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Understanding Acne: Causes, Treatments, and Prevention

By far the most common skin condition in the country, acne affects about 50 million American adults and children every year. Acne causes blocked pores, whiteheads, blackheads, inflammation, pimples, cysts and other lesions on the skin of the face, neck, chest, back, shoulders and upper arms.

FAST FACTS

1. Acne can cause significant physical and psychological harm

Acne is a chronic inflammatory skin condition, characterized by blackheads, whiteheads, pimples as well as deeper lumps (cysts or nodules) that occur most commonly on the face, neck, chest, back, shoulders and upper arms as well as on the scalp and legs. Acne usually begins in puberty and affects many adolescents and young adults but can occur in adults over the age of 25 as well.

Not only is acne painful, causing physical discomfort, it often times presents itself in visible areas. It can cause poor self-image, depression and anxiety, particularly among adolescents. Adults are generally not expected to have acne, and it can damage one’s professional image and self-esteem. If left untreated or not treated properly by a board-certified dermatologist, acne can cause permanent scarring and long-term physical skin damage.

Teenage Acne Can Be Psychologically Debilitating

2. Acne affects people of all ages and all skin types

Approximately 85 percent of people between the ages of 12 and 24 experience at least minor acne. Acne can occur at any stage of life and may continue into one’s 30s and 40s. According to recent studies, adult acne is increasing, particularly among women, affecting up to 1 in 3 individuals. However, the nature of adult acne is different than in teen acne. It is deeper in the skin and often tends to present itself around the jawline. Unhealthy diets, lack of sleep, and increased stress faced by adults in modern life impact hormone levels, driving up oil secretions, clogging pores, increasing bacterial growth, which contributes to more acne, creating even more stress and anxiety. The vicious cycle is complete.

Adult Acne Is On The Rise

Clearer skin starts here!

Ready to get your acne under control? Bluebonnet Dermatology offers personalized, effective care for every skin type. Take the first step toward real, lasting results with one of the best acne dermatologists in McKinney, TX. Dial (469) 663-8838 to schedule your consultation today.

3. Acne can be caused by a variety of factors

Acne is caused by the clogging of pores or hair follicles from excessive secretions due to overactive oil (sebaceous) glands. This clogging leads to festering of skin lesions, bacterial growth, inflammation, and presents in the form of whiteheads, blackheads, nodules, pimples, inflamed red skin, or cysts filled with pus.

Acne Formation Process
Cross section of various types of acne
Appearance of various types of acne

Common culprits causing acne or worsening it include:

  • Heredity/genetics
  • Hormones
  • Menstruation
  • Emotional stress
  • Medications
  • Foods with high glycemic index

4. There are a variety of treatment options available for acne

Acne treatments vary depending on the type and severity of lesions, and the patient’s skin type, age, and lifestyle. Your dermatologist can provide an in-depth consultation, taking into account these factors, and decide on a course of treatment suitable for you. Treatment options can include over-the-counter medication, prescription topical creams or ointments, and prescription oral antibiotics. Cosmetic treatments such as microneedling  may be recommended to remove acne scarring. This service triggers the production of collagen deep within the skin to plump up depressed areas, including scars.

Non-comedogenic, non-acnegenic, and oil-free cosmetics, toiletries, and sunscreens are recommended. Astringents, toners, and exfoliants that unnecessarily irritate the skin are discouraged.

Finally, changes in diet and lifestyle, as well as healthy skincare routines such as washing of affected areas twice a day with a mild, non-drying cleanser, are also recommended. Aggravating behaviors such as popping, squeezing, or picking at acne are strongly discouraged as they can lead to additional infections.

5. Acne treatment requires time

Once you begin your dermatologist-recommended acne treatment program, allow enough time for it to take effect (about six to eight weeks). The resolution of acne takes time. There are no overnight or immediate cures. When your skin clears, treatment should continue in order to prevent new breakouts. Your dermatologist can tell you when to stop treatment.

6. Cosmetic treatments can restore appearance

Permanent scarring, particularly of the face, due to untreated or improperly treated acne, can be anxiety-inducing. To reduce this risk, it is advised to seek treatment at the early stages when severe acne does not respond to over-the-counter medication.

Fortunately, microneedling treatment can reduce or remove scarring for most patients. During treatment, Dr. Zhang uses a special device to make small perforations in the skin. These “controlled injuries” trigger a wound healing response. As your body heals the site, new collagen is produced. This firming protein builds up the structure of the skin, so your depressed acne scars appear to gradually fade over time. Our patients are delighted by how smooth and soft their skin feels after a series of treatments.

Acne Scarring On Face
Microneedling Treatment For Acne Scarring

Frequently Asked Questions About Acne

Can chocolate or greasy food cause acne?

Contrary to popular belief, indulging in chocolate or greasy food doesn’t directly cause acne. However, some may notice that certain food, like sugary or processed snacks, can trigger flare-ups. Everyone’s skin reacts differently to food and environmental factors, so it is worth paying attention to how your diet affects your skin.

What’s the deal with toothpaste as a spot treatment?

You have probably heard the myth that toothpaste can zap pimples. While it may dry out a zit temporarily, toothpaste isn’t designed for your face and may irritate your skin. Stick with dermatologist-recommended treatments for the best results.

Does stress really make acne worse?

Yes! When stressed, your body produces more cortisol, stimulating oil production on your skin and leading to breakouts. Managing stress through self-care, exercise, or relaxation techniques often controls most cases of acne.

Why does my acne seem to get worse before my period?

Hormonal changes during your menstrual cycle, particularly an increase in androgens, might cause your skin to produce more oil. This extra oil can clog your pores, leading to pre-period breakouts.

Is it bad to pop a pimple?

Popping pimples might be tempting, but it can actually make things worse. Popping pushes bacteria deeper into the skin, causing scarring or spreading the acne. Instead, use an acne treatment and give your skin time to heal naturally.

Do I need a special pillowcase to prevent acne?

While a “magic” pillowcase won’t cure acne, keeping your pillowcase clean will actually make a difference. Oils and bacteria build up over time, so changing your pillowcase often (or using a silk one) can help reduce irritation and clogged pores.

Why is my back breaking out, too?

Acne isn’t picky about location and often appears on the back, chest, or shoulders due to higher concentrations of oil glands. Wearing loose, breathable clothing and showering after sweating can help prevent “bacne.”

Does acne go away on its own after puberty?

Not always. While many of our patients experience acne during their teenage years, adult acne is also a very common occurrence. Factors like hormones, stress, and skincare habits can influence acne well into your 20s, 30s, and beyond. Seeking help from the Bluebonnet Dermatology team is a step towards clearer, healthier skin.

Can makeup cause acne?

Yes, makeup contributes to breakouts, especially if it clogs your pores. To reduce the risk, look for products labeled “non-comedogenic” or “oil-free.” Also, always remember to remove your makeup before bed.

Is sunscreen bad for acne-prone skin?

Absolutely not. Sunscreen is very important, even for acne-prone skin. Look for a formula labeled “non-comedogenic” or specifically made for sensitive skin. Protecting the skin from UV rays prevents damage and helps avoid worsening acne scars.

Who is near the McKinney, Texas, area and serving patients with dermatological needs?

Bluebonnet Dermatology is always open to new patients and encourages you to call the office to request an upcoming consultation visit with our dermatological team regarding your acne. We are here to help you with the treatment of conditions that affect your skin, nails, and body, and work directly with our patients to meet their needs and exceed their expectations. McKinney, Frisco, Plano, Allen, Melissa, Wylie, Princeton, and Anna are a few of the areas in Texas that we service.     

Dr. Huayi Zhang providing dermatology care at Bluebonnet Dermatology

Tracey Wright, PA-C