Acne is often associated with the teenage years, yet many are surprised when the same problem appears later, in their 20s, 30s, or even 40s. Adult acne has become an increasingly common dermatological issue and, unlike teenage acne, it is often deeper, more painful, and harder to treat.
This type of acne doesn’t only affect physical appearance—it can also lower self-confidence, cause emotional stress, and lead to frustration. In this article, we explore why acne occurs after adolescence, how to recognise it, which treatments dermatologists recommend, and which changes to your daily routine can help reduce breakouts.
What is adult acne?
Adult acne is defined as the presence of comedones, papules, pustules, and inflammatory nodules in people over the age of 25. It can appear in those who never had problematic skin when younger, as well as in those who struggled with acne during puberty.
In most cases, adult acne occurs on the lower part of the face—the chin, jawline, and neck—and is often hormonally driven.
Main causes of adult acne
1. Hormonal changes
One of the most common causes of adult acne—especially in women—is hormonal fluctuation. Breakouts may worsen before menstruation, during pregnancy, after stopping oral contraceptives, or throughout perimenopause and menopause. Elevated androgen levels (male hormones) stimulate sebum production and acne formation.
2. Stress
Chronic stress triggers the release of cortisol, which stimulates the sebaceous glands and worsens inflammatory processes in the skin. In today’s fast-paced lifestyle, stressors are unavoidable, which helps explain why acne persists beyond high school.
3. Improper skincare
Using unsuitable cosmetic products that clog pores (comedogenic ingredients) can aggravate the condition. Acne is often treated incorrectly with harsh products that damage the skin barrier and provoke even more breakouts.
4. Unhealthy diet
Numerous studies show a link between diets high in refined sugars, dairy products, and fast carbohydrates and an increased incidence of acne. While diet is not the only cause, it can be a significant contributing factor.
5. Genetics
If parents had acne problems, their adult children are more likely to develop acne—regardless of other factors.
6. Environmental factors and pollution
Dust, smoke, and airborne toxins can irritate the skin and trigger inflammation, especially if the face isn’t properly cleansed at the end of the day.
What does adult acne look like?
Unlike teenage acne, which often covers the T-zone (forehead, nose, chin), adult acne is:
• more often inflammatory and cystic
• localised on the lower third of the face
• slower to heal
• more likely to leave pronounced scars and pigmentation changes
Treatments for adult acne
1. Topical therapy
Dermatologists often prescribe a combination of topical agents, including:
• Retinoids (e.g., adapalene) – regulate cell turnover and prevent pore blockage
• Benzoyl peroxide – antibacterial action
• Topical antibiotics – reduce inflammation
• Azelaic acid – helps with pigmentation and has anti-inflammatory effects
2. Systemic therapy
For more severe forms, treatment may include:
• Oral antibiotics (e.g., doxycycline)
• Oral contraceptives with anti-androgenic effects
• Spironolactone – blocks the action of androgens (often used in women)
• Isotretinoin (Roaccutane) – reserved for severe cases, under strict medical supervision
3. Aesthetic treatments with clinical benefit
At Esthea Clinic, treatments are available that complement the dermatological approach and target acne, scarring, and overall skin condition:
• Chemical peels – help remove dead cells, clear pores, and stimulate regeneration, reducing acne-related irregularities.
• Mesotherapy – delivers vitamins, minerals, and active substances to nourish skin, improve texture, and support natural renewal.
• Dermapen 4™ (microneedling) – stimulates collagen, softens acne scars, and reduces pore visibility.
• Hyaluronic filler treatments – primarily used for contouring and hydration, but can help with dehydration and post-inflammatory irregularities.
• Hyaluronidase dilution treatment – used to correct previously injected fillers that caused unevenness or inflammatory reactions.
These treatments are tailored individually and performed only after consultation with Esthea’s specialist team.
Proper skincare for acne-prone skin
Successful acne management doesn’t rely solely on medications and professional treatments—daily skincare plays a key role in controlling symptoms, preventing new inflammation, and preserving the skin barrier. A well-designed routine can significantly calm inflammation, reduce the frequency of pimples, and speed up recovery.
People dealing with acne should pay special attention to the following steps:
Use gentle, sulfate-free cleansers
Choose a mild cleanser without harsh sulfates or alcohol. While there may be a temptation to “deep-clean,” especially with oily skin, overly aggressive washing can dry the skin, disrupt its pH, and trigger even more sebum production. Recommended: gels and foams with gentle ingredients like zinc gluconate, niacinamide, or low-dose salicylic acid.
Avoid washing too often or using mechanical scrubs
Washing your face twice daily (morning and evening) is sufficient. More frequent washing can strip the protective layer and cause compensatory sebum production. Abrasive scrubs and facial brushes can further irritate inflamed acne and worsen the condition. Prefer controlled-strength chemical exfoliants (e.g., BHA acids).
Use lightweight, non-comedogenic moisturisers
Do not skip hydration. Many with acne mistakenly think moisturisers make things worse. Dehydrated skin can actually increase sebum secretion, creating even better conditions for acne. Opt for light creams or fluids labeled “non-comedogenic,” “oil-free,” or “for acne-prone skin,” with ingredients like hyaluronic acid, ceramides, panthenol, or azelaic acid.
Apply daily sun protection
UV radiation can worsen inflammation, provoke hyperpigmentation, and impair regeneration. Many acne treatments (retinoids, acids) increase photosensitivity. Use a high-SPF (30+) lightweight, mattifying fluid that won’t clog pores—every day, even when cloudy.
Don’t pick pimples—this raises the risk of infection and scarring
Squeezing spreads bacteria, deepens inflammation, and can cause permanent scars. Instead, use targeted actives (e.g., benzoyl peroxide, salicylic acid, niacinamide) on spots.
Consistent, thoughtful skincare greatly supports medical treatment and contributes to a healthier appearance. Every acne type and skin profile requires an individualised plan, so consulting a dermatologist for product selection is best. At Esthea Clinic, we provide guidance and support for proper care through every treatment stage.
The psychological aspect of acne
Although seemingly “just” a skin problem, adult acne often causes:
• shame and discomfort
• withdrawal from social situations
• decreased self-confidence
• increased stress and anxiety
That’s why a comprehensive approach is important—treat the skin and provide psychological support if needed.
When to seek professional help?
Adult acne is often managed with drugstore products, natural methods, or makeup camouflage—but that’s frequently insufficient, especially if acne is deep, inflammatory, or leaves pigmentation and scarring.
Consult a dermatologist if:
• Breakouts recur cyclically, especially on the lower third of the face
• Painful cysts and deep nodules appear
• Your skin doesn’t seem to respond to current products
• You notice flares before menstruation or during hormonal changes
• Acne causes emotional distress, shame, or social withdrawal
• Scars, depressions, or dark spots appear after each flare
• Acne begins after age 30, and you never had problematic skin before
Based on clinical presentation, skin type, causes, and severity, a dermatologist will propose an individualised plan—which may include topical therapy, systemic medications, lab tests (e.g., hormones), and in-office professional treatments.
Early intervention not only prevents the spread of inflammation and worsening of the condition but also helps control the emotional stress that often accompanies adult acne. Don’t wait months to seek help—a timely dermatology visit can make a big difference in recovery speed and restoring confidence.
At Esthea Clinic, every patient receives individualised care—with full consideration of the aesthetic and psychological aspects of this condition. We offer dermatology consultations and advanced treatments to control acne and restore skin.
When is it time to act?
Adult acne is no longer rare—it affects an increasing number of women and men, often due to hormonal changes, stress, and modern lifestyles. The good news is that effective solutions exist today—from medical treatments to professional in-office care.
If you’re struggling with persistent acne, consult a dermatologist to create a personalised care and treatment plan. Esthea Clinic is at your service with dermatological advice and treatments tailored to your skin.