Adult acne. It can happen to anyone. It shouldn't come as a surprise that acne is the most common skin disorder in the United States. And it's not just a teenage problem. As an adult, fluctuating hormones can cause acne flare ups. Hormones stimulate the sebaceous glands, increasing oil production and creating a skin that is more prone to breakouts.

Adult onset acne most commonly affects women. Sharp hormonal fluctuations often occur during ovulation and menstruation, pregnancy, perimenopause and menopause, and, in some cases, can also be caused by using certain birth control medications.

While acne strikes adult women at a greater rate than men, they are not immune to acne. Men tend to have more severe and longer lasting acne than women, because of the higher levels of testosterone within the body. It is not uncommon for acne in men to last 10 years or more, if left untreated.

Did you know that acne tends to run in families? So, if one of your parents had acne at any point in their lives, your risk of adult onset acne is higher. Adult acne can be frustrating. Seriously. I tell you this because it's happening to me. A couple of months ago, I noticed breakouts around my jaw and chin area. I figured it was a passing hormonal imbalance. It didn't pass. Then I thought my acne rosacea was flaring up. My dermatologist and OBGYN confirmed it was not. Their response, "welcome to your almost 40s." Lovely.

Here I am, former clear skin girl, dealing with adult acne. The more friends I talk to about it, the more I find I am not the only one in this boat. What am I doing to alleviate the situation? The first thing I did was go on prescription Doryx, a tetracycline-class delayed release oral antibiotic for the treatment of severe acne. While I did see improvement in the 3-4 weeks I was on it (taking only half a pill), I just stopped using it to see if I could get this thing under control without the help of an antibiotic. I may have to go on it again. However, my current regimen seems to be working really well. My current regimen consists of:
  1. Gentle cleanser (something similar to Cetaphil) (I am also testing Smart Start Acai Glycolic Cleansing Cream)
  2. Blue light + red light photo light therapy treatment
  3. Hydrating/Antioxidant rich serum
  4. Moisturizer
  5. Sunscreen in the day, Retin-A Micro at night
  6. Concealer in the day - couldn't live without True Concealer
Most acne medications are geared toward teens' oily skin, a bad choice for drier adult skin. Effective treatment often requires a trial-and-error approach ... and it takes time. Acne treatments have improved tremendously, and nearly every case of adult onset acne can be successfully controlled with the right treatment. If you are suffering from adult onset acne, please see your dermatologist for the right regimen for your skin.

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Catherine     |2009-07-06 10:41:26
Hi Nooriee,

I just may stop in to see Dr. Patricia Wexler when I am in NYC in
September. I know the in-office photo light treatment is a lot stronger and more
effective than ANSR:, the at-home version. However, I gotta say, the ANSR: beam
has saved my skin. It's ironic that when I first tried the beam I only used the
red light treatment, which I loved. Then two months later, I am hit with adult
onset acne. Crazy. So I started the blue light treatment, in addition to the red
light. I am astonished with the results I have seen. While it took about 3-4
weeks to see an improvement, it doesn't even look like I was hit with acne. My
skin is clear again (albeit a few red marks that, with time, will go away). I
have not tried the Niacinamide yet. I am crossing my fingers that I have found
my cure.

I will look into true cosmetics. I haven't heard of that line but if
you love it, I know I will too!

Thanks,
Catherine
Nooriee   |2009-07-06 03:45:37
Hi Catherine,

I am curious about Niacinamide Pills..that sounds fairly safe!
Have you tried it yet? Do let me know...sounds fairly safe! I did try Dr.
Perricone's hyperpigmentation supplements..and they did work!
Nooriee   |2009-07-06 03:41:19
Hi Catherine,

How are you? Long time since I have been here...too much work
being in the legal field! Anyways, I wanted to drop a quick note for adult
acne...while I know you are a HUGE fan of the Ansr...I found my regular spa that
provides L.E.D treatments stronger...in ten straight days w 20 mins of LED...my
hormonal breakouts that result from crazy air travel..are healed! Its almost
like I know that's what I have to do the minute I land in San Francisco...head
to Spa Radiance....the best of the best in the city with cutting edge
treatments! So try them....the blue light from a professional's equipment are
stronger than the at home use...If you are in NYC, try visiting Dr. Patricia
WExler...she's definitely one of the more holistic dermats around...I am super
into organic lifestyle and stay away from taking internal drugs unless I know I
am going to die....just cuz..I have had friends suffer from Melasma (counter
effect of the pill) that a lot of people don't realize the pill does...combined
with friends who are spending half a million dollars trying to have babies after
years of being on contraceptive pills...having read and consulted top notch
doctors off the record...I decided it was not for me....I found gentle
treatments more effective and loving on my skin! BTW, I too am a HUGE fan of
true cosmetics! I absolutely love their mineral foundation and their lipstick
color called Ingenue! Try it!

warm regards
Nooriee
Catherine     |2009-06-20 12:21:07
Melissa,
Thank you so much for the information. I am definitely going to ask
for that prescription. This is unchartered territory for me and I am learning
more each day about it. I feel like it's finally getting under control and my
daily use of concealer has gone way down (almost none). However, you never know
what the next day/week will look like. I told my husband, I now know what it
feels like to not want to go somewhere because of what's going on with your
face. So many msf community members that I have talked to over the years have
expressed that exact thing ... I know first hand now.
Melissa   |2009-06-20 12:09:38
Catherine,

I would highly recommend prescription Niacinamide pills for those
who don't like or can't tolerate antibiotics. It's just a vitamin supplement
with B-3, zinc and folic acid which prevents acne and reduces inflammation.
Studies have found it to be as effective for acne as some antibiotics. I started
because my body is so sensitive to medications and I don't have any side effects
with this one. There is now a generic form so the price has gone down
dramatically. I just read that it also reduces hyperpigmentation, but don't know
if there are studies to prove that.

Melissa
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