Adult Acne: Why You’re Still Breaking Out in Your 30s and 40s (And How to Fix It)

Adult acne is a frustrating reality for many in their 30s and 40s. Unlike teenage breakouts, which are often caused by a surge in hormones, adult acne is a complex issue with various triggers. Hormonal fluctuations are still a major culprit, particularly for women, and can be linked to menstrual cycles, pregnancy, perimenopause, or conditions like PCOS. Stress is another key factor; it increases cortisol, a hormone that can stimulate oil glands and lead to breakouts.

Genetics, diet (especially high-sugar and dairy consumption), and certain medications can also play a role. To fix it, a targeted approach is essential. A consistent skincare routine with ingredients like salicylic acid or retinoids can help unclog pores. For inflammatory acne, benzoyl peroxide can be effective. It’s also important to manage stress and eat a balanced diet. If over-the-counter products don’t work, a dermatologist can offer stronger treatments, including prescription retinoids, oral contraceptives, or spironolactone.