Some adults continue to get acne well into their 30s, 40s, and even 50s. It is even possible to get acne for the first time as an adult. Dermatologists call this “adult-onset acne.” It is most common among women going through menopause.
Most pimples go away on their own, but it may take some time. Deep pimples (pimples under your skin with no head that may feel hard to the touch) may take a few weeks to go away, if not longer.
Many teens find that their acne improves as they get older and that it almost disappears by the time they reach their twenties. Others have acne well into their adult years. The good news is that acne can be treated — and breakouts can sometimes be prevented. Prevention involves taking good care of the skin.
It is common for some women to experience acne in their 30s, 40s and 50s for the first time — having never had it during their teens. This is referred to as adult-onset acne. If you are suddenly experiencing acne, look for a pattern: Do you have breakouts around your period?
Most of the time adult acne is due to one of the following factors: Fluctuating hormones. Hormonal factors related to estrogen and progesterone are common in female acne, including changes in hormones due to pregnancy and menopause.
What causes acne in your 30s? “As we age, our body also goes through many changes,” Suarez says, “and hormonal shifts are the main cause of adult acne.” As a result, skin is more vulnerable to hormone changes as an adult. Hormonal changes increase oil production, leading to clogged pores and breakouts.
It usually develops at the age of 13 and tends to peak at age 17 although it can persist into the twenties. Girls develop acne at an earlier age than boys, usually between the ages of 13 and 17. Their acne will usually start to improve after the age of 17.
Hormonal acne often lasts for several years with symptoms coming and going, particularly among younger people. However it can last for short periods of time, such as days or weeks too. Hormonal acne normally improves as you get older. It disappears for most people by their mid 20s.
Stress acne tends to look more akin to zits that develop during adolescence, appearing on the more naturally oily areas of the face (forehead, nose, chin). It typically appears as a combination of blackheads, whiteheads, red bumps, and pustules, and rarely appears as a single pimple.
The bacteria that cause acne live on everyone's skin, yet one in five people is lucky enough to develop only an occasional pimple over a lifetime.
One way to tell if acne is hormonal or bacterial is to pay attention to your skin. If you do not experience a flare up during periods of hormonal imbalance, and topical treatments are not improving your breakouts, you may instead be dealing with bacterial acne.
What does hormonal acne look like? Whiteheads, blackheads, papules, pustules, cysts and nodules are all common hormonal acne symptoms. Normally, whiteheads and blackheads do not cause pain, inflammation or swelling, but if they do, then they are most likely forming into cysts and pustules.
Anxiety Can Cause Acne
Hormone Fluctuations Stress hormones released during anxiety cause changes in your pores and possibly an increase in skin oils. This combination clogs pores, allowing bacteria to grow, ultimately leading to acne. This is the most common link between anxiety and acne.
Stress pimples will usually pop up in the oiliest areas of the face, like the forehead, nose and chin. Your T-zone might look greasier and more congested too. Doctors say that if you're getting clusters of pimples all at once, stress can be a factor—hormonal pimples happen one at a time.
Stress won't give you acne if you're not already predisposed to it, but it can make acne worse by causing levels of certain hormones to temporarily increase. “When your fight-or-flight response is activated, the body releases stress hormones, such as cortisol and androgens,” Dr. Minni explained.
Hormonal acne, also known as adult acne, affects adults between the ages of 20 and 50.
Staying well-hydrated can also improve your immune system, supporting your body in fighting off infections — which in turn helps prevent acne. Many studies indicate that having a healthy immune system also keeps your skin's microbiome strong and able to fight off acne-causing bacteria.
Because popping isn't the way to go, patience is the key. Your pimple will disappear on its own, and by leaving it alone you're less likely to be left with any reminders that it was there. To dry a pimple up faster, apply 5% benzoyl peroxide gel or cream once or twice a day.
Acne treatment needs time to work. Using a different product every few days can also irritate your skin, causing new breakouts. If a treatment works for you, you should notice some improvement in 4 to 6 weeks. It can take two to three months or longer to see clearing.
Incorporate benzoyl peroxide into your skincare routine
Benzoyl peroxide is ideal for treating acne as it not only dries out any active spots, but it also kills acne-causing bacteria on the surface of the skin.
“Cystic acne is commonly increased in your thirties as this is when the skin is most susceptible to hormonal changes. The hormonal shifts affect the oil glands and sebaceous glands in the skin,” Dr. Purvisha Patel, board certified dermatologist and founder of Visha Skincare adds.
Salicylic acid gently sloughs away dead skin to unclog pores. Find it in various face washes, masks, and spot treatments. Benzoyl peroxide kills acne-causing bacteria that promotes inflammation. It can be a bit drying, so it's often best tolerated as a spot treatment.
If you feel acne has completely taken over your life to the point you're not functioning at a normal level, you must let your healthcare provider know. They may decide to treat your acne more aggressively or refer you to a therapist, or both to help you get through these feelings.