One of the most common things I hear in the clinic is “I never thought I’d have to deal with spots and wrinkles at the same time.” Unfortunately acne is not just a teenage problem. Around 10 – 20% of women continue to suffer with acne beyond their teenage years, and some even develop the condition in adulthood for the first time. Interestingly, adult acne appears to be on the rise.
Acne is characterised by the presence of comedones and pustules (pus-filled spots). Comedones are those small gritty, grainy, under-the-skin bumps that often appear together in crops.
On the more severe end of the spectrum, acne can also lead to larger, deeper and more tender spots, which us Dermatologists refer to as nodules and cysts. All of these have the potential to leave dark marks on the skin, known as post inflammatory hyperpigmentation, as well as scarring which can be permanent.
Although it is possible to get the same type of blemishes as adults that we had when we were teenagers, women in their twenties, thirties and forties often experience breakouts on the cheeks, jawline, neck and chin. People often ask me what the underlying cause is for their blemishes. There are a number of potential causes for acne and any combination of these may be acting at the same time.
Although the chance you will continue to get breakouts does decrease with every decade, I still have patients coming to see me for the first time in their thirties, forties and fifties. The following tips are a good place to start if you’ve been struggling with your skin.
In order to bring acne under control, it is important to establish a solid skincare routine and stick to it every day. It is never too late to start. Cleanse your skin well twice daily and use a moisturiser and sunscreen designed for spot-prone skin.
Using products that aren’t designed for people with breakouts or blemishes can actually make things worse so choose carefully. The words “non-comedogenic” (meaning non pore-blocking) on the container or packaging indicate that the skincare brand has thought about spots when formulating the product. Over the counter solutions containing salicylic acid, azelaic acid, sulphur, zinc or niacinamide, for example, may help decrease congestion and calm blemishes if your symptoms are mild. If your symptoms are not mild, going round in circles with over the counter choices may just be delaying effective medical treatment.
There are a number of efficacious treatments and treatment combinations that can successfully bring acne under control and also techniques we can use to maintain the results in the longer run. These can all be tailored to your circumstances.
Most importantly, don’t suffer alone. If you’re already following all of these tips and still struggling to get your breakouts under control, it’s time to share your concerns and get help from a professional.
Taking action by seeking dermatologist input early can improve skin confidence and self esteem, as well as reduce the risk of permanent scarring.
Book an appointment with our Consultant Dermatologists to review your acne history and all the treatment options.
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