Surge in Adult Acne Among Millennials and Gen Z Sparks Concern

An increasing number of adults, particularly women in their 20s and 30s, are experiencing a resurgence of acne, a condition traditionally associated with adolescence. This trend has gained attention recently, especially through a viral TikTok video by Dr. Mamina Turegano, a triple board-certified dermatologist. In her video, which has garnered over 122,000 views, she highlights systemic health changes that may be driving this phenomenon.

Dr. Turegano pointed out that the rise in adult acne could be linked to broader health issues, including hormonal imbalances and environmental factors. “We’re also seeing rises in infertility, hair loss, PCOS, thyroid disorders, and other endocrine issues,” she stated, emphasizing the need to consider whether these factors contribute to the increasing prevalence of acne.

The statistics are striking. According to the American Academy of Dermatology, adult acne affects up to 15 percent of women, with some estimates suggesting that up to 50 percent of women in their 20s have encountered this condition. The overall impact is significant, with acne being the most common skin condition in the United States, affecting around 50 million individuals annually.

Changing Patterns and Treatment Approaches

Dermatologists have reported a notable increase in adult patients seeking treatment for acne well into their 30s and 40s. Dr. Shamsa Kanwal, another board-certified dermatologist, noted, “In my practice and in conversations with colleagues, adult acne absolutely feels more common, especially in women in their 20s through 40s.”

The causes of adult acne are complex and multifaceted. While hormonal shifts are a primary factor, other contributors include chronic stress, sleep deprivation, and dietary changes. Dr. Kanwal mentions that certain medications and cosmetic products can exacerbate the condition, highlighting a growing awareness of the relationship between lifestyle and skin health.

Typically, adult acne manifests differently than adolescent acne, often appearing on the lower face, chin, and jawline with a more inflammatory nature. Treatment strategies may overlap, but dermatologists also tailor their approaches based on individual needs and the unique characteristics of adult acne. Dr. Turegano explained the importance of a personalized treatment plan, especially for patients experiencing painful or persistent symptoms.

Holistic Perspectives on Skin Health

Dr. Turegano advocates for a holistic view of skin health, linking the rise in adult acne to broader systemic issues affecting women’s health. She pointed out that environmental factors, such as endocrine-disrupting chemicals found in plastics and personal care products, could be contributing to hormonal disruptions.

In her practice, she encourages a straightforward skincare routine to start: “A gentle cleanser, a non-comedogenic moisturizer, and sunscreen every morning.” From there, she suggests incorporating treatments like retinoids, benzoyl peroxide, and salicylic acid to better manage breakouts.

The conversation surrounding adult acne is evolving. Dr. Turegano emphasizes that dermatology should address not just visible symptoms but also delve into the underlying causes. “Those treatments are often limited to addressing symptoms,” she noted. “Looking at internal, lifestyle, and environmental factors can help address the root causes as well.”

This rising trend in adult acne highlights the need for increased awareness and understanding of skin health among adults. By recognizing the multifaceted nature of acne and its potential links to broader health issues, both patients and healthcare professionals can work towards more effective management and treatment strategies.