Many people assume acne disappears once high school is over. But dermatologists see plenty of patients in their late twenties, thirties, and beyond who are still dealing with breakouts — or even developing acne for the first time.
At Sanford Dermatology in Sanford, Pittsboro, and Lillington, North Carolina, adult acne is one of the most common concerns patients bring to the office. The good news? Acne in adulthood is very treatable, once we identify what’s triggering it.
Adult acne often looks and behaves differently from teenage acne. Instead of widespread blackheads and whiteheads, adults may develop deeper, more inflamed pimples that take longer to heal. These breakouts also tend to appear in predictable areas — particularly along the lower face and jawline.
Because adult skin is often more sensitive than teenage skin, over-the-counter treatments designed for teenagers can be too harsh, and may actually worsen irritation.
Acne flares up whenever and wherever hair follicles become clogged with oil, dead skin cells, and bacteria. Those same processes that cause teenage acne can continue into adulthood — sometimes triggered by new factors unique to adult life. These include:
Hormones are one of the biggest reasons acne persists into adulthood. Changes in estrogen and androgen levels can increase oil production in the skin. As oil production rises, pores become more likely to clog and form pimples.
For many women, breakouts appear around the chin and jawline and may worsen during certain times of the month. Hormonal changes related to pregnancy, menopause, or starting or stopping birth control can also trigger acne flare-ups.
Stress doesn’t just affect your mood — it can affect your skin as well. When you’re under pressure, your body produces more hormones called androgens. These hormones stimulate oil glands in your skin, which can lead to breakouts.
Many adults notice that their acne worsens during demanding periods at work, major life changes, or when they don’t get quality sleep.
Sometimes, the products you use each day can cause acne in adulthood. Moisturizers, sunscreen, makeup, and even hair products can clog pores if they contain heavy oils or irritating ingredients.
Products labeled “non-comedogenic” won’t block your pores. If your acne began after a change to your skincare routine, the products themselves may be part of the problem.
Certain medications can trigger acne as a side effect. Steroids, lithium, and some anti-seizure medications are known examples. Poor dietary choices, smoking, and lack of sleep may also contribute to inflammation that worsens acne in some people.
Usually, there’s more than a single factor involved in adult acne. Hormones, stress, and lifestyle habits work together to create the perfect environment for breakouts.
Managing adult acne usually calls for a combination of good skin habits and professional medical treatment. Helpful habits include:
While these steps can help, persistent acne needs professional care to resolve fully.
At Sanford Dermatology, we tailor your acne treatment plan to your unique situation. Depending on your symptoms and the underlying causes, your treatment may include:
With the right treatment, we can help reduce breakouts and prevent long-term complications such as acne scars.
If you’re wondering why you’re still dealing with acne as an adult, you’re not alone. Adult acne is extremely common — and it doesn’t mean you’re doing anything wrong.
Don’t let breakouts affect your confidence or your daily routine: Call your nearest Sanford Dermatology office in Sanford, Pittsboro, or Lillington, North Carolina, today, or request an appointment online at your convenience.
