Many people still break out past their teen years, and many others start breaking out in their 20s even though they had clear skin as a teen. There are many options available to treat your acne, including prescription and over-the-counter (OTC) creams, medications taken by mouth, lasers, chemical peels, and for severe cases, Accutane. Accutane is the most effective treatment available, but it's not meant for everyone and it has its risk--so it's not always the best choice. The best treatment for you depends on many factors, including the type of acne you have.
Most patients with mild to moderate acne are best treated with prescription creams alone or a combination of creams, pills and peels. Current guidelines suggest that all patients other than those with cystic and scarring acne should first start treatment using a retinoid. Retinoids are a class of topical medication that are derived from vitamin A, and include Retin-A, Differin, Ziana and Tazorac (all of which are available with a prescription). Retinol is a retinoid that's available without a prescription, but it's much less powerful than its prescription counterparts.
While using a retinoid may be all that you need to treat mild acne, you may want to combine it with a cleanser to help unclog pores. Just make sure that your cleanser is mild and gentle, as retinoids can cause skin irritation.
One, the start of new skin care routines in anticipation of "getting older" involving many clogging moisturizers and makeup.
Two, introduction of birth control in college or later, for actual birth control purposes or hormonal problems associated with conditions such as PMDD or PCOS.
Three, new stress from starting out on a career, which is a different type of stress than even occurs in college.
It can be possible to tell the causes of a breakout by the placement of the blemishes. For instance, when the breakout is concentrated along the jawline by the ears, that's often hair styling product or foundation. Along the cheekbones can be impactions caused by certain red and yellow dyes in blush irritating pores. Bronzer is noTORious for causing breakouts, especially pressed. Cleansers that are too harsh, scrubs that are too scratchy and moisturizers and makeup that contain pore-clogging ingredients always make everything worse, whether it's oil overproduction from hormones to food sensitivities to irritating medications, prescription or over the counter.
If you'd be interested, we can do a personalized skin care evaluation by email, where we talk in-depth about your routine, habits, breakout placement and what to do about all this. It includes a full evaluation sent to you by email and a sample packet of product sent to your home or work. Please email me at email@example.com.
There are many ingredients on the market that are very harsh for the skin and unnecessary. If you figure out your skins needs and your lifestyle habits, you can figure out how to take great care of your skin to ensure its health over time.
A birth control pill that contains estrogen will help this by decreasing the production of androsteindione, and decrease the acne production. It might take 3-6 months before you see an effect from this.
Good luck xoxo
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