Acne After 25? Here’s What’s Really Going On

Introduction

Acne doesn’t end with your teenage years. Far from it—many people find themselves battling persistent or new breakouts well into their twenties, thirties, or even beyond. If you’ve spent years thinking acne was a hormonal rite of adolescence, only to find pimples cropping up well after age 25, you’re not alone—and you’re not imagining things. Adult acne is real, complex, and often misunderstood. But what’s driving it, and how can you treat it effectively?

In this comprehensive article, we’re diving deep into the phenomenon of acne after 25—exploring its underlying biology, common triggers, treatment options, and actionable advice to regain clear, healthy skin. Whether you’re struggling with hormonal cysts, inflamed bumps across your cheeks or jawline, or persistent blemishes you thought belonged to your teenage years, this guide helps unravel the real causes and offers evidence-based solutions.

You’ll learn why adult acne often persists behind the hairline, on the jaw, chin or lower cheeks, how lifestyle factors like stress, diet, and environment influence breakouts, and what skincare ingredients truly support—or hinder—you. We’ll also cut through myths about “natural cures” or one-size-fits-all routines that often worsen symptoms. Finally, you’ll walk away with a personalized approach tailored to adult acne, including products, medical treatments, and long-term maintenance strategies rooted in science.

By the end of this read, you’ll no longer view adult acne as a mystery or setback—it will become a manageable condition you understand, can treat confidently, and, most importantly, can get ahead of with knowledge, routines, and support.

1. Understanding Adult Acne: What Makes It Different

Acne that emerges or persists after the age of 25 is classified as “adult acne.” This isn’t just teenage acne that refuses to go away—it often differs in presentation, cause, and response to treatment. While adolescents typically experience acne due to a surge in androgen hormones increasing sebum production and blocked follicles, adult acne often involves subtler hormonal shifts, slower healing, and compounding external factors.

Adult acne tends to manifest in specific patterns. Women often experience it around the lower face—jaw, chin, and neck—where hormonal influences such as fluctuating androgen and progesterone levels are more active. Men may continue to experience breakouts in similar zones but might also see more inflammatory cysts in the forehead, chest, or upper back. Unlike teenage acne, which commonly features comedones (blackheads and whiteheads), adult acne often presents as painful, deep cysts or pustules, stubborn red bumps, and postinflammatory hyperpigmentation (dark spots that linger long after**

Healing takes longer in adult skin, partly due to slower cell turnover. At a cellular level, keratinocytes (skin cells lining pores) shed more slowly, making it easier for pores to remain clogged. Meanwhile, aging skin produces less natural hyaluronic acid and lipids, making the skin barrier weaker; this can lead to inflammation or sensitivity in response to acne treatments that younger skin might tolerate. Adult skin is also more prone to scarring and discoloration from blemishes.

In a practical sense, adult acne often interferes more with daily life. It may cause embarrassment in professional or social settings, increase emotional stress, and create a sense of frustration at being older but still facing skin issues many assume are resolved after adolescence. The lingering impact of scars or dark spots can also lead to long-term self-consciousness.

Because adult acne is driven by a complex blend of hormonal, environmental, and lifestyle factors—with skin biology now differing from younger years—it often doesn’t respond as well to generic teenage acne treatments. A low-cost over-the-counter benzoyl peroxide or salicylic acid wash may have worked in your high school years but may not be sufficient (or gentle enough) for adult skin.

2. Hormonal Influences Beyond Puberty

Hormones play a major role in adult acne—especially in women. While testosterone and other androgens drive sebum production in adolescence, adult acne often ties closely to the menstrual cycle, perimenopause, polycystic ovary syndrome (PCOS), and stress-related hormone imbalance. Even in “healthy” adults, androgen levels fluctuate and can increase oil production, leading to breakouts.

The menstrual cycle influences acne significantly. In the luteal phase (after ovulation, before menstruation), rising progesterone and minor androgen surges often trigger cystic breakouts, particularly on the chin and jawline. Many women report premenstrual flare-ups or cysts that coincide with hormone shifts. Acne that flares on or just before your period is frequently hormonal—not caused by diet or hygiene.

Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age and frequently shows up in acne. Elevated androgen levels lead to persistent oil production and inflamed breakouts. Skin may also exhibit hair growth (hirsutism), irregular or missing periods, and insulin resistance. Even outside full-blown PCOS, some women have “mild hyperandrogenism” that leads to stubborn adult acne.

In perimenopause and menopause, estrogen declines while androgens remain relatively stable—leading to a relative rise in androgenic influence on the skin. This shift can trigger acne or worsen existing adult acne in women in their 40s and 50s.

In men, hormonal factors are less cyclical but still relevant. Age-related androgen decline can alter sebum composition. Additionally, lifestyle stress raises adrenal androgens like DHEA-S, which can continue to fuel breakouts well into the 30s and 40s.

Stress is a major hormonal driver in adult acne. The stress hormone cortisol promotes inflammation and influences oil gland activity. Chronic high cortisol sensitizes the skin, impairs barrier function, and fuels acne—even if other hormones are fairly balanced. That’s why people under prolonged mental, physical, or emotional stress often notice acne flare-ups, even in their 30s and 40s.

Hormonal oral contraceptives or anti-androgen medications can help in adult acne—but they must be carefully selected. Birth control pills that suppress ovarian androgen production may reduce acne in some women, while spironolactone (an androgen receptor blocker) is widely used off-label for hormonal breakouts. However, these treatments require monitoring and may not be suitable for everyone, especially if planning pregnancy, breastfeeding, or dealing with other medical conditions.

Understanding that acne after 25 often stems from subtle or cyclical hormonal shifts—rather than the overt surges of teenage years—is critical to selecting effective, sustainable treatments.

3. Skin Biology & Aging: How Maturing Skin Changes the Game

As skin ages, its structure and functions undergo significant changes that can influence the development and persistence of acne after 25. Unlike teenage skin, which tends to be oilier with higher cellular turnover, adult skin experiences a gradual slowdown in cell regeneration, collagen production, and sebum composition changes—all factors that affect acne formation and healing.

First, the epidermal turnover rate—the speed at which dead skin cells shed and new ones replace them—declines with age. This slower turnover means that dead skin cells may accumulate more readily, clogging pores and contributing to comedones and inflammatory acne lesions. In adolescence, exfoliation happens naturally faster, which can sometimes help clear blocked follicles; in adults, this process requires more external support through exfoliating agents.

Second, the skin’s natural moisture barrier becomes weaker with age. The stratum corneum—the outermost layer of skin—is less efficient at retaining moisture and maintaining an acidic pH, which serves as a defense against bacterial colonization. This can make adult skin more vulnerable to inflammation, irritation, and susceptibility to acne-causing bacteria such as Cutibacterium acnes (formerly Propionibacterium acnes).

Third, changes in sebum composition occur. Although sebum production generally declines with age, the balance of lipids within sebum can shift, sometimes resulting in oilier patches and dry areas coexisting—a condition called combination skin. The altered lipid profile may affect the skin’s microbial ecosystem, leading to imbalances that favor acne formation.

Additionally, adult skin is more prone to sensitivity and irritation, especially from harsh acne treatments that younger skin might tolerate. Ingredients like benzoyl peroxide or retinoids, while effective, need to be used carefully to avoid excessive dryness or inflammation that can worsen acne or lead to scarring.

The natural decline in collagen and elastin also means that acne scars and post-inflammatory hyperpigmentation tend to be more persistent in adults. Healing is slower, and the skin’s ability to repair damage diminishes over time, underscoring the importance of early and effective acne treatment to minimize long-term damage.

In summary, aging skin presents unique challenges for adult acne sufferers. The combination of slower cell turnover, barrier dysfunction, sebum changes, and increased sensitivity means that adult acne requires a tailored approach—one that balances effective treatment with skin health preservation.

4. Lifestyle, Diet, Stress & Environment: Modern Triggers

Beyond biology and hormones, lifestyle factors play a crucial role in triggering and exacerbating acne after 25. Unlike adolescent acne, which is largely driven by hormonal surges and genetics, adult acne is often a multifactorial condition influenced heavily by daily habits, diet, stress levels, and environmental exposure.

  • Stress and Acne

Chronic stress is one of the most potent acne triggers in adults. Stress activates the hypothalamic-pituitary-adrenal (HPA) axis, increasing cortisol production. Elevated cortisol enhances sebaceous gland activity and promotes inflammation, creating an environment conducive to acne development. Additionally, stress weakens the immune system, impairing the skin’s ability to fight off acne-causing bacteria.

Moreover, stress often leads to behavioral changes—such as poor sleep, unhealthy eating, and neglecting skincare routines—that further contribute to breakouts. Stress-related habits like touching or picking at the skin can exacerbate inflammation and increase the risk of scarring.

  • Diet and Acne

The relationship between diet and acne has been debated for decades. While traditional thought dismissed diet as a major factor, recent research points to certain foods as potential acne triggers, especially in adults.

High-glycemic index foods—such as refined sugars, white bread, and processed snacks—can spike blood sugar and insulin levels, increasing androgen production and sebum secretion. Dairy products, particularly skim milk, have also been implicated in some studies, potentially due to hormones present in milk that affect human hormone levels.

Conversely, diets rich in antioxidants, omega-3 fatty acids, vitamins A and E, and zinc may have protective effects against acne. Maintaining a balanced, nutrient-dense diet supports skin health by reducing inflammation and oxidative stress.

  • Environmental Factors

Pollution, humidity, and exposure to irritants also affect adult acne. Urban pollution deposits fine particles and toxins on the skin’s surface, clogging pores and triggering inflammatory responses. Hot and humid climates increase sweating and sebum production, creating a breeding ground for bacteria.

Makeup and skincare products can contribute to acne if they are comedogenic (pore-clogging) or not suited to your skin type. Additionally, wearing masks (maskne) or helmets that trap heat and sweat can cause localized breakouts.

Lifestyle Habits

Smoking, alcohol consumption, and lack of exercise can negatively impact skin health. Smoking reduces oxygen supply and disrupts collagen synthesis, impairing healing and exacerbating inflammation. Excessive alcohol can dehydrate the skin and affect hormone balance.

Exercise generally benefits skin by improving circulation and reducing stress, but inadequate cleansing post-workout can lead to clogged pores.

In sum, adult acne is deeply intertwined with how we live our daily lives. Managing stress, optimizing diet, protecting skin from environmental stressors, and adopting healthy habits are integral components of a holistic acne management plan.

5. Common Types of Post-25 Acne: Cysts, Hormonal, Exclusive Diet Breakouts

Adult acne is not a one-size-fits-all condition. Different types of acne lesions may appear, each with distinct causes, appearances, and treatment approaches. Understanding the type of acne you have is crucial for effective management.

  • Hormonal Acne

This is the most common form of acne after 25, especially in women. Hormonal acne tends to manifest as deep, painful cysts primarily around the lower face—jawline, chin, and neck. It is strongly linked to fluctuations in androgen hormones that increase sebum production and cause follicular hyperkeratinization (clogging).

Hormonal acne often flares cyclically, typically worsening before menstruation or during periods of hormonal shifts such as pregnancy or perimenopause. These cysts can be stubborn and slow to heal, often leaving behind pigmentation and scars.

  • Cystic Acne

Cystic acne involves large, inflamed nodules or cysts beneath the skin surface. These lesions are often painful and more severe than typical pimples. Cystic acne can occur due to hormonal imbalances, but also due to bacterial infection, immune response irregularities, or physical irritation.

Because cystic acne affects deeper layers of the skin, it has a higher risk of scarring and requires more aggressive treatment, sometimes including oral antibiotics, hormonal therapies, or isotretinoin (Accutane).

  • Diet-Related Breakouts

Some adults experience acne flare-ups triggered by specific foods. For instance, high-sugar, dairy-heavy, or greasy diets can exacerbate breakouts in sensitive individuals. This type of acne may manifest as smaller inflammatory papules or pustules on the cheeks and forehead.

Unlike hormonal acne, diet-related acne may improve rapidly with dietary changes, making nutrition an important consideration in adult acne management.

  • Mechanical Acne

Acne mechanica is caused by physical irritation to the skin, such as friction, pressure, or heat. This can result from wearing tight clothing, helmets, or masks. The condition is increasingly common with widespread mask use (“maskne”) during the COVID-19 pandemic, characterized by redness and pimples primarily around the mouth, chin, and cheeks.

Understanding which type of acne you have helps in selecting the right treatment strategy, whether it involves hormonal regulation, lifestyle modification, or dermatological intervention.

6. Diagnosing Adult Acne: When to See a Dermatologist (≈600–700 words)

While mild acne can often be managed with over-the-counter products and lifestyle changes, adult acne—especially when persistent, severe, or worsening—warrants a professional evaluation. Seeing a dermatologist can help ensure an accurate diagnosis, rule out other skin conditions, and guide an effective, personalized treatment plan.

Why Diagnosis Matters

Adult acne shares symptoms with other dermatological conditions such as rosacea, folliculitis, or even eczema, which require very different treatments. Misdiagnosis or self-treatment without professional input can worsen skin conditions or delay healing.

A dermatologist will conduct a thorough clinical assessment, including:

  • Detailed medical history: To explore any hormonal imbalances, medications, or family history that could influence acne.
  • Skin examination: To classify the type and severity of acne and check for scarring or pigmentation.
  • Possible lab tests: Blood tests may be ordered to evaluate hormone levels, particularly in women with suspected PCOS or other endocrine disorders.

When to Seek Help

You should consider consulting a dermatologist if:

  • Acne is persistent beyond six months despite OTC treatments.
  • Lesions are painful cysts or nodules.
  • Acne causes emotional distress or impacts your quality of life.
  • You experience sudden or severe flare-ups.
  • Scarring or dark spots develop.
  • You suspect hormonal imbalance or other underlying health issues.

Additional Diagnostic Tools

In some cases, dermatologists may use tools such as dermoscopy or skin swabs to better understand the skin’s microbiome. They may also recommend imaging if cysts or nodules are deeply rooted.

Proper diagnosis allows for tailored treatment, potentially combining topical therapies, systemic medications, and hormonal management strategies to optimize outcomes and minimize side effects.

7. Treatment Options: From Topicals to Prescription

Treating adult acne effectively requires a multi-pronged approach, often combining topical and systemic therapies tailored to your specific acne type, skin sensitivity, and lifestyle.

Topical Treatments

  • Retinoids: Prescription retinoids (like tretinoin, adapalene) are gold-standard treatments for acne, promoting skin cell turnover, reducing follicular plugging, and improving inflammation. Newer, milder formulations are available for sensitive adult skin.
  • Benzoyl Peroxide: An antimicrobial agent effective against Cutibacterium acnes bacteria, benzoyl peroxide helps reduce inflammation and prevent new lesions. However, it can be drying and irritating if overused.
  • Azelaic Acid: This natural acid is anti-inflammatory, reduces bacterial growth, and helps with post-inflammatory hyperpigmentation—a common issue in adult acne. It is generally well tolerated.
  • Salicylic Acid: A beta hydroxy acid (BHA) that exfoliates inside the pores, helping to unclog follicles. It’s commonly used in cleansers and spot treatments but may be drying if overused.
  • Antibiotics: Topical antibiotics like clindamycin are often combined with benzoyl peroxide to reduce bacterial resistance and inflammation.

Oral Treatments

  • Antibiotics: Oral antibiotics (doxycycline, minocycline) are used for moderate to severe inflammatory acne but should be limited in duration to prevent resistance.
  • Hormonal Therapies: For women, oral contraceptives that reduce androgen production can improve hormonal acne. Spironolactone, an androgen receptor blocker, is widely prescribed off-label for adult acne and is effective in reducing sebum production.
  • Isotretinoin: For severe, cystic acne or cases resistant to other treatments, isotretinoin (Accutane) is a powerful oral medication that reduces sebum production, shrinks oil glands, and resets skin cell turnover. Due to its potent effects and side effects, it requires close medical supervision.

Emerging Treatments

  • Light and Laser Therapies: Photodynamic therapy, blue light, and pulsed dye lasers can reduce inflammation and bacteria. These treatments can be effective adjuncts but often require multiple sessions.
  • Chemical Peels: Superficial peels help exfoliate dead skin cells, reduce clogged pores, and improve pigmentation issues related to acne.

Treatment Considerations for Adult Skin

Adult skin’s sensitivity and slower healing require gentle, patient approaches. Over-aggressive treatments may exacerbate inflammation or cause dryness, leading to treatment discontinuation. Dermatologists often recommend starting with low concentrations and gradually increasing strength, combined with moisturizers and sunscreens.

Treatment adherence is key; acne improvements often take 6 to 12 weeks or longer to become visible, so patience and consistent use are essential for success.

8. Skincare Routines & Product Selection for Adult Acne

Choosing the right skincare routine is critical in managing adult acne effectively. Unlike adolescent acne, adult skin is more sensitive, prone to dryness, and slower to heal, so a balanced, gentle approach is necessary to avoid aggravation.

  • Cleansing

Use a mild, non-comedogenic cleanser that removes excess oil, makeup, and impurities without stripping the skin barrier. Avoid harsh soaps or cleansers with heavy fragrances or sulfates, which can cause irritation.

  • Exfoliation

Chemical exfoliants such as salicylic acid (BHA) or alpha hydroxy acids (AHAs) like glycolic acid help remove dead skin cells and unclog pores. However, exfoliation frequency should be limited to 2–3 times per week for adult skin to prevent irritation.

Physical scrubs should generally be avoided in acne-prone adult skin, as they can cause micro-tears and inflammation.

  • Moisturizing

Hydration is essential even for oily or acne-prone skin. Lightweight, oil-free, non-comedogenic moisturizers with ingredients like hyaluronic acid, glycerin, and ceramides support barrier repair and reduce dryness caused by acne treatments.

  • Targeted Treatments

Spot treatments with benzoyl peroxide or sulfur can reduce individual lesions. For overall acne control, incorporate retinoids or azelaic acid as recommended by a dermatologist.

  • Sun Protection

Sunscreen is critical in adult acne management to prevent post-inflammatory hyperpigmentation and protect sensitive skin, especially when using photosensitizing treatments like retinoids and chemical exfoliants. Use a broad-spectrum, non-comedogenic sunscreen with SPF 30 or higher daily.

  • Avoiding Triggers

Limit the use of heavy makeup, oily products, and pore-clogging ingredients. Always remove makeup thoroughly before bed to prevent follicle blockage.

  • Patch Testing

Before introducing new active ingredients, perform patch tests to check for sensitivity or allergic reactions.

  • Consistency & Routine Simplification

Simpler, consistent routines tend to work better for adult acne than complex, heavy regimens. Overloading the skin with too many products can disrupt the barrier and worsen acne.

9. Myths vs. Facts About Acne Over 25

Adult acne is surrounded by many myths and misconceptions that can confuse sufferers and sometimes lead to ineffective or even harmful practices. Dispelling these myths with facts is essential for understanding and properly managing acne after 25.

One common myth is that acne is only a teenage problem and that if you have breakouts in your late twenties or beyond, it’s due to poor hygiene. In reality, acne is a complex skin condition related to hormones, inflammation, and genetics, not dirtiness. Over-washing or harsh scrubbing can actually damage the skin barrier, causing more irritation and worsening acne.

Another misconception is that diet doesn’t affect acne. While the role of diet is still being studied, there is growing evidence that high-glycemic foods (such as sweets and refined carbs) and dairy can exacerbate acne in some adults. Eliminating these foods doesn’t guarantee clear skin for everyone, but it’s worth considering in a comprehensive treatment plan.

Many believe that “natural” or DIY remedies like lemon juice, toothpaste, or baking soda can cure acne. However, these substances can be extremely irritating to adult skin, causing redness, dryness, and even chemical burns. Using scientifically backed, gentle ingredients is far safer and more effective.

There’s also the idea that makeup must be completely avoided if you have acne. While some heavy or comedogenic makeup can clog pores, many non-comedogenic, oil-free products are designed specifically for acne-prone skin and can be safely used if removed properly.

Lastly, some adults think acne will clear up on its own without treatment, leading to prolonged suffering and increased risk of scarring. Adult acne often persists or worsens without intervention, so timely and appropriate treatment is key to preventing long-term damage.

By separating myths from facts, adults with acne can approach their condition with realistic expectations and informed choices, improving both skin health and quality of life.

10. Managing Scarring & Pigmentation

One of the most frustrating aspects of adult acne is the lasting marks it can leave behind—namely scars and post-inflammatory hyperpigmentation (PIH). Unlike temporary pimples, these spots and indentations can persist for months or years, impacting confidence and appearance.

Scarring occurs when acne lesions, especially deep cysts or nodules, damage the skin’s underlying collagen and tissue. There are different types of scars including icepick (deep, narrow), rolling (broad, shallow), and boxcar (round or oval depressions). Adult skin’s slower healing capacity often means scars are more noticeable and harder to treat compared to younger skin.

Preventing scarring starts with effective acne control to reduce the formation of deep, inflamed lesions. Avoiding picking or squeezing pimples is critical, as mechanical trauma worsens scarring risk. Early dermatological intervention using prescription medications can reduce inflammation and speed healing.

For existing scars, various treatments exist depending on scar type and severity. Microneedling stimulates collagen production by creating controlled micro-injuries in the skin, improving texture and firmness. Laser resurfacing can remove damaged skin layers and promote regeneration. Chemical peels exfoliate the surface and improve mild scars and pigmentation.

Post-inflammatory hyperpigmentation, or dark spots left after acne heals, is more common in adults and in individuals with darker skin tones. These spots result from excess melanin production triggered by inflammation. While they fade over time, topical agents such as azelaic acid, vitamin C, and hydroquinone can speed up lightening. Sun protection is paramount to prevent worsening pigmentation.

Managing scars and pigmentation requires patience and a combination of medical treatments and diligent skincare. Consulting a dermatologist is advised for tailored therapies that safely and effectively improve the skin’s appearance over time.

11. Preventing Relapse & Long-Term Skin Health

Acne after 25 is often a chronic condition prone to flare-ups, meaning prevention and maintenance are just as important as acute treatment. After clearing acne, many adults face frustration when blemishes return. Long-term success relies on sustained skincare routines, lifestyle adjustments, and sometimes ongoing medical management.

A key component of relapse prevention is maintaining a gentle but effective daily skincare routine that controls excess oil and exfoliates dead skin cells without disrupting the skin barrier. Using non-comedogenic moisturizers and sunscreen protects against irritation and pigmentation, both of which can worsen acne.

Hormonal fluctuations remain a significant trigger. For women, ongoing hormonal therapies such as oral contraceptives or low-dose spironolactone can maintain sebum regulation and minimize breakouts. Regular consultations with healthcare providers help adjust treatments as needed, especially during life changes like pregnancy or menopause.

Lifestyle factors must be continuously addressed. Stress management techniques such as meditation, exercise, or therapy can reduce cortisol levels and inflammation. Eating a balanced diet low in high-glycemic foods and dairy may help prevent flares. Adequate sleep and hydration support overall skin repair.

Environmental exposure can be managed by protecting skin from pollutants and avoiding excessive heat or friction from clothing and accessories. Regular cleansing after sweating or mask-wearing reduces mechanical acne.

Finally, awareness and early intervention are vital. Adults prone to acne should monitor their skin closely and respond quickly to new lesions to prevent progression into severe acne or scarring. Periodic dermatologist visits can provide professional maintenance treatments such as chemical peels or light therapy to keep skin clear and healthy.

In sum, preventing acne relapse requires a holistic approach combining medical care, smart skincare, and healthy lifestyle choices tailored to the individual’s skin and life circumstances.

Conclusion

Acne after 25 is a complex and often misunderstood condition that extends far beyond teenage years. It is influenced by a unique combination of factors including hormonal fluctuations, aging skin biology, lifestyle habits, diet, and environmental exposures. Unlike adolescent acne, adult acne requires a nuanced approach that balances effective treatment with the sensitivity and slower healing nature of mature skin. Understanding the different types of adult acne, recognizing when to seek professional diagnosis, and adopting evidence-based skincare routines are essential steps to managing breakouts and minimizing long-term consequences like scarring and pigmentation.

Moreover, addressing common myths about adult acne helps sufferers approach their condition with realistic expectations and avoid counterproductive practices. Preventing relapse demands ongoing commitment to skin health through gentle care, hormonal balance, stress management, and lifestyle adjustments. With advances in dermatological treatments—from topical retinoids and hormonal therapies to lasers and chemical peels—adults struggling with acne have more options than ever to achieve clearer, healthier skin.

Ultimately, patience and persistence are key, as adult acne often requires longer treatment timelines and continual maintenance. By combining medical guidance with holistic lifestyle changes, individuals can regain control over their skin, improve confidence, and reduce the physical and emotional toll of acne well into adulthood.

SOURCES

Keri, J. E., Shiman, M. I., & Mesinkovska, N. A. (2017). Adult female acne: Clinical perspectives. International Journal of Women’s Dermatology, 3(3), 103-109.

Dreno, B., et al. (2018). Adult female acne: Practical recommendations for clinical management. Journal of the European Academy of Dermatology and Venereology, 32(6), 893-903.

Zaenglein, A. L., et al. (2016). Guidelines of care for the management of acne vulgaris. Journal of the American Academy of Dermatology, 74(5), 945-973.

Goulden, V., Stables, G., & Cunliffe, W. J. (1997). Post-adolescent acne: A review of clinical features. British Journal of Dermatology, 136(3), 411-414.

Wang, S. Q., & Chong, C. K. (2013). Acne vulgaris: Pathogenesis, diagnosis, and treatment. American Journal of Clinical Dermatology, 14(5), 321-328.

Del Rosso, J. Q., & Kim, G. (2016). Management of adult female acne. American Journal of Clinical Dermatology, 17(1), 19-29.

Youn, S. W., & Park, K. Y. (2013). Influence of diet and lifestyle on acne vulgaris. Annals of Dermatology, 25(3), 265-273.

Smith, R. N., et al. (2007). A low-glycemic-load diet improves symptoms in acne vulgaris patients: A randomized controlled trial. American Journal of Clinical Nutrition, 86(1), 107-115.

Kirkland, R. S., & Peralta, E. A. (2019). Adult-onset acne: Diagnosis and management. Dermatology Clinics, 37(1), 99-111.

Tan, J., & Bhate, K. (2015). A global perspective on the epidemiology of acne. British Journal of Dermatology, 172(1), 3-12.

HISTORY

Current Version
JULY, 14, 2025

Written By
BARIRA MEHMOOD