Sorry, but Youre Never Too Old for Adult Acne

Curated by Claudia Shannon / Research Scientist / ishonest

So why do you still wake up at 34 with a massive crater?

While you may stop growing post-puberty, hormonal fluctuations persist long after your growth spurt. Add in stress, genetics, bacteria, contact irritation, and you’ve got a recipe for adult acne.

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No.312 - Prevent Acne

Resist the urge to get your pimple poppers ready, here’s what may be causing your acne and what you can do about it.

Why do 20- and 30-somethings still get acne?

Because you’re going through additional hormonal changes in your 20s and 30s, acne can pop back up.

According to the American Academy of Dermatology, acne is the most common skin condition in the U.S. and the number of adults who have it is actually growing. Acne is also the eighth most common skin disease. *sigh*

Even though acne peaks between the ages of 14 to 17 for girls and 16 to 18 for boys, acne isn’t just a teenager’s plight. Acne is a chronic skin condition that can flare up well into adulthood.

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Women are especially unlucky when it comes to adult acne in the mid 20s and up.

A 2018 study of 1,167 teens and adults with acne found during the adolescent years, acne is almost equally divided with 53 percent of cases among girls and 47 percent among boys. When it came to adult acne, 85 percent of cases were among women and 15 percent among men. Sorry, ladies.

Your adult acne destiny

There are two subtypes of adult acne: persistent and late onset. Both types of acne can manifest in scarring, inflammation, and changes in pigmentation.

Adult acne in mild forms can look like blackheads or whiteheads. More severe cases may result in deep, painful cysts and redness. Adult acne occurs mostly on the facial region and centers around the jawline, but it can also be found on the chest or neck area.

Persistent acne
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No.313 - Prevent Acne

Think of persistent acne as that former classmate who won’t stop sending friend requests. You thought you left it behind in high school, but much like the pesky friend, persistent acne is a continuation of the acne you may have experienced during puberty.

Late onset acne

Late onset acne is for those folks whose closest encounter with acne during puberty was a Girl Talk zit sticker. After the age of 25, this group of mostly women experience acne for the first time.

Because acne is hard to miss during puberty, late onset acne is far less common than persistent adult acne. A 2018 study found that 80 percent of women who sought treatment for adult acne fell into the persistent acne category.

What causes adult acne?

There are a number of reasons why adult acne makes a comeback after the age of 25. Much like a Netflix reboot of your favorite early 2000s TV show, there’s more to the acne story. Many of these causes can build upon each other to join the acne party.

1. Genetics
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If someone in your family has adult acne, that could be a cause of your own pesky protrusions. A study found that 67 percent of those with adult acne had a family history of acne.

2. Hormones

If you have periods, you know pimples are often a sign your monthly flow is on the way. That’s because adult acne can have a lot to do with hormone fluctuations or excessive male or female hormones.

Hormonal changes can cause inflammation, excess oil, and pH imbalances in the skin. Hormonal acne is typically cyst-like and painful.

Certain triggers for hormonal acne include:

  • menstruation
  • pregnancy
  • breastfeeding
  • postpartum period
  • polycystic ovary syndrome
  • menopause
3. Contact irritation
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“Try not to touch your face” and “wash your hands” have become 2020 anthems for other reasons, but a failure to do so could also result in adult acne. Contact irritation can also be caused from harsh skin care products or attempting to shave dry skin.

4. Clogged pores

When dead skin cells decide to stay put on your face rather than making their rightful exit, the result is clogged pores. Oil from your hands can transfer to your skin and also result in pore clogging. Yet another reason to try to refrain from touching your face.

5. Bacteria

While not touching your face helps contact irritation, bacteria can build up under the skin and be unreachable by surface cleansers. An annoying bacteria called Propionibacterium can be responsible for the inflammation part of adult acne.

6. Physical stress

Your body can have physical response to stressors that manifest as adult acne.

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This can include:

  • extreme weather
  • air pollution
  • lack of sleep
  • illness
  • dehydration

Some studies also point to allergies and smoking as potential causes of adult acne.

7. Emotional stress

Feeling anxious, scared, or depressed can cause an imbalance in your skin. When you’re stressed, your adrenal glands release excess cortisol, the stress hormone. This can create more oil and lead to breakouts.

8. Medications

Certain medications used to treat other ailments such as depression or epilepsy can come with a side effect of acne.

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No.362 - Acne Scars

The same can be said for certain birth controls, which are sometimes prescribed as an acne treatment and contraceptive combo. Consult your doctor for any possible negative interactions.

How to treat adult acne

There is no one-size-fits-every-zit treatment for adult acne. Treatment success in acne management varies by individual. People may need to try a variety of treatments to see what their skin swipes right on.

At-home treatments

You don’t necessarily have to visit the dermatologist to treat adult acne. You can possibly DIY your own treatment plan with these household items or over-the- counter remedies.

At-home adult acne treatments include:

  • tea tree oil (a natural alternative to benzoyl peroxide)
  • apple cider vinegar
  • aloe vera
  • topical
  • probiotics
  • topical vitamin A
  • probiotics
  • oral or topical zinc
Medical treatments
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You can get over-the-counter (OTC) or prescription-strength products to help kick acne to the curb. Doctors may prescribe medical treatments for adult acne that are either topical or oral.

Topical treatments may provide instant relief to your skin, while oral medications do their thing from inside your body.

Medical adult acne treatments include:

  • salicylic acid products
  • benzoyl peroxide products
  • oral birth control
  • spironolactone
  • retinol (or retin-A as a prescription)
  • products containing glycolic acid
  • hydroxy acid products
  • sulfur
  • blue light therapy
Wash your face

Raise your hand if you’re 30+ with no skin care routine. No need to be ashamed. With so many products out there, it can be overwhelming to find what works best for your skin.

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No.501 - Frizzy Hair

Just washing your face every day is one step closer to giving acne the boot (without a 30-step skin care routine).

If you can only manage to wash your face once a day, do it at night. If you wear makeup, start by removing it. Use a specific facial cleanser and leave the bar soap in the bathtub. The skin on your face and on your bum have different needs, so they need different products.

Use lukewarm water and spread products with your fingertips for 60 to 90 seconds before reaching for the washcloth. Let the product do the work before you wipe it off. Pat down with a soft towel and you’re done.

When to visit the derm

There isn’t one particular pimple that pops up to tell you to schedule a dermatology appointment. If home remedies or OTC meds don’t do the trick, a dermatologist can help sort out what route to try next.

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Deep, persistent cysts particularly around the inner thighs, armpits, or groin area could be a sign of a different condition called hidradenitis suppurativa.

Redness in the form of small bumps could also actually be rosacea. A dermatologist can help to treat your skin’s particular grievances so you don’t have to play the guessing game with home remedies.


Acne affects more than just teenagers. Adult acne is particularly present among women. Acne can result in inflammation, scarring, and redness. It can be caused by a number of factors including genetics, bacteria, irritation, stress, and medications.

Home remedies and medical treatments are both an option. A dermatologist can also point you in the right direction.

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