Acne was once considered a condition that only affected teenagers. In reality, it’s also common among adults, particularly women. In fact, more than 1 in 4 women continue to have acne later in life or develop it for the first time as adults, often for hormonal reasons, with acne flares occurring during hormonal changes such as pregnancy, perimenopause, and at certain points during the menstrual cycle. Although acne often looks and behaves differently in adults, it can be just as frustrating.
Persistent acne starts in the teens and continues into adulthood, while late-onset acne occurs when a person develops acne for the first time as an adult.
Research shows adult acne is common, affecting both men and women, though it is more prevalent in women. Although prevalence varies by age, recent studies suggest that approximately 25% of women in their 40s experience acne, with rates generally decreasing with age.
Red bumps and pus‑filled pimples may appear, and acne scars or dark marks can remain where previous breakouts occurred. Adult acne can affect the forehead, cheeks, chin, and jawline, and may also appear on the neck, back, and chest.
Hormones play a major role in adult acne, particularly in women, and help explain why breakouts often occur when hormone levels fluctuate. Acne flare‑ups are common around menstrual periods and during pregnancy and perimenopause, as hormones stimulate the skin’s oil glands.
Genetics can also contribute, with studies suggesting that about half of adults with acne have a family history of the condition. Certain medications, including corticosteroids, anabolic steroids, and lithium, can also trigger or worsen acne or cause acne-like breakouts.
Because adult acne often appears on the face, can persist for years, and may leave permanent scarring or dark marks, it can have a significant emotional impact on those affected.
Learn more about Skin Care & Treatment Options for Adult Acne
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