My Acne Story: Clogged Pores to Clear Skin | How I cleared my Skin
Adult acne – the emotional toll: ‘I avoided situations where I was visible’
With a growing number of women dealing with the physical and psychological impact of adult acne, Charlotte Philby reports on the causes and treatments
‘When you develop adult acne, it can be really hard to accept,’ says Anna Brahms, 34, who had perfectly clear skin all through her teens. It wasn’t until the age of 23 that the PR executive from Edinburgh developed pimples on her chin, which soon escalated to full-blown acne. ‘Suddenly I had these painful cysts that started beneath the skin, grew to a bump, and left marks that would take weeks to fade. I always had between one and five angry spots at any one time. It made me feel unkempt and less professional.’
Anna’s situation is not unusual. Around five per cent of women in the UK over the age of 25 have adult acne. Some have residual problems that started in puberty and never went away, while others, like Anna, suffer from the late-onset variety. The condition is caused by the overproduction of oil from the sebaceous glands – not, as many people assume, by poor diet or hygiene. While there is no definitive answer as to why some people get it and others don’t, it does tend to run in families.
‘The majority of patients I see use products that contribute to the issue’
Dr Stefanie Williams, who is medical director of London’s Eudelo clinic, says there has been a sharp increase in the number of women visiting her clinic with issues of adult acne. And while no one knows what’s causing the rise, stress and a diet high in refined sugars and carbohydrates can exacerbate the problem, as can an unsuitable skincare routine. ‘The majority of patients I see use products that can contribute to the issue,’ she says. ‘This may be because they see wrinkles and turn to anti-ageing creams, which tend to be quite rich and can trigger acne in predisposed individuals.’
Consultant dermatologist Dr Anjali Mahto regularly treats adult acne sufferers and explains that in women particularly, it can have a profound effect on self-esteem. ‘When you’re a teenager, around 80 per cent of your peers will be suffering, too,’ she says. ‘But adults feel they should have grown out of it. A thing I hear a lot is “I’m worried people at work won’t take me seriously.”’
Ella May, 33, who works at a tech company in London, first had breakouts in her teens. ‘At the time, others around me were dealing with the same thing so I didn’t worry about it too much. As I got older, though, it gradually destroyed my confidence. I met with countless beauticians and dermatologists, but they provided only short-term – very costly – fixes. In the end, I would avoid being in situations where I was visible.’ The British Association of Dermatologists conducted a new survey to mark the launch of Acne Support (acnesupport.org.uk). It shows that 54 per cent of British adults who have experienced acne say it has had a negative impact on their self-confidence, while 22 per cent feel it’s had a negative impact on their social interactions. Matt Traube is a US-based therapist who helps people deal with the psychological fallout of living with skin conditions such as adult acne. ‘Self-critical thoughts related to the skin create deep feelings of shame. People often feel they are somehow at fault. It can be a vicious cycle that reduces self-esteem over time,’ he says.
‘It can really take over’
Dr Mahto says many of the women she sees at her clinic have already spent thousands of pounds on treatments by the time they arrive at her door. ‘If acne is affecting your mental health or leaving scars, it’s time to get professional help,’ she says. Dr Simon Aylwin, consultant endocrinologist at King’s College Hospital in London, agrees. ‘When acne in a woman persists into adulthood, or starts in adulthood, that’s a strong indicator that too much testosterone is a contributing factor,’ he says. ‘If this is the case, there might be other common features: hair loss on the head, excess body or facial hair and irregular periods. Together, or in combination, these are usually symptoms of polycystic ovary syndrome. But do consult a GP first to ensure it’s not another more serious hormone–related issue.’
Marketing director Daisy Hall, 35, who is based near Leeds, had flair-ups in her teens, but her acne settled down once she went on a contraceptive pill high in oestrogen. Even after coming off the pill to start a family, years later, her skin remained clear. ‘We went through a few rounds of IVF and were lucky enough to have a baby boy in 2014. But when he was about 12 weeks old, I suddenly got severe adult acne. As a new mother already feeling insecure about my post-baby body and trying to come to terms with the emotional rollercoaster of being a parent, it was hard,’ she says. ‘I regret having to waste my energy and thoughts on something seemingly so trivial as my skin, but unless you’ve had it, you can’t understand just how much adult acne plays on your mind.
Video: A true miracle- How I got rid of my acne. Daily skin-care routine.
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