Acne is often thought of as a teenage problem, but many adults continue to experience breakouts well into their 20s, 30s, 40s, and even later. Adult acne is common, yet it can be frustrating and have a significant impact on confidence and self-esteem.
At SkinCentre, our Dermatologists see adult acne every day. We understand that persistent breakouts can be distressing — especially when over-the-counter treatments don’t work. The good news is that with professional care, adult acne can be managed effectively, and clear, healthy skin is achievable.
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Why Do Adults Get Acne?
The causes of acne in adults are often multifactorial:
- Hormonal fluctuations – particularly in women, acne may flare before periods, during pregnancy, or around menopause.
- Stress – triggers hormonal changes that can worsen acne.
- Genetics – acne often runs in families.
- Skincare and cosmetics – heavy or comedogenic products can block pores.
- Medications – some treatments (such as corticosteroids or lithium) can cause flare-ups.
Acne occurs when oil glands produce excess sebum, clogging hair follicles with oil and dead skin cells. This creates an environment where bacteria thrive, leading to inflammation and spots.
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Symptoms of Adult Acne
Adult acne usually appears on the face, jawline, chest, and back. It can range from blackheads and whiteheads to inflamed papules, pustules, and deep cysts. In some cases, it may be persistent and resistant to typical “teenage acne” treatments.
The emotional impact is also important. Many adults feel embarrassed about breakouts, and long-standing acne can leave permanent scars if untreated.
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Diagnosis at SkinCentre
Diagnosis is usually straightforward, but a Dermatologist will also rule out other conditions that mimic acne, such as:
- Rosacea
- Perioral dermatitis
- Folliculitis
A detailed consultation allows us to identify contributing factors and tailor treatment for each patient.
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Treatment Options for Adult Acne
The right treatment depends on the severity and persistence of acne, as well as patient preference and lifestyle.
- Topical Treatments
- Retinoids – unclog pores and prevent new lesions.
- Topical antibiotics – reduce inflammation and bacteria.
- Azelaic acid or benzoyl peroxide – treat acne-causing bacteria and reduce inflammation.
- Oral Treatments
- Antibiotics – for moderate to severe acne.
- Hormonal therapy – such as the oral contraceptive pill or spironolactone, effective for women with hormonally driven acne.
- Isotretinoin – the most effective treatment for severe or resistant acne. At low doses, it can also be used in long-term management.
- Procedural Treatments
- Chemical peels – help unclog pores and refresh the skin.
- Laser and light therapies – reduce redness and target scarring.
- Microneedling and resurfacing – improve texture and soften acne scars.
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Living with Adult Acne
Acne can be frustrating, particularly when it persists despite multiple attempts at treatment. Many patients tell us they’ve tried endless products without success, not realising that professional Dermatology care offers options far beyond what’s available over the counter.
It’s important to remember that acne is not caused by poor hygiene. It’s a medical condition, and effective treatment exists. By tailoring treatment to each patient’s skin type, severity, and underlying factors, we can restore not only skin health but also confidence.
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Frequently Asked Questions
Is adult acne different from teenage acne?
Yes. In adults, acne often affects the jawline and lower face and is more likely to be hormonal.
Will my acne go away on its own?
For many adults, acne persists without treatment. Professional care helps prevent long-term scarring.
Does diet play a role?
Some studies suggest that high glycaemic diets or excessive dairy may contribute in certain people, but this is not the primary cause.
Can acne scars be treated?
Yes. Dermatologists offer treatments including chemical peels, microneedling, laser resurfacing, and subcision to reduce the appearance of scars.
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Acne is not just a teenage issue, and adults don’t need to suffer in silence. With modern Dermatology treatments, adult acne can be brought under control and scarring minimised.
👉 If you’re struggling with persistent acne, book an appointment with the Dermatologists at SkinCentre today. Our team can help you find the most effective treatment plan for your skin.