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Acne is often associated with the teenage years, but what happens when we reach our 40s and 50s and find ourselves dealing with unexpected breakouts? 

Adult acne can be frustrating and confusing, but understanding its causes and triggers can help us effectively manage and treat it. Find out why you’re experiencing adult acne and learn valuable tips for managing and preventing it.

What Causes Adult Acne?

Hormonal Changes:

Fluctuating hormones play a significant role in adult acne. During our 40s and 50s, hormonal imbalances can occur due to factors such as perimenopause, menopause, or changes in hormone levels. These fluctuations can stimulate sebaceous glands, leading to increased oil production and the formation of acne.

Stress:

Life in our 40s and 50s can be filled with numerous and increased responsibilities, leading to increased stress levels. Stress triggers the release of hormones like cortisol, which can impact sebum production and increase the likelihood of developing acne.

Skincare Products:

As our skin ages, it becomes more sensitive and susceptible to reactions from skincare products. Using harsh or comedogenic products can clog pores and contribute to acne breakouts. Age-appropriate skincare products are important for maintain skin health.

Environmental Factors:

Exposure to environmental pollutants, such as air pollution or high humidity, can contribute to acne breakouts in our 40s and 50s. These external factors can clog pores, increase inflammation, and disrupt the skin’s natural balance, leading to acne flare-ups.

Lifestyle Choices:

Lifestyle choices, including poor diet, inadequate sleep, and lack of exercise, can also impact our skin’s health. Consuming processed foods, excessive sugar, or dairy products, for example, can potentially trigger acne in some individuals.

Genetic Predisposition:

Family history and genetics can influence our susceptibility to acne at any age. If acne runs in your family, you may be more prone to experiencing breakouts in your 40s and 50s.

Acne in my 20s and 30s: How is it different?

Acne in your 20s and 30s is often influenced by hormonal fluctuations, similar to teenage acne. Women may experience breakouts related to menstrual cycles or hormonal imbalances or treatments. It is also more likely to be associated with lifestyle factors like stress, diet, and skincare routines.

In contrast, hormonal fluctuations are less pronounced after the age of 40, as menopause approaches or occurs and acne at this age is typically found on your jawline, neck, and chin. Gentle cleansing and skin care focused on hydrating and moisturizing is especially important for treating post-40 skin. 

Treatment and Prevention

 

Consult with a skin technician: 

Seeking professional guidance to create a customized treatment plan for your unique skin is the first step to tackling it head-on. This includes discussing your skincare routine, monthly professional facials, and incorporating pharmaceutical-grade products that both care for your acne-prone skin and fight signs of aging without irritating it.

Gentle daily cleansing: 

Use a mild, non-drying cleanser to gently cleanse the skin, removing excess oil and impurities without stripping away natural moisture. Gentle cleansers with hexamidine (an antimicrobial compound) clean and purify pores. 

SPF

Acne lesions, especially inflamed ones, can lead to post-inflammatory hyperpigmentation (those dark spots left after the lesion heals) and even scarring. Prolonged exposure to the sun without protection can further darken and worsen these marks, making them more prominent. Regular use of SPF helps to prevent excessive pigmentation and supports the fading of existing acne marks, allowing the skin to heal more evenly.

Lock In Hydration

Choose oil-free, non-comedogenic (non-pore-clogging)  moisturizers to maintain the skin’s hydration levels without congesting pores. Specifically-formulated moisturizers for problematic skin provide lightweight hydration without clogging pores or causing breakouts. Look for moisturizers with soothing and nourishing ingredients, such as chamomile extract or aloe vera, which help calm and balance the skin. Your Total Wrapture skin technician can point you in the right direction! 

Moisturizing vs. Hydrating Skincare: What’s the difference?

Hydrating products primarily focus on increasing the water content in the skin, while moisturizing products aim to lock in and preserve that moisture. Both aspects are important for maintaining healthy skin, and a well-rounded skincare routine may include both hydrating and moisturizing elements depending on individual needs.

Hydrating: Hydration refers to the process of increasing and maintaining the water content in your skin. Hydrating products are designed to replenish and retain moisture in the skin cells. They typically contain ingredients like humectants (e.g., hyaluronic acid, glycerin) that attract and bind moisture to the skin, helping to improve its hydration levels. 

Moisturizing: Moisturization focuses on sealing and trapping moisture within the skin, creating a protective barrier to prevent loss of hydration. Transepidermal water loss is the natural process of water evaporating from your skin’s surface into the surrounding environment over the course of a day or night. Moisturizers typically contain occlusive ingredients (e.g. petrolatum or ceramides) that form a barrier on the skin’s surface, reducing transepidermal water loss and helping to maintain hydration. 

It’s worth noting that the terms “hydrating” and “moisturizing” are sometimes used interchangeably in the skin care industry, and some products may combine both hydrating and moisturizing properties.  Ask your Total Wrapture skin technician to recommend targeted or combined hydrating and moisturizing skincare based on your skin’s needs and your skincare routine preference. 

Professional Exfoliation and Extractions

Estheticians who specialize in skin care have the knowledge and experience to assess your skin condition and tailor the treatment to your specific needs. They customize the extraction and exfoliation process based on the severity of your acne, skin sensitivity, skin age, and overall skin health. Their expertise ensures that the treatments are performed safely and effectively, minimizing the risk of further infecting or scarring (often caused by at-home attempts at popping pimples) or irritation to the skin.

Balanced Diet

Incorporate a well-balanced diet rich in fruits, vegetables, and lean proteins while reducing processed foods and sugar intake.

How does food affect my acne-prone skin?

High Glycemic Load: Processed foods and foods high in sugar, such as sugary snacks, sodas, and refined carbohydrates, have a high glycemic load. These foods cause a rapid increase in blood sugar levels, leading to a surge in insulin production. Elevated insulin levels can stimulate sebaceous glands to produce more oil, which can clog pores and contribute to the development of acne.

Inflammation: Processed foods often contain high levels of unhealthy fats, additives, and preservatives. These ingredients can trigger inflammation in the body, including the skin. Inflammation can worsen existing acne lesions and promote the formation of new ones.

Hormonal Influence: Certain dairy products, such as milk, may contain hormones that can disrupt the body’s natural hormone balance. This hormonal disruption can contribute to increased sebum production, clogged pores, and acne breakouts. Additionally, dairy products may also contain growth factors that can stimulate the overgrowth of skin cells, further contributing to acne development.

Allergic Reactions: Some individuals may be sensitive or allergic to certain components present in processed foods, excessive sugar, or dairy products. These allergic reactions can manifest in various ways, including skin inflammation and acne-like breakouts.

Not everyone will experience acne from consuming these foods. Acne triggers can vary from person to person, and individual susceptibility to dietary factors may differ. Pay attention to your own body’s response to your removing of certain foods and make adjustments accordingly.

Maintaining a balanced diet with a focus on whole, unprocessed foods and being mindful of potential triggers can help reduce the likelihood of acne breakouts. 

Facials and advanced facials for treating acne-prone skin:

In your 40s or 50s, it is important to receive facials that not only address acne but also support your skin’s unique needs during this stage of life. These specialized facials help balance oil production, unclog pores, and reduce inflammation, all while providing anti-aging benefits to combat fine lines and wrinkles. 

By combining acne treatment with skin-nourishing ingredients, you can achieve clearer, healthier skin that maintains its youthful radiance. Visit our guide to advanced acne-fighting treatments and facial options for routine support of acne-prone skin here. We recommend exploring facials for mild, moderate, or occasional breakouts.

Pharmaceutical-grade skincare products:

High-quality, pharmaceutical-grade skincare products have a higher concentration of active ingredients while keeping your skin protected. They provide a balanced approach by targeting acne-causing bacteria, controlling excess oil production, and promoting cell turnover, all while nourishing and supporting your skin with anti-aging benefits. This ensures that your skin receives the necessary care it needs to combat acne while maintaining a healthy, youthful appearance.

Constructing an Effective Skincare Routine

Here are some staple products you should consider adding to your skincare routine that gently fight acne while giving your skin the nourishment and protection it needs at this stage in life:

1. Cleanser:

Use a gentle cleanser that can be used for acne-prone skin. This will help remove impurities, excess oil, and makeup without stripping the skin’s natural moisture. Regular use will keep the skin clean and balanced, minimizing the risk of clogged pores and breakouts.

2. Toner:

Incorporating a toner into your skincare routine (after cleansing) helps prevent acne breakouts by effectively removing any leftover makeup and impurities from the skin’s surface, further minimizing the risk of pore congestion. Look for a toner with witch hazel (a natural plant extract) as it possesses natural astringent properties that help tighten pores and reduce inflammation without causing dryness or irritation associated with alcohol-based toners.

3. Serum:

Using a serum under your skincare routine (after toner) is essential as serums are formulated with concentrated active ingredients that can target specific skin concerns such as hydration, brightening, and anti-aging. Serums have a lightweight texture that allows them to penetrate deeper into the skin, delivering potent ingredients directly to the target area for enhanced efficacy and visible results. Here are 2 types of serums to consider: 

A Vitamin C Serum: Helps reduce inflammation, promotes collagen production, and brightens the complexion. It can also help fade acne scars over time, improving the overall appearance and texture of the skin.

Vitamin C & E + Peptides Serum: Combine the power of vitamin C, vitamin E, and peptides to provide antioxidant protection and promote collagen synthesis. Reduces the appearance of acne scars and uneven skin tone, while also enhancing the skin’s overall health and resilience.

3. Retinol

Retinol is known for its effectiveness in both improving acne-prone skin and skin rejuvenation. A pharmaceutical-grade, potent retinol helps unclog pores, regulate oil production, and promote cell turnover. Regular use can result in a smoother, clearer complexion and a reduction in the appearance of acne scars and fine lines.

4. Moisturizer

Opt for moisturizers that are free of oils and non-comedogenic, meaning they won’t clog your pores, to effectively maintain your skin’s hydration levels. Specifically designed for problematic skin, these moisturizers offer lightweight hydration while preventing pore congestion and breakouts. Seek out moisturizers infused with calming and nourishing ingredients like chamomile extract or aloe vera, which work to soothe and balance your skin.

5. SPF:

Apply sunscreen (SPF 30 or higher) after your morning skincare routine, (including under makeup if used), to protect your skin from UVA/UVB-induced aging, prevent worsening of acne scars, and aid in their fading process. Look for sheer sunscreen if you are prone to oily zones, sport sunscreen if you tend to run warm or are active, or tinted protection if you like to combine it with light coverage for radiant skin. We additionally recommend a brush-on mineral sunscreen for easy and necessary re-application throughout the day. 

Our skin technicians can help you select skincare products to build an effective skincare routine with the ingredients to care for your unique skin’s needs. 

Stress Relief

Practice exercise and stress-reducing techniques such as task prioritization, boundary setting, massages, time outdoors, practicing mindfulness, and taking time for yourself to minimize the impact of stress on your skin and immune system.

Managing Stress

Stress triggers the release of stress hormones like cortisol, which can increase oil production in the skin, leading to clogged pores and acne breakouts. It can also disrupt the skin’s natural barrier function, impair its ability to repair itself, and weaken the immune response, making the skin more susceptible to bacterial infections and inflammation associated with acne.

Finding & Minimizing Stressors

Making time for physical activity or relaxing activities is important for your long-term health. So is managing stress in your everyday life.

Consider what situations, events, or responsibilities tend to cause you stress or anxiety. Evaluate your commitments and responsibilities. Identify tasks or requests that can be delegated or declined for a more realistic use of your time and that allows for regular wellness activities. Learn to prioritize tasks based on importance and urgency, focusing on what truly matters to you and your goals. 

Taking care of yourself on a regular basis is essential to sustainably be effective in all areas of your life when you are needed. Setting boundaries and kindly saying “no” when necessary can help manage your stress levels and help you show up more effectively for what you do commit to. It can also help you find some time for stress-relieving activities.

You don’t have to live with your acne scars.

 

Don’t let acne scars dictate your self-esteem—there’s no longer any need to live with them. Discover effective solutions to treat your pigmented, indented, or both types of acne scars!

Treatments for Acne Scars

Indented Acne Scars

These are characterized by depressions or uneven texture on the skin’s surface caused by collagen loss during the healing process. Here are our top 3 acne scar treatments for dramatic results:

Microneedling

Stimulate collagen production and promote skin regeneration by creating controlled micro-injuries. It fills in depressions and improves the texture of the skin.

Fractional Laser

Create microthermal zones to stimulate collagen synthesis and remodel the skin. It minimizes depressions and targets pigmentation, reducing discoloration.

Pigmented Acne Scars

These are areas of discoloration or hyperpigmentation left behind after an acne breakout. 

PicoSure Laser

Delivers ultra-short pulses of energy to target pigmented areas or scar tissue. It breaks down melanin deposits, reducing discoloration and promoting a more even skin tone.

In addition to treating acne scars, all of these treatments also improve the appearance and visibility of large pores, resulting in a smoother and more refined complexion over time. Natural collagen remodeling is triggered by each laser or microneedling session, causing your body to naturally produce new collagen fibers and rearrange existing ones in the skin, resulting in improved skin texture, firmness, and reduced appearance of scars.

Multiple sessions (we recommend starting with 3-5 sessions if you are in you 40s or 50s) are typically required for optimal results, as your skin needs time to undergo a new cycle of natural collagen remodeling triggered by each treatment. 

With each session, you’ll notice gradual improvement as your scars fill in and your skin texture becomes clearer and smoother on your journey towards renewed confidence.

Head to our online booking page to book your first acne scar treatment and start your journey to clearer skin!

Not sure which of these you want? Consult with your skin technician during your next facial appointment, where they can assess your scars and discuss your habits. Based on their evaluation, they will recommend the best option to help your unique skin reclaim a smooth, scar-free tone and texture.

 

Experiencing acne in your 40s and 50s can be disheartening, but understanding the factors that contribute to adult acne is the first step toward effective management. 

By addressing hormonal changes, receiving facials to treat acne-prone skin, adopting a healthy lifestyle, using appropriate skincare products, and seeking professional advice from our skin technicians, you can keep your skin healthy and minimize acne breakouts. 

It is never too late (or too early!) to achieve clear, rejuvenated, radiant skin and boost your confidence at any age.