Dr Shaun Segal’s Guide to Adult Acne: Causes, Treatments, and Prevention

Adult acne is no longer a rare phenomenon—it affects millions of men and women across the globe, well past their teenage years. For many, it appears suddenly and often without a clear reason. If you’re struggling with persistent breakouts into your 30s or 40s, know that you’re not alone. With expert insight from Dr Shaun Segal, one of the leading dermatologists in this field, you can better understand the causes of adult acne and the best ways to treat and prevent it.

In this guide, we’ll explore what causes adult acne, the top treatments available, and preventive steps that work. Let’s break it down.

What is Adult Acne?

Adult acne refers to acne that develops after the age of 25. Unlike teenage acne, which typically appears on the forehead and nose, adult acne often affects the lower face, especially the jawline, chin, and neck. It can appear as blackheads, whiteheads, red pimples, or even deep, painful cysts.

Acne in adulthood may be persistent or newly developed. Many adults find themselves frustrated by breakouts, especially after believing they left this problem behind in their teens. Thankfully, expert-led skincare can change that.

Causes of Adult Acne

1. Hormonal Imbalances

One of the most common causes of adult acne, particularly in women, is hormonal fluctuation. Events such as menstruation, pregnancy, perimenopause, or conditions like PCOS (Polycystic Ovary Syndrome) can lead to increased oil production, triggering breakouts.

2. Stress

Stress plays a significant role in adult acne. When you’re stressed, your body releases cortisol and androgens, hormones that can increase oil production and inflammation. This often leads to clogged pores and acne flare-ups.

3. Diet and Lifestyle

While food doesn’t directly cause acne, high-glycemic diets (those rich in sugar and refined carbs) can trigger hormonal changes that increase acne risk. Lack of sleep, alcohol consumption, and smoking can also negatively impact your skin’s health.

4. Inappropriate Skincare Products

Using skincare or makeup that’s too harsh or not suitable for your skin type can worsen adult acne. Look for “non-comedogenic” labels to ensure that the products won’t clog your pores.

5. Underlying Health Issues

Sometimes, acne is a visible sign of internal imbalances. Thyroid dysfunction, gut health issues, or insulin resistance can manifest as acne. A thorough evaluation by a specialist like Dr Shaun Segal can uncover hidden causes.

Best Treatments for Adult Acne

1. Topical Treatments

Dr Shaun Segal emphasizes starting with a dermatologist-approved topical regimen. Key ingredients to look for include:

• Retinoids – unclog pores and promote cell turnover
  
  
• Salicylic Acid – reduces inflammation and cleanses pores.
  
  
• Benzoyl Peroxide – kills acne-causing bacteria. a
  
  
• Niacinamide calms the skin and reduces redness.
  
  

These can be found in prescription-strength formulas or high-quality over-the-counter options.

2. Oral Medications

When topical treatments don’t work alone, dermatologists may recommend:

• Oral antibiotics to control bacteria and inflammation
  
  
• Hormonal therapy, such as birth control pills or spironolactone, to balance hormones
  
  
• Isotretinoin (Accutane) for severe, cystic acne that hasn’t responded to other treatments
  
  

3. In-Clinic Procedures

Professional treatments can accelerate healing and improve skin texture:

• Chemical peels remove the top layer of skin, clearing clogged pores
  
  
• Microneedling boosts collagen and minimizes scars.
  
  
• Laser therapy targets bacteria and improves pigmentation.
  
  
• LED light therapy helps reduce inflammation and bacteria
  
  

A consultation with Dr Shaun Segal will determine which procedures are best for your skin type and acne severity.

How to Prevent Adult Acne

1. Stick to a Consistent Skincare Routine

Choose a gentle, sulfate-free cleanser. Avoid over-washing, which strips the skin of natural oils and leads to overproduction. Moisturize with oil-free, non-comedogenic products and always apply sunscreen—even indoors.

2. Reduce Stress

Stress management is critical. Practices such as meditation, exercise, journaling, or even a good night’s sleep can help regulate stress hormones that contribute to breakouts.

3. Watch What You Eat

Limit sugar, dairy, and processed foods. Instead, opt for leafy greens, fatty fish like salmon, and antioxidant-rich berries. A healthy gut often reflects clear skin.

4. Avoid Picking or Touching Your Face

Picking at pimples spreads bacteria and increases inflammation. It also raises the risk of permanent scarring.

5. Clean Your Devices and Pillowcases

Phones, pillowcases, and even hair products can be culprits of recurring acne. Wash pillowcases twice a week and clean your phone screen daily.

Also Read:- Chemical Peels vs. Laser Resurfacing: Which One Should You Choose?

When to See a Dermatologist

If your acne persists despite your best efforts, worsens over time, or begins to leave scars, it’s time to consult a dermatologist. An expert like Dr Shaun Segal can develop a personalized acne treatment plan that targets the root cause, not just the symptoms.

Delaying treatment can result in long-term pigmentation, texture issues, and emotional stress. You deserve better—and your skin does too.

Final Thoughts

Adult acne may feel frustrating and unpredictable, but it’s manageable with the right approach. From hormonal imbalances to lifestyle factors, many triggers are treatable or preventable. The key lies in understanding your skin’s unique needs.

Whether you’re dealing with occasional breakouts or more serious flare-ups, Dr Shaun Segal offers professional care and science-backed solutions to help you achieve clear, confident skin. Take the first step today toward a brighter, blemish-free future.