Adult Acne vs. Teen Acne: Why Breakouts Don’t Always End After High School

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December 15, 2025

Close-up of woman’s face with acne, rash, and scars caused by cosmetic allergy, concept of skincare, dermatology, and acne treatment.Many people expect acne to disappear after adolescence, yet breakouts often persist well into adulthood. Hormones, stress, and lifestyle changes can all play a part, leaving adults frustrated with recurring blemishes. Understanding the difference between teen and adult acne helps you take control of your skin health and regain confidence.

At Chevy Chase Dermatology in Chevy Chase, MD, Dr. Margaret Sommerville, a board-certified dermatologist, brings more than fifteen years of clinical experience to acne care. A graduate of the George Washington University Medical School, Dr. Sommerville combines her background in medical and cosmetic dermatology to deliver individualized treatment strategies that achieve balanced, natural results. 

What Causes Teen Acne vs. Adult Acne?

While both share clogged pores and inflammation as root causes, their triggers differ significantly. Teen acne typically stems from increased oil production during puberty, while adult acne is often influenced by hormones, stress, and environmental factors.

Key differences between the two include:

  • Hormonal fluctuations: Teens experience surges in androgens that overstimulate oil glands, while adults may develop hormonal imbalances related to stress or menstrual cycles.
  • Location of breakouts: Teen acne often appears on the forehead and nose, while adult acne is more common on the lower face, chin, and jawline.
  • Skin sensitivity: Adult skin tends to be drier and more reactive, requiring gentler treatments than teenage skin.
  • Lifestyle factors: Poor sleep, diet, and chronic stress can worsen adult acne, while teens are more affected by excess oil and bacteria.

Recognizing these differences allows for a more personalized and effective treatment plan suited to your skin's needs.

Effective Treatments for Adult Acne

Modern dermatology provides numerous safe and proven options to treat adult acne without irritation or downtime. At Chevy Chase Dermatology, Dr. Sommerville carefully evaluates each patient’s skin type and medical history to select treatments that promote clear, healthy skin.

Common treatment options include:

  • Topical retinoids and antibiotics: Help unclog pores, reduce inflammation, and encourage cell turnover.
  • Oral medications: Hormonal therapies or antibiotics can address internal causes when topical treatments are insufficient.
  • Chemical peels and microdermabrasion: Exfoliate dead cells and minimize surface irregularities caused by acne scars.
  • Phototherapy: Uses light energy to reduce bacteria and inflammation safely.

Combining therapies often yields the best results, improving both active breakouts and skin texture over time.

Clearer Skin Starts Here

Persistent breakouts can feel discouraging, but expert care can help restore your confidence. Dr. Margaret Sommerville at Chevy Chase Dermatology in Chevy Chase, MD combines scientific precision with an understanding of aesthetic balance to create clear, natural results. To schedule your acne treatment consultation, call 301-656-7546 and discover advanced dermatologic care for patients in Chevy Chase and Bethesda, MD.


Category: Acne Treatments


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