Persistent Acne: Causes and Solutions for Facial Breakouts

Acne on the face

Hello Doctor: Since March of last year, I have been experiencing persistent acne on my face, primarily around my eyebrows and on both sides of my lips (where the hair is thick).
I usually wait for the pimples to drain and scab over, which then leaves dark marks.
I initially thought this was due to the arrival of summer, but I have continued to break out over the past few months, mainly on my cheeks, where the acne is not as inflamed but feels hard underneath.
During my college years, I used to stay up late and eat fried foods daily without experiencing this issue.
My lifestyle habits have not changed significantly since the onset of the acne.
Could you please explain why I suddenly have been breaking out consistently? Thank you.

EE, 20~29 year old female. Ask Date: 2016/01/09

Dr. Wu Yuxin reply Dermatology

Seasonal changes, emotional fluctuations, and work environment all have an impact.
This is a literal description; without actually seeing the lesions, it cannot be confirmed.
It is recommended to have a dermatologist examine it to determine the cause.

Reply Date: 2016/01/09

More Info

Persistent acne can be a frustrating and distressing condition, and understanding its causes is essential for effective treatment. Acne is primarily caused by a combination of factors, including hormonal changes, excess oil production, clogged pores, bacteria, and inflammation. Here’s a detailed look at the potential causes of your persistent acne and some solutions that may help.

Causes of Persistent Acne
1. Hormonal Fluctuations: Hormones play a significant role in acne development. For many individuals, particularly women, hormonal changes related to menstrual cycles, pregnancy, or conditions like polycystic ovary syndrome (PCOS) can lead to increased oil production and subsequent breakouts. If you notice that your acne worsens at certain times of the month, this could be a contributing factor.

2. Diet: While the relationship between diet and acne is still being studied, some evidence suggests that high-glycemic foods (like sugary snacks and refined carbohydrates) and dairy products may exacerbate acne in some individuals. If your diet has changed recently, it might be worth evaluating your food choices.

3. Stress: Stress can trigger hormonal changes that lead to increased oil production and inflammation, contributing to acne. If you’ve been under more stress than usual, this could be a factor.

4. Skin Care Products: The products you use on your skin can also impact acne. Heavy, oily, or comedogenic (pore-clogging) products can exacerbate breakouts. It’s essential to use non-comedogenic products, especially if you have oily or acne-prone skin.

5. Environmental Factors: Pollution, humidity, and exposure to certain chemicals can irritate the skin and lead to breakouts. If you live in an area with high pollution or have recently changed your environment, this could be a contributing factor.

6. Underlying Medical Conditions: Certain medical conditions, such as hormonal imbalances or skin disorders, can lead to persistent acne. If your acne is severe or resistant to treatment, it may be worth consulting a healthcare provider to rule out any underlying issues.

Solutions for Persistent Acne
1. Consult a Dermatologist: If you haven’t already, consider seeing a dermatologist. They can provide a thorough evaluation and recommend appropriate treatments based on your specific situation.

2. Topical Treatments: Over-the-counter products containing ingredients like benzoyl peroxide, salicylic acid, or retinoids can help reduce acne. These ingredients work by unclogging pores, reducing inflammation, and killing acne-causing bacteria.

3. Prescription Medications: If over-the-counter treatments are ineffective, a dermatologist may prescribe topical or oral medications, such as antibiotics, hormonal treatments (like birth control pills), or retinoids.

4. Lifestyle Changes: Consider making changes to your diet, such as reducing sugar and dairy intake, and incorporating more whole foods. Additionally, managing stress through techniques like mindfulness, yoga, or regular exercise can be beneficial.

5. Skincare Routine: Establish a gentle skincare routine that includes cleansing, moisturizing, and sun protection. Avoid harsh scrubs or over-cleansing, as these can irritate the skin and worsen acne.

6. Avoid Picking or Squeezing: It’s important to avoid picking at or squeezing acne lesions, as this can lead to scarring and further inflammation.

7. Regular Follow-ups: Acne treatment can take time, and it’s essential to follow up with your dermatologist regularly to assess the effectiveness of the treatment plan and make adjustments as necessary.

In conclusion, persistent acne can arise from various factors, and understanding these can help you find effective solutions. A combination of professional guidance, appropriate skincare, and lifestyle adjustments can lead to significant improvements in your skin health. If your acne continues to be a concern, don’t hesitate to seek professional help for tailored advice and treatment options.

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