Published by Dr. Lasi's Skin & Hair Clinic
Many women expect acne to end with their teenage years, so pimples at 25, 30 or 40 can be confusing and upsetting. Adult acne is common, has some specific causes and responds well to the right treatment.
What does adult acne look like?
Adult acne in women often appears on the lower face: the jawline, chin and around the mouth. It tends to be deeper, tender bumps rather than many blackheads, and it often flares before periods. It can leave dark marks that last longer than the pimples themselves, especially in brown skin.
Why does acne happen in adulthood?
Hormones
Hormonal changes around periods, pregnancy, after stopping contraceptive pills and around perimenopause can increase oil production and acne.
Polycystic ovary syndrome (PCOS)
Acne with irregular periods, excess facial or body hair, scalp hair thinning or weight gain may point to PCOS. This needs medical evaluation, and treating it often improves the skin.
Stress and sleep
Stress and poor sleep can worsen acne through their effect on hormones and habits.
Skincare and cosmetics
Heavy creams, oils, some hair products and makeup can block pores. Frequent product switching and harsh scrubs irritate the skin.
Other factors
Some medicines, supplements such as certain bodybuilding products, and touching or picking the face can contribute.
Daily care that helps
- Wash twice a day with a gentle cleanser; avoid scrubbing
- Choose products labelled non-comedogenic
- Use a light moisturiser and daily sunscreen
- Keep hair oils and products off the face and forehead
- Do not squeeze or pick pimples, as this causes marks and scars
- Change pillowcases and clean phone screens regularly
- Give a new routine six to eight weeks before judging it
How dermatologists treat adult acne
Treatment depends on the type and severity of acne and any underlying cause. At Dr. Lasi's, acne treatment may include:
- Prescription creams and gels to unblock pores and reduce inflammation
- Oral medicines for moderate to severe acne, with monitoring
- Hormonal assessment and coordination with a gynaecologist where needed
- Chemical peels for acne and marks
- Treatment of dark marks once acne is controlled
- Scar treatments such as MNRF or laser for established scars
Some acne medicines are not safe in pregnancy or when planning pregnancy. Always tell your doctor if you are pregnant, breastfeeding or trying to conceive.
Preventing marks and scars
Early treatment is the best way to prevent scars. Dark marks after acne fade gradually with sun protection and suitable treatment. If scars have already formed, see our guide to acne scar treatment.
Get adult acne treated before it leaves marks. Book an appointment or call +91 81398 82226.
This article is for general information. For advice about your own skin or hair, please book a consultation.