Yes, adults get acne. 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.
Adult acne, or post-adolescent acne, is acne that occurs after age 25. For the most part, the same factors that cause acne in adolescents are at play in adult acne. The four factors that directly contribute to acne are: excess oil production, pores becoming clogged by "sticky" skin cells, bacteria, and inflammation.
Acne is caused by your skin making too much sebum (oil), which, along with dead skin cells, clogs the pores — making them the perfect place for bacteria to grow. Hormones, family history and underlying health conditions can play a role in developing acne. It can also be a side effect of taking certain medications.
Acne in women
Women are more likely to have adult acne than men. It's thought that many cases of adult acne are caused by the changes in hormone levels that many women have at certain times. These times include: periods – some women have a flare-up of acne just before their period.
Regular cleansing, twice a day, is ideal for removing those layers of old oil and makeup. I often recommend a topical retinoid cream to unclog pores and exfoliate the skin. Retinoids also have some anti-inflammatory effects, and they increase the rate at which our skin cells divide. This helps to heal the skin faster.
Given the increase in oil production, she says your skin will usually look greasier and slightly more inflamed. Zeichner adds that stress acne can also look like a combination of blackheads, whiteheads, red bumps, and pus pimples.
Most people have acne on and off for several years before their symptoms start to improve as they get older. Acne often disappears when a person is in their mid-20s. In some cases, acne can continue into adult life. About 3% of adults have acne over the age of 35.
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.
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.
Have you ever noticed that you break out more when you're stressed? This is because stress causes your body to make hormones like cortisol, which tells glands in your skin to make more oil. Oily skin is more prone to acne and other skin problems.
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.
While stress alone isn't the cause of acne pimples — age, hormones, acne-producing bacteria and other factors are at play — it's evident that stress can trigger breakouts and make existing acne issues worse.
Why do I still have acne in my late 20s? At its root, adult acne is caused by the same things that cause teen acne: excess skin oil and bacteria. Any changes in hormones, including those brought on by pregnancy and menstruation, can trigger excess oil. Women who smoke also seem to be more prone to acne.
Many women begin to experience menopause in their 40s and 50s. This causes a natural decline in your reproductive hormones, resulting in an end to menstruation. Some women experience acne during menopause. This is likely due to a drop in estrogen levels or an increase in androgen hormones like testosterone.
When women begin entering menopause, estrogen, the female hormones, decrease while androgen increases. This increase in androgens can lead to acne and other problems. However, there are other lifestyle factors that can play a role in acne risk. Genetics, stress, and sleep problems can all lead to increased breakouts.
You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.
Your acne appears around your chin and jawline. One of the telltale signs of a hormonal breakout is its location on the face. If you're noticing inflamed cystic acne on your chin or jawline area—anywhere around your lower face, really—you can bet your bottom dollar that it's probably hormonal acne.
Hormones. The role of androgens in the etiopathogenesis of acne vulgaris is well established. Testosterone, Dehydroepiandrosterone Sulfate (SDHEA) and Dihydrotestosterone (DHT) stimulate sebaceous gland growth and sebum production.
Acne commonly starts during puberty between the ages of 10 and 13 and tends to be worse in people with oily skin. Teenage acne usually lasts for five to 10 years, normally going away during the early 20s.
Examples include white bread, corn flakes, puffed rice, potato chips, white potatoes or fries, doughnuts or other pastries, sugary drinks such as milkshakes, and white rice. Findings from small studies suggest that following a low-glycemic diet may reduce the amount of acne you have.
Hormones
Hormonal changes are some of the most common reasons for adult acne in your 30s. For both men and women, hormonal changes in their 30s can lead to skin problems. Testosterone and estrogen levels begin to decline in your early 30s. This means lower cell turnover, less elasticity, and dryer skin.
Water has many ways in which it can improve your skin, which helps to improve your acne over time. Drinking water has both direct and indirect benefits for treating acne. Firstly, with bacterial acne, water helps to remove toxins and bacteria on the skin, reducing the potential for pore-clogging in the process.
Sudden acne breakouts can be because of numerous reasons, including hormonal changes or hormonal imbalance, an unhealthy diet including lots of deep fried and junk food, release of cortisol hormones because of excessive stress, excessive production of sebum and much more.
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.
It's been shown that unhealthy sleep habits can trigger insulin resistance, increase stress, spike cortisol levels, and impact hormones that are typically associated with acne.