Adult Acne & Breakouts: The Reality

Acne might be one of the most misunderstood skin conditions out there. Often written off as a teenage problem, the reality is that adult acne affects a significant number of people well into their 30s, 40s, and beyond. At No. 23 Skin, we see this every day. Breakouts that linger past university. Spots that flare with stress. Blemishes that crop up right as life feels most demanding.

Acne by the Numbers

Let’s start with the data. According to recent studies, around 64% of people in their twenties and 43% of those in their thirties experience acne. It’s also a common concern for people with a family history of breakouts, oily skin, or hormonal imbalances. For some, it flares in pregnancy. For others, during perimenopause.

This isn’t about not washing your face properly. Acne is a complex medical condition. And it’s more common in adults than most of us realise.

The Mental Load of Acne

For those navigating adult acne, the emotional toll is real. We help people navigate this minefield – and seeing the results is one of the most rewarding parts of the job. And the research shows that you’re not alone. It links acne to increased levels of anxiety, depression, and reduced self-esteem. It can stop people from saying yes to things they love: pool days, social plans, or even video calls.

That’s why we take a joined-up approach. Not just quick fixes, but thoughtful, evidence-based plans that reflect what your skin has been through – and what you want next.

What Helps Adult Acne:

Retinols are vitamin A derivatives that help acne in three key ways:

1. 1. They reduce oil production (which means fewer clogged pores)

   2. They encourage skin cell turnover (so dead cells don’t build up and block follicles)

   3. They calm inflammation (which helps reduce redness and prevent scarring)

They’re also useful in fading post-inflammatory pigmentation (PIH) — especially important for skin of colour, where acne marks may linger longer.

There are four main topical products that can be prescribed by the doctor, or look for over-the-counter solutions. The downside in picking them up from Boots is that you won’t get the high strength that you may need for active acne. It may help and is definitely worth a try, but bear in mind that you may need something stronger.

A note on retinols –  they can cause some dryness or sun sensitivity, especially at the start. That’s why we often support them with barrier-friendly skincare and personalised usage schedules.

For breakouts, also try:

1. 1. Benzoyl Peroxide wash
   2. Simplifying your skincare – cleanser (like a benzoyl peroxide or salicylic acid one), active (retinol – in the evening only and never when pregnant or breastfeeding), moisturiser – doesn’t have to be expensive; something like the range from La Roche Posay will help. SPF in the day (try Heliocare Oil Free Gel).
   3. If nothing is working, then get professional advice – start with your GP if cost is a factor, or book an online consultation — we’ll guide you on the right product, frequency, and what to pair it with for the best results.

In-Clinic Treatment Options

There’s no one-size-fits-all solution. For some stubborn acne, dermatologist-led care might be the right path – whether that’s prescription treatments, hormone-targeted therapy, or laser-based solutions like AviClear. Wherever you’re starting, understanding your skin and supporting it consistently is what counts.

Ask us – we have been there and we see people every week who are at different stages in their acne journey, so we have the appropriate team, experience, and tools to help support your skin fully.

Drop me a note if you have questions – I am always happy to help. And I had acne well into my thirties, so I get it.

Healthy skin days, always.

Helen

hc@23skin.co.uk

Please note, this blog is for information only, and specific medical advice should always be sought from your GP or dermatologist.