Growing numbers of women are dismayed to discover they didn’t leave acne behind when
they finished high school. Yes, it might seem like a cruel joke, but it’s possible to have
pimples and wrinkles at the same time. In fact, 54 percent of women over 25 experience
some acne. And the numbers are expected to increase, with some skin care experts calling
the increase in outbreaks in adult women “an epidemic.”
What’s behind the rise in problem pimples?
Although we tend to associate acne with the angst-ridden adolescent years, in actuality
many of the factors that contribute to teenage acne are still at play in older women’s lives. In
particular, stress and hormonal fluctuations can wreak havoc on our skin - and many women
these days do experience that magical combination of hormonal changes and lifestyle
Stress and Acne: a vicious cycle
The relationship between stress and breakouts can quickly become a vicious cycle. When
our bodies feel stress, our adrenal glands respond by producing more of the stress hormone
cortisol, as well as small amounts of testosterone. These cause the oil glands in the skin to
produce more sebum, which can raise the risk of skin infections and pimples. Of course,
when we notice pimples appearing, we feel more stress. Add to that the fact that many of us
can’t resist the temptation to pick and spread any bacteria present, and you have the formula
for ongoing acne outbreaks.
The emotional and financial burden of adult acne
Finding a solution for adult acne can feel like a quest for the impossible. Consider this: Acne
costs Americans an astounding $15 billion a year in related products and services. Perhaps
ironically, we seem to be surrounded by skin care marketing that promises to clear up all
skin issues and restore a flawless, youthful glow. But many of these products can actually
It all adds up to frustration. It’s no wonder that 95 percent of people with acne say the skin
condition has affected their lives, with 63 percent citing lower self-confidence.
How can you treat adult acne?
The simple truth is that treatment has to start from within. Instead of seeking a “magic bullet”
skin cream, it’s often best to start with a bit of self-reflection. For example, try tracking
outbreaks to see if they coincide with your hormonal cycle, with other symptoms, with
specific foods, or with stressful periods in your life.
Reduce stress to tackle breakouts
Think of ways you can reduce the stressors around you. Yoga and meditation have been
proven to reduce stress, and ayurvedic tradition holds that many yoga poses can help with
In addition, don’t forget one of the most essential parts of stress management: adequate
sleep! (To keep your skin extra fresh while you sleep, make sure your pillow cases are
The food you eat affects your skin
Research remains to be done on the impact of diet on acne, but it’s been confirmed that the
quality of the food we eat is reflected in our skin. Ultimately, you’re the best test study for
which foods affect your complexion, since people can react differently to various foods.
Keeping a food diary and reviewing it with your healthcare practitioner is a good starting
A sensible approach is to eat a healthy, whole-foods based diet, opting for antioxidant-rich
foods whenever possible. Antioxidants can reduce inflammation and destroy harmful free radicals.
In addition, studies have shown that the following nutrients may have a positive effect on the
health of your skin:
● Zinc: The anti-inflammatory properties of zinc can help relieve the irritation of acne.
Some research shows that taking a zinc supplement can even reduce acne scars.
Zinc can also be applied topically, but it usually won’t be as effective. When it comes
to your diet, zinc rich foods include beef and shellfish, especially oysters, and
vegetarian sources like hemp seeds, pumpkin seeds, beans, nuts, and whole grains.
● Omega-3 Fats. Not only do omega-3 fats soothe inflamed skin thanks to their
antioxidant properties, they can also help regulate hormones. Omega-3 fats can be
found in nuts, flax, hemp seeds, and many types of fish. Supplements containing fish
oil or a vegan blend are also an excellent way to benefit from the acne-fighting
powers of Omega-3. (It might seem as if oil will make acne worse, but remember that
the goal is to tackle hormonal imbalance, and healthy fats are vital building blocks for
● High fiber foods. Eating food with a lot of fiber can help control your blood sugar by
slowing down sugar absorption and keeping you fuller longer. This helps to curb acne
breakouts since healthy blood sugar levels can influence cortisol production. Aim for
plenty of green veggies with each meal!
● Stay Hydrated. You may have noticed that your skin loses some luster when you’re
dehydrated - It’s important to drink plenty of water to keep your skin cells healthy and
● Green Tea. In addition to water, don’t hesitate to pour yourself a cup of green tea.
Studies show green tea can decrease sebum production. Plus, this delicious
beverage is high in antioxidants!
Acne creams that work
A more natural approach to moisturizing and nourishing your skin may be helpful, as many
people react to the chemicals, perfumes and preservatives in skin creams. Natural oils such
as Jojoba, which has similar properties to the sebum produced by your skin, may work better
to keep your oiliness in check than the drying benzoate creams of your youth. However be
cautious when adding essential oils to your regimen as some can be a little harsh on
Talk to your healthcare provider for guidance if you are having difficulty finding the right
skincare solution. A number of effective remedies are available, but you want to make sure
to pick a treatment that works for your particular skin.
Hormonal Adult Acne
Treating adult acne at the root cause can help you deal with this often-frustrating issue in a
more permanent way, and often the more stubborn cases come down to a hormonal
imbalance. Whether you’re in your 20’s or firmly in perimenopause, working with a Naturopathic Doctor can help you look at your full hormonal picture, and find the right plan to bring your hormones, and your skin, back in balance.
What worked in high school for clearing up your pimples might not be as effective as an
adult, because as we get older the reasons for breakouts change. So if you see pimples
developing, remain calm and take a focused look at the lifestyle factors that could be
If you have done what you can and are ready for professional analysis and guidance on
skin-friendly treatments, come into the office! Together we can look at your diet, coping
mechanisms, and other possible contributors. Adult acne doesn’t have to be frustrating.