The Nuance

I’m a Grown-Up. Why Am I Still Getting Acne?

For many people, acne is chronic, and prevention is critical

Markham Heid
Elemental
Published in
4 min readFeb 21, 2019

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Credit: Oppenheim Bernhard/DigitalVision/Getty

Every week, the Nuance will go beyond the basics, offering a deep and researched look at the latest science and expert insights on a buzzed-about health topic.

TThere’s a reason acne is synonymous with awkward teenage years. Roughly 95 percent of pubescent teens and tweens deal with breakouts, according to a 2018 study in the Journal of Clinical and Aesthetic Dermatology.

But the idea that pimples vanish after puberty is a myth. “It’s amazing to me that patients still come in and tell me they’re surprised to hear that acne persists into adulthood,” says Adam Friedman, MD, professor and interim chair of dermatology at the George Washington University School of Medicine and Health Sciences. “For a lot of people, especially women, acne is a chronic disease.”

While it’s true that acne is less common among adults than it is among teens, more than half of twentysomething women (and 42 percent of men) suffer from acne, according to a study from the University of Alabama at Birmingham. Even well into their forties, roughly one in four women and one in 10 men deal with acne pimples, that study found.

“Acne is an inflammatory…

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Markham Heid
Elemental

I’m a frequent contributor at TIME, the New York Times, and other media orgs. I write mostly about health and science. I like long walks and the Grateful Dead.