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What Age Does Acne Go Away? A Guide for Teens and Young Adults

Medically reviewed by Sophia Yen, MD, MPH – Written by Pandia Health Editorial Team

If you’re in your late teens or early twenties, you may be looking forward to that magical moment when your acne suddenly vanishes. But… when is that moment? When does acne stop showing up to the party uninvited?

The hormone fluctuations that you experience in your teenage years are often what is to blame for your teenage acne. So it stands to reason that when you get into your twenties and your hormones start to level out, your acne will magically go away. But that’s not always the case.

Let’s dive into what hormonal acne is, how long it will hang around, and how you can treat it.

What is Hormonal Acne? 

Acne is a skin condition that occurs when follicles in the skin become clogged with oil (sebum), dead skin cells, and often bacteria. It can cause skin problems such as pimples, whiteheads, and blackheads.

When your hormones are changing (like they do during puberty and with your monthly period), it often results in an overproduction of sebum (oil), which causes oily skin and then triggers acne breakouts. Hormonal acne is when your hormones cause acne.

Other Things that Might Cause Acne

If your acne continues to show up when your hormones are stable, it’s possible that your pimples are not hormonal at all (meaning they aren’t going to go away just because you’re getting older). 

Acne can be caused by several factors, including PCOS, genetics, anxiety, stress, and certain skincare products.

At What Age Does Acne Go Away? 

When does acne stop? It’s common for hormonal teenage acne to start between the ages of 10 and 13 and to last until you’re in your early twenties. 

However, it can also stick around. Depending on your family’s history and a few other factors, you may experience hormonal acne throughout your adult life

Due to the intricate hormonal makeup within female bodies, they’re more likely to have adult acne than men 22% women vs. 5% of men. These breakouts are often triggered by menstruation, pregnancy, menopause, and when people stop hormonal birth control.  

How Long Does it Take for a Pimple to Form?

Pimples can take anywhere between 1-2 weeks to fully develop and form. It may seem that they form overnight, but in reality, it’s a very long process that involves days of development.

What’s the Life Cycle of a Pimple?

Acne starts as microscopic bumps called micro comedones that can’t be seen with the naked eye. Oil glands in the skin are stimulated by hormones and they enlarge and get overactive and pump out excess oil. Many infected blemishes come from preexisting whiteheads or pimples that are already in the area within the pores. Bacteria can get stuck behind the blockage and multiply and then the skin becomes inflamed with bacteria, inflammatory cells, and oil.

How Long Does it Take for a Pimple to Go Away?

Most pimples take 1-2 weeks to go away on their own. Some can take up to 6 weeks. Although they can’t be cured overnight, they can be treated with many different methods that have been proven to work such as prescription acne topical treatments like tretinoin gel and topical antibiotics like clindamycin lotion.

What is the Best Acne Treatment?

Whether or not your acne will go away as you age, it’s important to treat your breakouts so that they don’t leave long-lasting damage on your skin. Let’s go over some of the characteristics that you should look for when choosing a product.

The best acne treatments are those that:

  • Decrease oil production
  • Make the pores smaller
  • Make the cells less sticky
  • Drain the acne lesion (comedolytic)
  • Decrease the effect of hormones
  • Kill the bacteria

According to the Adolescent Medicine specialist and our co-founder Dr. Sophia Yen and other skin experts, the first-line treatment for all acne should be a product containing a retinoid (like topical tretinoin, adapalene, etc) because retinoids offer all of the benefits listed above except the last two. 

For over-the-counter treatment, look for products that contain benzoyl peroxide, alpha hydroxy acid, or salicylic acid as active ingredients.

 Usually, it takes 8-12 weeks of product use to see the full effect. 

Most people would benefit from help from a doctor. After a doctor reviews your acne, you may be prescribed:

    • A prescription-grade acne treatment/medication such as tretinoin, topical antibiotics, and more.
    • Cortisone shots are reserved for severe lesions and have to be done in person.

Get the Best Acne Treatment Delivered To Your Mailbox

Pandia Health offers prescription treatment for acne for as little as $0 with insurance or $30 per month without insurance. (A doctor’s consultation is required and costs $35.)

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How to Treat Acne at Home

While medical treatments can usually treat acne and prevent further breakouts, there are some other ways you can prevent acne without leaving your house.  Other great ways to reduce and prevent your acne are to:

  • Avoid touching your face
  • Apply warm compresses to big acne lesions
  • Use acne spot treatment creams (benzoyl peroxide, salicylic acid).
  • Wash your face and other acne-affected skin regularly (1-2 times a day maximum). However, if you wash too much, it can cause more oil to be made, so it’s important to find a balance.
  • Change your diet (but only if you notice a specific food makes it worse)

How Can Pandia Health Help? 

Anything a doctor prescribes is better than anything you can get over the counter. Acne is a journey, so you’ll want guidance along the way. Our board-certified expert doctors at Pandia Health can prescribe a range of acne treatments based on what’s best for you and your skin. Plus you get free delivery straight to your mailbox with automatic refills and free goodies!

If you have acne and would like to get on the road to clearer skin, get started with Pandia Health today!

Takeaways

Everyone who has acne has a different experience. As such, the treatment you receive should be tailored to your unique self. It’s important to remember that acne is extremely common. Most people (like 85% or more) will experience it at one point in their lives and may even still be going through it.

While acne can’t be cured overnight, it can be managed with a combination of the right treatments and medication. If needed, you can have a doctor prescribe more effective acne treatments like tretinoin and topical antibiotics. 

Disclaimer: The views expressed in this article intend to inform and induce conversation. They are the views of the author and do not necessarily represent the views of Pandia Health, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.

Frequently Asked Questions

Is acne genetic?

There is no specific acne gene, but genes can definitely play a role in determining who is more likely to get acne or how bad it might get. Specific genetic mutations may increase your risk of developing acne and the immune system’s response, such as the chances of scarring and how much pus your body creates.

At what age is acne the worst?

Most people get acne between the ages of 10-19, which is when it is usually the most severe.

What is good for treating acne scars?

It’s best to prevent acne so you don’t get the scars. Scars are marks left on the skin where a wound (acne, pimple) has not healed perfectly and fibrous connective tissue has developed. They are generally permanent. However you can see a dermatologist and they can try: collagen injections (temporary fix), steroids, laser treatments and other energy-based treatments, dermabrasion, chemical peels, skin needling, surgery, botox and more.
Most acne will heal and go away on its own if you haven’t picked or squeezed your acne pimples.
Below are some methods that have been found to help decrease the appearance of acne scars from least invasive to most invasive:
• Salicylic acid, Alpha hydroxy acids, and Lactic acid might help.
• Dermal fillers can make scars less noticeable. However, the result is temporary. There is also a risk of changes in skin color.
• Skin needling. A doctor rolls a device with needles over your skin to stimulate collagen production in the skin. Results are small, so you may need repeat treatments.
• Steroid Injections. Good for raised scars.Botulinum Toxin (botox). The toxin relaxes the skin around the scar which may improve the look of the scar. It’s temporary, so you’ll need repeat treatments.
• Laser treatment. Has an increased risk of side effects for those with darker skin or a history of keloids.
• Chemical peels. This removes the top layer of the skin to minimize the appearance of deep scars. You can repeat mild and medium peels for maintenance. You can only have 1 deep peel. Side effects include changes in skin color, especially with deep peels on dark-skinned individuals.
• Dermabrasion is usually only for severe scarring. It removes the top layer of your skin. This can be used for surface scars and help with deeper scars, making them less noticeable. Side effects include scarring and changes in skin color.
• Surgery. Punch excision is where the doctor cuts out the scar and repairs it with stitches or a skin graft. There’s also subcision where needles are inserted at different angles and depths to break up scar tissue. Risks include bleeding, bruises, infection, scarring, temporary or permanent nerve damage, and abnormal skin color.

What foods cause acne?

An excess of any food can be bad for the body. However, you are not advised to cut any food group out of your diet without talking to a doctor.
These foods have been anecdotally linked to an increased amount of acne. However, most research has shown these foods do not increase acne:
• Milk
• Sodas or sugary foods
• White bread
• Fast food or greasy food
However, if you notice that certain food makes your acne worse, you can always limit how often you eat that food and see if it helps

What is acne-prone skin?

Having acne-prone skin means that your skin type is more likely to see breakouts than other skin types, and can mean that you’re sensitive to certain products. If you have frequent breakouts, you may have acne-prone skin. This means that your pores clog easily, making you more susceptible to whiteheads, blackheads, and pimples. But know that 80-90% of people will have acne in their lives.

What is the difference between acne and pimples?

Acne is the medical name and pimples are what non-doctors call the whiteheads, blackheads, pustules, etc. that make up acne.

Does acne require a medical diagnosis?

TLDR: No, most people know when they have acne.Typically, your primary care doctor can diagnose your acne by just looking at your skin. What treatment they suggest will depend on the severity of your acne (how bad your acne is). Most cases don't require a diagnosis but it helps to see a doctor to get the best care. Anything a doctor can prescribe is better than what you can get over the counter.

Do teenage acne scars go away?

Teenage acne scars will likely fade over time, but they may not completely go away on their own. The extent to which they fade depends on the severity of the scarring and the individual's skin type.
In some cases, scars may persist for many years and even become more noticeable as the skin ages. It's important to seek acne treatment early to prevent scarring, as well as to prevent future acne breakouts.
Treating teen or adult acne scars requires over-the-counter medications, prescription medications, or procedures performed by a doctor.

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