Why Acne Returns After Seeming Clear

Subcision for Acne Scars

Why Acne Returns After Seeming Clear

Acne that keeps coming back can be frustrating, especially when you thought you had finally gotten it under control. Understanding why breakouts return is the first step toward keeping your skin clearer for longer.

One of the biggest reasons acne returns is that many people treat individual pimples rather than addressing the underlying causes. When you spot-treat acne, you’re reacting to breakouts after they’ve already formed instead of preventing them from starting in the first place. This reactive approach means you’re constantly fighting new breakouts rather than stopping them before they develop.

Hormones play a significant role in recurring acne, particularly for women. Hormonal imbalances can result from birth control methods like pills or IUDs, or from conditions such as polycystic ovarian disease (PCOS). When hormone levels fluctuate, they can trigger higher levels of androgens, which are male hormones that increase oil production and clog pores. This is why many people notice acne flare-ups after starting or stopping hormonal birth control, or during pregnancy and menopause. Hormonal acne often appears along the jawline and in the T-zone.

Your daily habits and skincare routine can also cause acne to return. Washing your face too often might seem like a good idea, but it can actually backfire. When you over-wash, you break down your skin’s protective barrier and allow bacteria and irritants to cause inflammation. Your skin then produces more oil to compensate, which leads to more acne. Using products that are oil-free, non-comedogenic, or water-based can help prevent pores from getting clogged in the first place.

Diet is another factor that keeps acne coming back. Sugar and excessive dairy are two of the biggest dietary culprits. Foods with a high glycemic index, including sodas, pastries, and chocolate, can contribute to acne flares. Whey protein also has the potential to trigger breakouts in some people. On the flip side, eating more greens, fiber, and water in your diet helps support clearer skin.

Stress, lack of sleep, and poor nutrition can all trigger acne flare-ups. If you suspect one of these factors might be causing your breakouts to return, keeping a log of when your acne appears and what was happening in your life at that time can help you identify patterns. This information can be valuable when discussing your skin concerns with a dermatologist.

The key to preventing acne from returning is to move beyond spot-treating individual pimples and instead focus on understanding what’s causing your breakouts. Whether it’s hormonal factors, skincare habits, diet, or lifestyle choices, identifying and addressing the root causes will help you maintain clearer skin over time.

Sources

https://www.tuftsmedicine.org/about-us/news/acne-over-30

https://economictimes.com/news/india/dr-nene-breaks-down-why-acne-keeps-coming-back/clear-skin-is-a-process/slideshow/126038266.cms

https://drsambunting.com/en-us/blogs/sam-bunting/why-your-acne-isnt-improving

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