Managing Acne
Acne isn’t just a teenage problem. Many people, especially women, experience breakouts well into their 30s, 40s, and even during menopause.
What Causes Acne?
Acne forms when pores get blocked by oil (sebum), dead skin cells, and bacteria like Cutibacterium acnes, triggering inflammation. Hormones play a big role — especially during periods, pregnancy, menopause, or in conditions like PCOS. Jawline breakouts often point to hormonal acne.
Important note: Rosacea is common in Ireland and often confused with acne. Redness, flushing, and pustules are key features. Many people actually have both.
Common Acne Triggers
- Friction or pressure (helmets, masks, instruments)
- Cosmetics and hair products
- Supplements – Biotin, B6, and whey protein may worsen acne
- Diet – Skimmed milk and high sugar diets are linked to breakouts
- Medications – Steroids, lithium, certain contraceptives
- Stress – Makes everything worse, including your skin
Over-the-Counter Heroes
- Cleanser: Use salicylic acid-based washes or gentler ones if they’re aggravating your skin.
- Moisturiser: Hydrated skin heals faster.
- Benzoyl Peroxide: Kills acne bacteria
- Salicylic + Glycolic Acid
- Azelaic Acid: Calms inflammation and brightens skin
- Sulfur Masks
- Supplements: Zinc and omegas can support skin health
- LED Light therapy: Blue light is known to help zap acne, but at times may also increase your risk of pigmentation so get advice. Red and blue light are an excellent combination, but must be done consistently.
Prescription Options
- Topicals: Retinoids like adapalene (Differin), tretinoin, or combos like Epiduo or Duac.
- Antibiotics: Doxycycline (short-term), but watch for sun sensitivity.
- Hormonal: Birth control pills or spironolactone can help hormonal acne.
- Isotretinoin (Roaccutane): A game-changer for severe acne — but requires close monitoring and is not safe in pregnancy.
Don’t Wait to Get Help
Acne can leave scars and pigmentation, but it also takes a toll mentally. If OTC treatments aren’t enough, talk to your GP or a dermatologist. You deserve clear skin and confidence. This is also true for teenagers. Do not wait for them to grow out of it but help them deal with it.
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