{"id":43264,"date":"2026-11-04T06:16:34","date_gmt":"2026-11-04T05:16:34","guid":{"rendered":"https:\/\/swissdermaclinic.ch\/what-helps-with-adult-acne\/"},"modified":"2026-11-04T06:16:34","modified_gmt":"2026-11-04T05:16:34","slug":"what-helps-with-adult-acne","status":"publish","type":"post","link":"https:\/\/swissdermaclinic.ch\/en\/what-helps-with-adult-acne\/","title":{"rendered":"What really helps with adult&nbsp;acne?"},"content":{"rendered":"<p><strong>In short:<\/strong> Adult acne often responds to tre\u00adat\u00adment that tar\u00adgets both inflamm\u00ada\u00adti\u00adon and blo\u00adcked pores and suits how sen\u00adsi\u00adti\u00adve your skin is. Depen\u00adding on seve\u00adri\u00adty, this may mean medi\u00adci\u00adnes appli\u00aded to the skin, some\u00adti\u00admes com\u00adbi\u00adned with tablets. Hor\u00admo\u00adn\u00adal influen\u00adces, pre\u00advious tre\u00adat\u00adments and any plans for pregnan\u00adcy are all part of the assess\u00adment. Gent\u00adle skin care sup\u00adports the the\u00adra\u00adpy, and if fla\u00adre-ups keep retur\u00adning, lon\u00adger-term main\u00adten\u00adan\u00adce tre\u00adat\u00adment may be worthwhile.<\/p>\n<h2>Why does acne occur in adults?<\/h2>\n<p>For some peo\u00adp\u00adle, acne has con\u00adtin\u00adued sin\u00adce their teens. For others, it only starts later in life. Acne after the age of 25 is often cal\u00adled adult acne or late-onset acne. It affects women more often than men. Inflamm\u00ada\u00adti\u00adon may appear on the chin and along the jaw\u00adli\u00adne, but also on the cheeks, neck, chest or back, so adult acne is not limi\u00adt\u00aded to the lower&nbsp;face.<\/p>\n<p>Seve\u00adral pro\u00adces\u00adses work tog\u00ade\u00adther in adults too: sebum pro\u00adduc\u00adtion, blo\u00adcked hair fol\u00adlic\u00adle ope\u00adnings and inflamm\u00ada\u00adti\u00adon. Hor\u00admo\u00adnes influence the sebace\u00adous glands, and the skin can be sen\u00adsi\u00adti\u00adve even to nor\u00admal hor\u00admo\u00adne levels. Acne the\u00adr\u00ade\u00adfo\u00adre does not auto\u00adma\u00adti\u00adcal\u00adly mean the\u00adre is a mea\u00adsura\u00adble hor\u00admo\u00adn\u00adal dis\u00ador\u00adder. Our <a href=\"https:\/\/swissdermaclinic.ch\/en\/acne-causes-home-remedies-and-treatment-options\/\">over\u00adview of acne<\/a> explains the gene\u00adral background.<\/p>\n<p>When trea\u00adting adults, your per\u00adso\u00adnal histo\u00adry is par\u00adti\u00adcu\u00adlar\u00adly useful. Do your sym\u00adptoms get worse befo\u00adre your peri\u00adod? Have your con\u00adtracep\u00adti\u00adon, medi\u00adca\u00adti\u00adon or skin care pro\u00adducts chan\u00adged? Stress and unsui\u00adta\u00adble, pore-clog\u00adging cos\u00adme\u00adtics can also play a part. The\u00adse con\u00adnec\u00adtions are useful points for the con\u00adsul\u00adta\u00adti\u00adon, but they are not a dia\u00adgno\u00adsis. Plea\u00adse do not stop pre\u00adscri\u00adbed medi\u00adca\u00adti\u00adon or your con\u00adtracep\u00adti\u00adon on your&nbsp;own.<\/p>\n<h2>Is it really acne?<\/h2>\n<p>Black\u00adheads and whit\u00adeheads, known medi\u00adcal\u00adly as <a href=\"https:\/\/swissdermaclinic.ch\/en\/glossary\/comedones\/\">come\u00addo\u00adnes<\/a>, tog\u00ade\u00adther with infla\u00admed spots point towards acne. Deep nodu\u00adles may also occur. In adults, howe\u00adver, other skin con\u00addi\u00adti\u00adons can look simi\u00adlar. A tre\u00adat\u00adment that suits acne is the\u00adr\u00ade\u00adfo\u00adre not auto\u00adma\u00adti\u00adcal\u00adly right for every facial rash.<\/p>\n<p>In <a href=\"https:\/\/swissdermaclinic.ch\/en\/rosacea-treatment\/\">rosacea<\/a>, per\u00adsis\u00adtent red\u00adness, visi\u00adble small blood ves\u00adsels and recur\u00adring flus\u00adhing may be the main fea\u00adtures. Small bumps around the mouth or nose with dry, tight skin may fit <a href=\"https:\/\/swissdermaclinic.ch\/en\/perioral-dermatitis\/\">peri\u00adoral der\u00adma\u00adti\u00adtis<\/a>. The\u00adse are poin\u00adters, not a relia\u00adble self-dia\u00adgno\u00adsis. If you are unsu\u00adre, have your skin exami\u00adned befo\u00adre com\u00adbi\u00adning fur\u00adther acti\u00adve ingredients.<\/p>\n<p>Plea\u00adse men\u00adti\u00adon addi\u00adtio\u00adnal signs such as irre\u00adgu\u00adlar peri\u00adods, new\u00adly increased body hair or thin\u00adning scalp hair. In the\u00adse cases, a tar\u00adge\u00adted hor\u00admo\u00adn\u00adal assess\u00adment may be useful, for exam\u00adp\u00adle for poly\u00adcy\u00adstic ova\u00adry syn\u00addro\u00adme (PCOS). Whe\u00adther blood tests are nee\u00added depends on the over\u00adall pic\u00adtu\u00adre. Spots on the chin alo\u00adne do not pro\u00adve a hor\u00admo\u00adn\u00adal disorder.<\/p>\n<h2>Which treatment really helps?<\/h2>\n<p>The choice depends on the degree of inflamm\u00ada\u00adti\u00adon, the depth of the lesi\u00adons, the risk of scar\u00adri\u00adng and your pre\u00advious expe\u00adri\u00adence. Tole\u00adr\u00ada\u00adbi\u00adli\u00adty and dai\u00adly life mat\u00adter just as much: a tre\u00adat\u00adment plan has to be easy to under\u00adstand and rea\u00adli\u00adstic to fol\u00adlow regu\u00adlar\u00adly. The over\u00adview below explains the opti\u00adons but does not replace an indi\u00advi\u00addu\u00adal prescription.<\/p>\n<table>\n<thead>\n<tr>\n<th>Skin pic\u00adtu\u00adre or situation<\/th>\n<th>Pos\u00adsi\u00adble approach<\/th>\n<th>What mat\u00adters<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Come\u00addo\u00adnes and mil\u00adder inflammation<\/td>\n<td>Tre\u00adat\u00adment appli\u00aded to the skin, such as ben\u00adzoyl per\u00adoxi\u00adde, reti\u00adno\u00adids or azelaic acid, com\u00adbi\u00adned if appropriate.<\/td>\n<td>The choice takes skin sen\u00adsi\u00adti\u00advi\u00adty and con\u00adtra\u00adin\u00addi\u00adca\u00adti\u00adons into account. Dry\u00adness or irri\u00adta\u00adti\u00adon are possible.<\/td>\n<\/tr>\n<tr>\n<td>More pro\u00adno\u00adun\u00adced inflamm\u00ada\u00adto\u00adry&nbsp;acne<\/td>\n<td>Addi\u00adtio\u00adnal oral tre\u00adat\u00adment may be needed.<\/td>\n<td>Anti\u00adbio\u00adtics are used for a limi\u00adt\u00aded time and tog\u00ade\u00adther with sui\u00adta\u00adble topi\u00adcal therapy.<\/td>\n<\/tr>\n<tr>\n<td>Per\u00adsis\u00adtent acne in&nbsp;women<\/td>\n<td>In sel\u00adec\u00adted cases, a hor\u00admo\u00adn\u00adal\u00adly acti\u00adve tre\u00adat\u00adment may be an option.<\/td>\n<td>Con\u00adtracep\u00adti\u00adon needs, pregnan\u00adcy plans and indi\u00advi\u00addu\u00adal risks have to be considered.<\/td>\n<\/tr>\n<tr>\n<td>Deep nodu\u00adles, scar\u00adri\u00adng or insuf\u00adfi\u00adci\u00adent response<\/td>\n<td>Sys\u00adte\u00admic the\u00adra\u00adpy led by a der\u00adma\u00adto\u00adlo\u00adgist, pos\u00adsi\u00adbly with an oral retinoid.<\/td>\n<td>A careful weig\u00adhing of bene\u00adfits and risks and medi\u00adcal check-ups are essential.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Ben\u00adzoyl per\u00adoxi\u00adde acts against bac\u00adte\u00adria invol\u00adved in acne. Topi\u00adcal reti\u00adno\u00adids help, among other things, to coun\u00adter blo\u00adcked pores, while azelaic acid can influence inflamm\u00ada\u00adti\u00adon and the for\u00adma\u00adti\u00adon of come\u00addo\u00adnes. The\u00adse medi\u00adci\u00adnes are appli\u00aded to the affec\u00adted are\u00adas as ins\u00adtruc\u00adted, not gene\u00adral\u00adly just to indi\u00advi\u00addu\u00adal visi\u00adble spots. Which com\u00adbi\u00adna\u00adti\u00adon is sui\u00adta\u00adble also depends on what your skin has tole\u00adra\u00adted so&nbsp;far.<\/p>\n<p>Anti\u00adbio\u00adtics are not a per\u00adma\u00adnent skin care rou\u00adti\u00adne. Limi\u00adt\u00aded use and the right com\u00adbi\u00adna\u00adti\u00adon help to redu\u00adce the risk of resis\u00adtance. Hor\u00admo\u00adn\u00adal\u00adly acti\u00adve tre\u00adat\u00adment is not a stan\u00addard solu\u00adti\u00adon for every adult woman with acne eit\u00adher. It is dis\u00adcus\u00adsed in the con\u00adtext of your sym\u00adptoms, pos\u00adsi\u00adble con\u00adtra\u00adin\u00addi\u00adca\u00adti\u00adons and your life&nbsp;plans.<\/p>\n<blockquote>\n<p><strong>Men\u00adti\u00adon pregnan\u00adcy plans&nbsp;early<\/strong><\/p>\n<p>Reti\u00adno\u00adids for acne must not be used during pregnan\u00adcy or when plan\u00adning a pregnan\u00adcy, inclu\u00adding creams and gels. Strict rules on con\u00adtracep\u00adti\u00adon and moni\u00adto\u00adring app\u00adly to oral reti\u00adno\u00adids. Plea\u00adse dis\u00adcuss any plans for child\u00adren, pregnan\u00adcy and breast\u00adfee\u00adding befo\u00adre a tre\u00adat\u00adment is cho\u00adsen. If you beco\u00adme pregnant during reti\u00adno\u00adid tre\u00adat\u00adment, stop using the medi\u00adci\u00adne and cont\u00adact your doc\u00adtor immediately.<\/p>\n<\/blockquote>\n<h2>Which skin care supports treatment?<\/h2>\n<p>More cle\u00adan\u00adsing does not mean less acne. Vigo\u00adrous scrub\u00adbing can irri\u00adta\u00adte the skin fur\u00adther. Even if your skin looks shi\u00adny, your skin care should pro\u00adtect the <a href=\"https:\/\/swissdermaclinic.ch\/en\/glossary\/skin-barrier\/\">skin bar\u00adri\u00ader<\/a>. A well-tole\u00adra\u00adted mois\u00adtu\u00adri\u00adser is par\u00adti\u00adcu\u00adlar\u00adly hel\u00adpful when tre\u00adat\u00adment cau\u00adses dryness.<\/p>\n<ul>\n<li>Cle\u00adan\u00adse your skin gent\u00adly with a mild, soap-free pro\u00adduct. Remo\u00adve make-up in the evening.<\/li>\n<li>Choo\u00adse light skin care and sun pro\u00adtec\u00adtion label\u00adled as non-come\u00addo\u00adge\u00adnic, mea\u00adning they are less likely to block&nbsp;pores.<\/li>\n<li>Avo\u00adid vigo\u00adrous rub\u00adbing. Lea\u00adve spots alo\u00adne as far as pos\u00adsi\u00adble, as repea\u00adted squeezing or picking can increase the risk of scarring.<\/li>\n<li>Coor\u00addi\u00adna\u00adte addi\u00adtio\u00adnal peels and other acti\u00adve pro\u00adducts with your tre\u00adat\u00adment. If irri\u00adta\u00adti\u00adon per\u00adsists, the plan should be adjusted.<\/li>\n<\/ul>\n<p>The\u00adre is not enough evi\u00addence for a spe\u00adcial diet that relia\u00adbly tre\u00adats acne. If you suspect a link with cer\u00adtain foods, you can men\u00adti\u00adon your obser\u00adva\u00adtions at your appoint\u00adment. Blan\u00adket bans on who\u00adle food groups are not a neces\u00adsa\u00adry part of every acne tre\u00adat\u00adment. A balan\u00adced diet sup\u00adports your gene\u00adral health but does not replace tar\u00adge\u00adted therapy.<\/p>\n<h2>When can you expect improvement?<\/h2>\n<p>Acne tre\u00adat\u00adment takes time. The first posi\u00adti\u00adve chan\u00adges may beco\u00adme noti\u00adceable after around six to eight weeks. After about twel\u00adve weeks, it should be asses\u00adsed whe\u00adther the tre\u00adat\u00adment is hel\u00adping enough and is well tole\u00adra\u00adted. The\u00adse are points of ori\u00aden\u00adta\u00adti\u00adon, not a pro\u00admi\u00adse that your skin will have ful\u00adly cle\u00adared by&nbsp;then.<\/p>\n<p>Look at how things deve\u00adlop: are fewer new infla\u00admed spots appearing? Are deep nodu\u00adles less fre\u00adquent? Can you use the tre\u00adat\u00adment as agreed? If you bare\u00adly use a pro\u00adduct becau\u00adse of bur\u00adning or dry\u00adness, that is part of the assess\u00adment too. If you have seve\u00adre irri\u00adta\u00adti\u00adon, get worse or deve\u00adlop new scars, get in touch soo\u00adner rather than wai\u00adting for your sche\u00addu\u00adled follow-up.<\/p>\n<p>Once the inflamm\u00ada\u00adti\u00adon subs\u00adi\u00addes, you can dis\u00adcuss how to main\u00adtain the result. For recur\u00adring adult acne, main\u00adten\u00adan\u00adce tre\u00adat\u00adment can help to limit fur\u00adther fla\u00adre-ups. This usual\u00adly means an adapt\u00aded topi\u00adcal the\u00adra\u00adpy. Its length and inten\u00adsi\u00adty depend on your pro\u00adgress, and not ever\u00adyo\u00adne needs the same long-term treatment.<\/p>\n<p>Remai\u00adning red or dar\u00adker marks are not auto\u00adma\u00adti\u00adcal\u00adly scars. True scars chan\u00adge the tex\u00adtu\u00adre of the skin. As long as new inflamm\u00ada\u00adti\u00adon is appearing, kee\u00adping it under con\u00adtrol remains important to limit fur\u00adther dama\u00adge. Which tre\u00adat\u00adment suits exis\u00adting scars later on is asses\u00adsed sepa\u00adra\u00adte\u00adly. You can find more on our page about <a href=\"https:\/\/swissdermaclinic.ch\/en\/acne-acne-scars\/\">acne and acne scars<\/a>.<\/p>\n<h2>When is an assessment worthwhile?<\/h2>\n<p>Have pain\u00adful nodu\u00adles, ear\u00adly scar\u00adri\u00adng or fre\u00adquent\u00adly recur\u00adring fla\u00adre-ups asses\u00adsed by a der\u00adma\u00adto\u00adlo\u00adgist. The same appli\u00ades if a con\u00adsis\u00adt\u00adent\u00adly used tre\u00adat\u00adment does not help enough or if the dia\u00adgno\u00adsis is unclear. A sud\u00adden onset tog\u00ade\u00adther with chan\u00adges in your cycle or increased body hair should also be men\u00adtio\u00adned. Emo\u00adtio\u00adnal distress is a good reason to seek help as well, regard\u00adless of the num\u00adber of&nbsp;spots.<\/p>\n<p>If you would like to have your acne trea\u00adted in Zurich, we start at Swiss Der\u00adma Cli\u00adnic by asses\u00adsing your skin. A <a href=\"https:\/\/swissdermaclinic.ch\/en\/acne-assessment-and-treatment\/\">der\u00adma\u00adto\u00adlo\u00adgi\u00adcal acne assess\u00adment<\/a> includes clas\u00adsi\u00adfy\u00ading the type of acne, acti\u00adve inflamm\u00ada\u00adti\u00adon, sen\u00adsi\u00adti\u00advi\u00adty and any scars. Our <a href=\"https:\/\/swissdermaclinic.ch\/en\/acne-acne-scars\/\">tre\u00adat\u00adment of acne and acne scars<\/a> includes medi\u00adcal and com\u00adple\u00admen\u00adta\u00adry der\u00adma\u00adto\u00adc\u00ados\u00adme\u00adtic pro\u00adce\u00addu\u00adres. Which of the\u00adse make sen\u00adse depends on your findings.<\/p>\n<p>Plea\u00adse bring a list of your medi\u00adca\u00adti\u00adon and skin care pro\u00adducts. It also helps to know which tre\u00adat\u00adments you have alre\u00ada\u00addy used and for how long, whe\u00adther side effects occur\u00adred and whe\u00adther you have noti\u00adced a link with your cycle. Men\u00adti\u00adon any wish to have child\u00adren ear\u00adly on. This allows your expe\u00adri\u00adence with ear\u00adlier tre\u00adat\u00adments to be taken into account when plan\u00adning the next&nbsp;steps.<\/p>\n<h2>Frequently asked questions<\/h2>\n<h3>Are spots on the chin always hormonal?<\/h3>\n<p>No. Loca\u00adti\u00adon alo\u00adne does not pro\u00adve a hor\u00admo\u00adn\u00adal dis\u00ador\u00adder. Hor\u00admo\u00adnes can also influence the sebace\u00adous glands when blood levels are nor\u00admal. What mat\u00adters is the cour\u00adse of the acne, the skin fin\u00addings and addi\u00adtio\u00adnal sym\u00adptoms such as cycle dis\u00adtur\u00adban\u00adces or increased body&nbsp;hair.<\/p>\n<h3>Can I wear make-up with adult&nbsp;acne?<\/h3>\n<p>Yes. Choo\u00adse non-come\u00addo\u00adge\u00adnic pro\u00adducts whe\u00adre pos\u00adsi\u00adble and remo\u00adve make-up gent\u00adly in the evening. If a pro\u00adduct irri\u00adta\u00adtes your skin or your sym\u00adptoms get worse under it, it should be con\u00adside\u00adred when revie\u00adw\u00ading your skin care routine.<\/p>\n<h3>Is a cosmetic treatment enough?<\/h3>\n<p>With per\u00adsis\u00adtent inflamm\u00ada\u00adto\u00adry acne, medi\u00adcal tre\u00adat\u00adment should be the focus. Cos\u00adme\u00adtic tre\u00adat\u00adments can com\u00adple\u00adment it. They do not replace a medi\u00adcal assess\u00adment in the case of deep nodu\u00adles, scar\u00adri\u00adng or unclear skin findings.<\/p>\n<h3>Why does acne come back after stopping treatment?<\/h3>\n<p>Tre\u00adat\u00adment can con\u00adtrol the con\u00addi\u00adti\u00adon while the ten\u00adden\u00adcy towards new inflamm\u00ada\u00adti\u00adon remains. A rel\u00adap\u00adse the\u00adr\u00ade\u00adfo\u00adre does not auto\u00adma\u00adti\u00adcal\u00adly mean that the the\u00adra\u00adpy did not work. Dis\u00adcuss whe\u00adther adapt\u00aded main\u00adten\u00adan\u00adce tre\u00adat\u00adment makes sen\u00adse for&nbsp;you.<\/p>\n<p><em>This artic\u00adle does not replace a medi\u00adcal examination.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adult acne needs tre\u00adat\u00adment that suits your skin. Find out what role hor\u00admo\u00adnes and skin care play, which opti\u00adons exist and when a der\u00adma\u00adto\u00adlo\u00adgi\u00adcal assess\u00adment makes&nbsp;sense.<\/p>\n","protected":false},"author":1,"featured_media":43262,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-43264","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/43264","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/comments?post=43264"}],"version-history":[{"count":1,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/43264\/revisions"}],"predecessor-version":[{"id":43266,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/43264\/revisions\/43266"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/media\/43262"}],"wp:attachment":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/media?parent=43264"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/categories?post=43264"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/tags?post=43264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}