
I've read online that acne on the cheeks could indicate liver or lung issues, and I know that I tend to get breakouts on my chin before my menstrual cycle or when it's irregular.
Could you please help clarify this for me? Thank you! ^^

Xia Tian, 20~29 year old female. Ask Date: 2008/01/30

Dr. Hong Zhengsheng reply Dermatology


Hello: I apologize, but I personally have not heard of the aforementioned statement.
"Find a dermatologist you trust and consult with them" is the best advice for you.
I recommend that when your skin exhibits the described symptoms, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
All of our physicians are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2008/01/30

More Info


Understanding facial acne, particularly the shift from forehead breakouts to cheek and chin areas, can be quite perplexing. The changes in acne location can often be attributed to a variety of factors, including hormonal fluctuations, stress levels, and dietary habits.
Firstly, it’s important to recognize that acne can manifest in different areas of the face due to various underlying causes. The forehead is often associated with stress and hormonal changes, while breakouts on the cheeks and chin can be linked to other factors. For instance, cheek acne may be influenced by external factors such as touching your face, using dirty phone screens, or even sleeping on unclean pillowcases. Additionally, hormonal changes, particularly in women, can lead to breakouts around the chin and jawline, often coinciding with menstrual cycles.

In your case, the reduction of forehead acne while experiencing an increase in cheek and chin breakouts could be a reflection of your current lifestyle changes. Stress and irregular sleep patterns can exacerbate hormonal imbalances, leading to increased oil production and clogged pores, particularly in the areas you mentioned. Furthermore, dietary changes can also play a significant role. Consuming high-glycemic foods or dairy products can trigger acne in some individuals, so it’s worth considering if your recent diet has shifted in a way that might contribute to these breakouts.

The notion that acne in specific areas correlates with internal organ health, such as the liver or lungs, is a common belief in traditional medicine, but it lacks substantial scientific backing. While it’s true that overall health can impact skin condition, pinpointing specific organ issues based solely on acne location is not supported by modern dermatological science.

To address your current acne concerns, consider the following strategies:
1. Skincare Routine: Ensure you are using a gentle, non-comedogenic cleanser to wash your face twice daily. Incorporate products with salicylic acid or benzoyl peroxide, which can help reduce acne by unclogging pores and reducing inflammation.

2. Moisturizing: Even if your skin is oily, it’s crucial to maintain hydration. Opt for lightweight, oil-free moisturizers that won’t clog pores.

3. Diet and Hydration: Pay attention to your diet. Try to limit high-sugar and high-dairy foods, and increase your intake of fruits, vegetables, and whole grains. Staying hydrated is also essential for overall skin health.

4. Stress Management: Since stress can significantly impact your skin, consider incorporating stress-reducing activities into your routine, such as exercise, meditation, or yoga.

5. Avoid Touching Your Face: This can transfer bacteria and oils from your hands to your face, exacerbating acne.

6. Consult a Dermatologist: If your acne persists or worsens, it may be beneficial to consult a dermatologist. They can provide tailored treatments, which may include topical or oral medications.

In summary, while the location of your acne can provide some clues about potential underlying issues, it’s essential to approach treatment holistically. By addressing lifestyle factors, maintaining a consistent skincare routine, and seeking professional advice when necessary, you can effectively manage and reduce your acne.

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