Luckily, skin treatment options are getting better all the time. Now, they try to get to the bottom of what's causing acne instead of just treating the surface. Let's look at what causes persistent acne and what doctors can do about it.
What's Persistent Acne?
Basically, it's acne that doesn't go away after your teenage years or keeps coming back even if you're doing basic skincare. It can show up as whiteheads, blackheads, pimples, or even deep, painful bumps. And it's not just on your face—it can pop up on your chest, shoulders, and back too. Unlike the occasional zit, this kind of acne is usually caused by something deeper and won't go away with just face wash.
The trick to getting rid of it is figuring out what's causing it, which isn't always easy. It could be hormones, stress, your habits, or what you're eating. Any of these things can cause inflammation and clog your pores.
Hormones and Acne
Hormones are a big reason why people, especially women, get chronic acne. When you're a teen, your body makes more hormones called androgens, which make your oil glands bigger and more active. Grown women's acne often gets worse around their periods, when they're pregnant, or if they have something like polycystic ovary syndrome (PCOS).
These hormones make you produce more oil, which is heaven for acne-causing germs. That's why those acne washes from the store don't always cut it—they're not dealing with the hormones.
Docs might suggest hormone therapy, prescription meds like spironolactone, or other treatments after checking your hormone levels. Some skin clinics are even starting to check hormones as part of their acne plan, so they can treat you more accurately.
Stress, Sleep, and Your Skin
Stress messes with your skin big time. When you're stressed, your body pumps out more cortisol, which makes you produce more oil and clogs your pores. On top of that, stress can weaken your immune system, so your skin can't heal or fight off infection as well.
Not getting enough sleep, which usually happens when you're stressed, can make your skin even angrier. When you don't sleep well, your skin cells don't repair themselves properly, and it's harder for your skin to recover from breakouts. Experts often say you need to tackle stress with things like lifestyle changes or even therapy, along with your creams and washes.
What You Eat Can Matter
What you eat can affect acne. Foods that can spike your blood sugar, like white bread, sugary sodas, and junk snacks, can cause more oil production. Also, dairy has been linked to acne in some studies.
These days, skin doctors might check your diet when they're trying to clear up your skin. Some clinics are starting to look at the whole picture, offering advice on what to eat along with medical treatments to help you get clear skin for good.
Skincare Habits Can Backfire
Believe it or not, some people make their acne worse with the stuff they're using on their skin. Heavy, pore-clogging products can do just that—clog your pores. And if you wash your face too much or scrub too hard, you can mess up your skin's natural barrier, which leads to irritation and even more oil production.
Skin doctors say it's super important to use gentle, non-clogging products that are right for your skin type. They'll also show you how to use them the right way so you don't overdo it. A good skincare plan, designed by a pro, can really cut down on acne and keep it from coming back.
The Environment Plays a Role Too
Pollution, humidity, and too much sun can all cause acne or make it worse. Dirt and toxins in the air can get into your pores, mix with oil and germs, and cause inflammation. Wearing masks or helmets for a long time, especially when it's humid, can also lead to acne.
Clinics in cities are doing things like carbon facials, peels, and oxygen therapy to clean and refresh the skin while treating acne.
Why See a Pro?
Home remedies and stuff from the drugstore might give you some relief, but they usually don't fix the real reasons for persistent acne. Skin doctors will take a good look at your skin, your habits, your hormones, and your medical history to figure out what's setting you off. Depending on how bad your acne is, they might suggest:
- Creams and gels with retinoids or antibiotics
- Pills with antibiotics
- Hormone therapy
- Isotretinoin for really bad acne
- Lasers and light treatments
- Chemical peels
- Microneedling
These treatments can not only clear up your skin but also keep you from getting scars and prevent acne from returning.
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The Road to Clear Skin
Acne can do a number on your self-esteem, mood, and how you interact with people. If you've tried everything and your acne is still sticking around, it might be time to see a dermatologist who can give you a well-rounded, medical solution.
With all the new advances in skincare, it's easier than ever to get personalized care. Whether you're thinking about laser treatments, peels, or prescription meds, picking the right pro is the first move toward healthier, clearer skin.