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5 Reasons Your Acne Treatments Aren't Working & How to Fix

Understanding female adult acne: causes, treatments, and why Self London is your go-to clinic

Introduction

Female adult acne is a common and often distressing condition that affects women well beyond their teenage years, continuing into their 20s, 30s, and even 40s. Unlike adolescent acne, which is largely driven by puberty-related hormonal changes, adult acne has more complex triggers, including hormonal fluctuations, stress, lifestyle habits, and environmental factors. At Self London, we recognise the unique challenges posed by female adult acne and offer a comprehensive, personalised approach to treatment. In this detailed blog, we’ll explore the causes of female adult acne, effective treatment strategies, prevention tips, and explain why Self London is the premier choice for managing this condition.

What causes female adult acne?

Female adult acne is a multifactorial condition, with several contributing factors that differ from those of adolescent acne. Understanding these causes is crucial for effective treatment and prevention.

  1. Hormonal imbalances

  • Androgens: Androgens, a type of hormone, play a significant role in acne development by increasing sebum (oil) production, which can clog pores and lead to breakouts. These hormone levels can fluctuate during various stages of life, including the menstrual cycle, pregnancy, and menopause, making adult acne particularly persistent and challenging to treat.
  • Polycystic ovary syndrome (PCOS): PCOS is a common endocrine disorder among women, characterised by irregular periods, elevated androgen levels, and persistent acne. Women with PCOS often experience acne that is resistant to conventional treatments, necessitating a tailored approach to manage both the hormonal imbalance and the skin condition.
  1. Stress

  • Cortisol and inflammation: Stress triggers the release of cortisol, a hormone that can increase inflammation and sebum production, exacerbating acne. The demands of modern life—balancing work, family, and personal commitments—can lead to chronic stress, making it a significant factor in adult acne.
  1. Cosmetic products

  • Comedogenic ingredients: Many skincare and makeup products contain ingredients that can clog pores (comedogenic), contributing to acne. It’s essential to choose non-comedogenic, oil-free products, especially for women with acne-prone skin. Products that are too heavy or oily can exacerbate breakouts, even if they are marketed as “moisturising” or “hydrating.”
  1. Diet

  • Glycaemic index and dairy: There is growing evidence that high-glycaemic foods and dairy products can exacerbate acne. Foods with a high glycaemic index (such as sugary snacks, white bread, and pasta) can cause insulin spikes, leading to increased androgen activity and sebum production. Similarly, dairy products, particularly milk, have been linked to acne flare-ups in some individuals.
  1. Environmental factors

  • Pollution and acne: Urban environments expose the skin to a variety of pollutants, including dirt, dust, and chemicals, which can accumulate on the skin’s surface and clog pores. This exposure can lead to inflammation and breakouts, making it crucial to cleanse the skin thoroughly, especially if you live in a polluted area.

Effective treatments for female adult acne at Self London

At Self London, we provide a comprehensive range of treatments designed to address the specific causes of female adult acne. Our approach combines advanced technology, expert dermatological care, and holistic support to deliver effective, long-lasting results.

  1. Hormonal therapy

Hormonal therapy is often a cornerstone of treatment for women whose acne is driven by hormonal imbalances. By addressing the root cause of the condition, hormonal therapies can provide significant relief from persistent breakouts.

  • Tailored hormonal treatment plans: Hormonal therapies, including birth control pills and anti-androgen medications like spironolactone, can be highly effective for regulating hormone levels, reducing sebum production, and preventing acne. At Self London, we create personalised hormonal treatment plans based on a thorough assessment of your hormone levels and overall health.
  • Expert insight: “Hormonal therapy is particularly beneficial for women with adult acne, as it addresses the underlying hormonal imbalances that are often the root cause of breakouts.” —Dr. Anjali Mahto
  1. AviClear laser treatment

AviClear represents a revolutionary advancement in acne treatment, particularly for those who have struggled with persistent adult acne.

  • Revolutionary laser technology: AviClear is a cutting-edge laser treatment that specifically targets the sebaceous glands, reducing sebum production and preventing new acne lesions from forming. Unlike other laser treatments, AviClear is safe for all skin types and requires minimal downtime, making it an ideal choice for busy women seeking effective results without the need for extended recovery periods.
  • Case study: KL
    • KL, a 28-year-old woman, struggled with severe cystic acne for years. After undergoing three AviClear sessions at Self London, she experienced a dramatic reduction in breakouts. “AviClear has been life-changing—I finally feel confident in my skin.”

Prescription medications and skincare regimens

In addition to hormonal therapy and laser treatments, Self London offers a range of prescription medications and tailored skincare regimens to manage female adult acne effectively.

  1. Prescription medications

Prescription medications are often necessary to control acne that is resistant to over-the-counter treatments. At Self London, we provide a variety of targeted options to address both inflammatory and non-inflammatory acne.

  • Topical retinoids: These vitamin A derivatives work by increasing cell turnover and preventing the clogging of hair follicles. Retinoids are effective in treating both inflammatory and non-inflammatory acne lesions and also help reduce the appearance of fine lines, making them particularly beneficial for adult women.
  • Antibiotics: Topical or oral antibiotics can help reduce the bacteria that cause acne and decrease inflammation. Due to concerns about antibiotic resistance, these are typically prescribed for short-term use and are often combined with other treatments like benzoyl peroxide or topical retinoids.
  • Benzoyl peroxide: This topical treatment is known for its antibacterial properties. It helps reduce the bacteria on the skin that cause acne and is often used in combination with other treatments to enhance their effectiveness.
  • Oral isotretinoin (Roaccutane): For severe, cystic acne that hasn’t responded to other treatments, oral isotretinoin may be recommended. This powerful medication reduces the size of sebaceous glands and decreases oil production. While highly effective, isotretinoin requires careful monitoring due to potential side effects and is typically reserved for the most severe cases.
  • Holistic care approach: At Self London, we integrate prescription medications into a holistic care plan that addresses both the physical and emotional aspects of acne. Our goal is to provide comprehensive care that not only clears the skin but also supports overall well-being.
  1. Skincare regimens

A well-structured skincare regimen is essential for managing female adult acne. At Self London, we develop personalised skincare routines tailored to the unique needs of each patient.

  • Non-comedogenic products: We recommend products that are specifically formulated to be non-comedogenic, meaning they won’t clog pores. This is particularly important for women with acne-prone skin. Our dermatologists carefully select medical-grade skincare products that help balance the skin, reduce inflammation, and prevent further breakouts.
  • Gentle cleansing: A gentle, yet effective, cleansing routine is the foundation of any skincare regimen. We guide our patients in choosing the right cleansers that remove impurities without stripping the skin of its natural oils. This helps maintain the skin’s barrier function, which is crucial for preventing irritation and inflammation.
  • Moisturising: Even acne-prone skin needs proper hydration. We recommend lightweight, oil-free moisturisers that hydrate the skin without causing breakouts. These moisturisers often contain ingredients like hyaluronic acid, which helps retain moisture, and niacinamide, which reduces inflammation.
  • Sun protection: Sun protection is a critical component of any skincare regimen, particularly for those using treatments like retinoids or benzoyl peroxide, which can increase sun sensitivity. We recommend broad-spectrum sunscreens that protect against both UVA and UVB rays and that are also non-comedogenic to avoid clogging pores.

Daily routine recommendations:

  • Morning routine:
    • Cleanse with a gentle, non-comedogenic cleanser.
    • Apply a topical treatment if recommended, such as benzoyl peroxide or a retinoid.
    • Use a lightweight, oil-free moisturiser.
    • Apply broad-spectrum sunscreen, especially if using retinoids or other treatments that increase sun sensitivity.
  • Evening routine:
    • Cleanse thoroughly to remove makeup, sunscreen, and impurities.
    • Apply a prescribed topical treatment, such as a retinoid or antibiotic.
    • Moisturise with a non-comedogenic, hydrating product.

Expert advice: “A consistent skincare routine is crucial for managing adult acne. We guide our patients in choosing the right products and teach them how to care for their skin effectively, day in and day out.” —Dr. Anjali Mahto

Holistic support for female adult acne

At Self London, we believe in addressing not just the symptoms of acne but also the underlying factors that contribute to its persistence. This holistic approach ensures that our patients receive comprehensive care that improves their skin and overall well-being.

  1. Nutritional counselling

Diet can play a significant role in the development and management of acne. While the relationship between diet and acne is still being studied, there is evidence to suggest that certain foods can exacerbate acne.

  • Dietary adjustments: Our nutritional experts provide guidance on dietary changes that may help reduce breakouts. We often recommend reducing the intake of high-glycaemic foods and dairy products, which have been linked to increased acne severity. Instead, we encourage a diet rich in whole foods, including fruits, vegetables, lean proteins, and healthy fats, which can support skin health and overall wellness.
  • Personalised plans: At Self London, we recognise that each patient is unique, so we create personalised nutritional plans that take into account individual preferences, intolerances, and lifestyle factors. This tailored approach helps ensure that dietary changes are both effective and sustainable.
  1. Stress management

Stress is a well-known trigger for acne, as it can lead to increased cortisol levels, which in turn can exacerbate inflammation and sebum production. At Self London, we offer support to help patients manage stress effectively, which can contribute to clearer skin and improved mental health.

  • Mindfulness and relaxation techniques: We recommend mindfulness practices such as meditation, deep breathing exercises, and yoga, which can help reduce stress levels. These techniques are not only beneficial for mental health but can also have a positive impact on skin health.
  • Cognitive behavioural therapy (CBT): For patients who experience significant stress or anxiety related to their skin condition, we offer referrals to therapists who specialise in cognitive behavioural therapy. CBT can help patients develop healthier coping mechanisms and reduce the psychological impact of acne.
  • Regular follow-ups: Our team at Self London maintains regular contact with patients to monitor their progress and adjust treatment plans as needed. This ongoing support helps ensure that both the physical and emotional aspects of acne are addressed.

Common FAQs about female adult acne

Here are some frequently asked questions about female adult acne, along with informative answers to help you better understand the condition and the treatment options available.

  1. What is the difference between teenage acne and adult acne?
  • Answer: Teenage acne is typically caused by the hormonal changes that occur during puberty, whereas adult acne is more often related to hormonal imbalances, stress, and lifestyle factors. Adult acne can be more persistent and may require a different treatment approach compared to teenage acne.
  1. Can birth control pills help with adult acne?
  • Answer: Yes, birth control pills can be effective in treating adult acne, particularly in women whose acne is linked to hormonal imbalances. The hormones in birth control pills help regulate androgen levels, reducing sebum production and preventing breakouts.
  1. Are there natural remedies for adult acne?
  • Answer: While natural remedies like tea tree oil and green tea extract may have some benefits, they are generally less effective than medical treatments. However, incorporating a healthy diet, managing stress, and using non-comedogenic skincare products can complement your treatment plan.
  1. How long does it take to see results from acne treatments?
  • Answer: The timeline for seeing results can vary depending on the treatment and the severity of the acne. For example, hormonal therapies may take several months to show significant improvement, while treatments like AviClear may produce noticeable results within a few weeks.
  1. Is adult acne a sign of an underlying health condition?
  • Answer: In some cases, adult acne can be linked to underlying health conditions such as PCOS or hormonal imbalances. It’s important to consult with a dermatologist who can assess your overall health and recommend appropriate treatments.
  1. Can stress really make acne worse?
  • Answer: Yes, stress can exacerbate acne by increasing the production of cortisol, which in turn increases inflammation and sebum production. Managing stress through mindfulness, exercise, and relaxation techniques can help reduce acne flare-ups.
  1. What skincare ingredients should I avoid if I have adult acne?
  • Answer: It’s important to avoid skincare products with comedogenic ingredients, such as heavy oils and certain types of alcohol. Look for products labelled as non-comedogenic, oil-free, and suitable for acne-prone skin.
  1. Can diet really affect my skin?
  • Answer: While the relationship between diet and acne is still being studied, there is evidence that high-glycaemic foods and dairy products can contribute to acne. A balanced diet rich in whole foods, fruits, and vegetables may help improve skin health.
  1. Is AviClear suitable for sensitive skin?
  • Answer: Yes, AviClear is designed to be safe for all skin types, including sensitive skin. Its precision targeting of sebaceous glands allows for effective treatment without damaging surrounding tissue.
  1. What should I expect during an AviClear treatment session?
  • Answer: During an AviClear session, you may feel a slight warming sensation as the laser targets the sebaceous glands. The procedure is quick, with most sessions lasting about 30 minutes, and there is minimal downtime, allowing you to return to your regular activities immediately.

Why choose Self London for female adult acne treatment?

At Self London, we are committed to providing the highest level of care for women struggling with adult acne. Here’s why we stand out:

  1. Expertise
  • Led by Dr. Anjali Mahto, a renowned consultant dermatologist with extensive experience in treating adult acne, our clinic combines cutting-edge technology with evidence-based practices. Dr. Mahto’s deep understanding of female adult acne ensures that every patient receives a personalised treatment plan tailored to their specific needs.
  1. Comprehensive care
  • We take a holistic approach to treating acne, addressing not just the skin but the entire person. Our treatments consider the underlying causes of acne, including hormonal imbalances, stress, and lifestyle factors. This comprehensive approach ensures that our patients achieve long-lasting results.
  1. Innovation
  • We are one of the few clinics in the UK to offer AviClear, a groundbreaking laser treatment that specifically targets the sebaceous glands. This innovative approach, combined with our other advanced treatments, ensures that we can effectively manage even the most stubborn cases of female adult acne.
  1. Patient-centred approach
  • At Self London, we put our patients at the heart of everything we do. We understand that acne can be distressing, especially for adult women who may feel that they have outgrown this condition. Our compassionate, patient-centred approach ensures that you feel supported and understood throughout your treatment journey.

Conclusion

Female adult acne is a complex condition that requires a comprehensive, personalised approach to treatment. At Self London, we are committed to helping women achieve clear, healthy skin through a combination of expert care, advanced treatments, and holistic support. If you’re struggling with adult acne, schedule a consultation with us today and take the first step towards regaining your confidence and well-being.

By choosing Self London, you’re not just getting treatment; you’re investing in a partnership with a team of experts dedicated to helping you achieve your skin goals.