What is acne-prone skin?
Acne starts in the pores. Each pore has an oil gland that makes sebum, the skin's natural oil. When pores get blocked with oil and dead skin cells, they form blackheads and whiteheads. If bacteria and inflammation get involved, these can turn into red, swollen spots.
Skin is called "acne-prone" when this happens often. It can affect the face, chest, back and shoulders, and it isn't only a teenage problem. Many adults, especially women, have breakouts well into their 30s and 40s.
In medium to darker skin tones, acne often leaves dark marks behind after a spot heals. This is called post-inflammatory hyperpigmentation (PIH), and it can last longer than the acne itself.
What causes acne?
Several things work together to cause breakouts:
- Extra oil: hormones can make oil glands more active.
- Blocked pores: dead skin cells don't shed properly and clog pores.
- Bacteria and inflammation: these turn blocked pores into red, sore spots.
- Hormonal changes: puberty, periods, pregnancy and some hormonal conditions can trigger breakouts.
- Products: heavy, oily makeup, sunscreen or hair products can clog pores.
- Habits: scrubbing, picking and sleeping in makeup can make acne worse.
How dermatologists treat acne
A dermatologist will look at the type and severity of your acne and whether it's leaving marks or scars. Treatment may include:
- Topical treatments: creams or gels that unclog pores, calm inflammation or reduce bacteria.
- Oral medicines: for moderate to severe acne, or acne that doesn't respond to creams.
- In-clinic procedures: treatments such as chemical peels or extraction, and later, procedures to improve marks and scars.
- A home-care plan: gentle products that support treatment without irritating the skin.
Acne takes time to clear. Most treatments need several weeks before you see a difference, so it helps not to give up too soon.
Daily care that helps
These habits support acne treatment:
Cleanse gently
Use a mild, non-abrasive cleanser twice a day, with your fingertips rather than a scrub or brush.
Choose non-comedogenic products
Look for makeup, sunscreen and skincare labelled "non-comedogenic" or "won't clog pores".
Skip harsh products
Astringents, alcohol-based toners and harsh exfoliants can dry and irritate skin, which can make acne look worse.
Moisturise
Acne-prone skin still needs moisture, especially during treatment. Use a light moisturiser made for acne-prone skin.
Wear sunscreen daily
Some acne treatments make skin more sensitive to the sun, and sun exposure can darken acne marks.
Don't pick or squeeze
It raises the risk of marks and scars.
Be patient
Changing products too often can irritate skin and cause more breakouts.
Remove makeup before bed
Even non-comedogenic makeup can cause breakouts if you sleep in it.