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Dermatologists are getting bothered by those who are more than 25 years of age and more than 45 years of age who are persisting with acne or pimples, now whenever we see a patient with acne and has presented with an acne that is persisting , that means they have been having acne since teenage and has been persisted till 25 years of age or the newly developed acne that is more than 25 years of age , this acne is known as adult acne. This is more likely due to lifestyle issue, then due to physiological acne, than the normal acne occurring in teenagers this acne is more difficult to treat because it is more deep seated and it has more lifestyle causes and it is more multifactorial. Also it is has also got factors like not eating healthy enough or not exercising enough, as the causes of adult acne. When you ask me what are the causes for adult acne, there is a big genetic background to it or you need to have some kind of a genetic marker for it so that it becomes worse if you are exposed to some lifestyle condition like obesity or eating too much junk food, dairy, some people have stated overdosing on whey because they are into body building , all these od trigger acne. Also working late night or working late shifts or not exercising enough or not eating fruits and vegetables enough, all these with frequent us of I-pill, contraceptive pill, periods postponing pills, which influence your hormone balances cause adult acne and because adult acne has so many factors behind it, it is equally difficult to treat. You need to change your lifestyle. Start exercising, quit smoking eat healthy, eat natural, avoid processed food, avoid dairy, high glycemic index foods, sugary foods, deserts, and after doing all that for 2 to 3 months then we see improvement in their skin. In some patients we and see improvement so we need to see underlying hormonal problems like hirsuitism, testosterone excess, like polycystic ovarian disease or like insulin resistance need to be checked before we can start them on oral isotretinoin, which gives you a long term improvement form adult acne. Adult acne also tends to scar badly. So any acne that is bad on the jawline, which tending to scar after the age of 25, I think this is something you can’t treat at home and you need the help of a dermatologist and you need somebody who has to examine you and do some blood tests. Also get some scans done and start you on a compete regimens that you can prevent and cure your adult acne.

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