Just because you’re an adult doesn’t mean your zits are gone for good. But where you land on the acne spectrum can determine how you blast those breakouts.
While acne comes in many forms, plugged up pores are usually to blame thanks to pesky things like:
Here’s everything you need to know about acne plus top-notch treatment tips for each kind.
Here’s some pics to help you figure out your skin sitch.
Inflammatory acne is typically more intense than non-inflammatory acne, which is usually clogged comedones.
These are the acne types you might be dealing with:
Non-inflammatory acne (aka comedones)
Whiteheads (closed comedones)
These lil’ buggers are a mix of sebum (oil), debris, and dead skin cells that clog your pores. The bumps usually have a white center and a red or discolored border.
Blackheads (open comedones)
Fun fact! These zits don’t get their dark color from trapped dirt. Blackheads form when zit gunk is exposed to air. This creates those tiny black dots that can be a pain in the A to get rid of.
Pustules kinda look like next-level whiteheads. They also have a yellow-y or whitish center and a reddish or discolored base. But they’re usually bigger and tender.
Nodules happen when clogged pores get irritated or swollen. They occur deep within your skin so you might not be able to DIY them away.
Papules are solid, tender, raised bumps. They don’t have a visible center but can make the surrounding skin reddish, pinkish, or discolored.
Acne mechanica is caused by pressure or friction on your skin. It can cause inflammatory skin conditions like pustules, papules, or nodules.
BTW, “maskne” can totes fall under this category 😷. Make sure your mask fits 10/10 to prevent friction.
These pus-filled lumps are a combo of sebum, dead skin cells, and bacteria. Cysts occur under your skin and can be uber painful. They also tend to be bigger than other forms of acne and can cause scarring.
Acne conglobata (AC) is a rare form of nodulocystic acne. It happens when acne cysts and nodules combine. So basically, *sing* you get the wooorst of both worlds. It usually happens on your face, chest, or back and can lead to scarring or disfigurement.
As if the spots on your face weren’t bad enough, acne can also attack your back (and other parts of your bod). Like facial acne, bacne comes in many forms (e.g. comedones, pustules, nodules, papules, or cysts).
Here are some tips to keep your bacne at bay:
- Shower after each sweat sesh. This can wash away excess oils and debris that can clog pores.
- Exfoliation station. A light exfoliant can slough off excess skin cells. You can opt for a scrub or a chemical exfoliant like salicylic acid.
- Let your back breathe. Wearing tight clothes on the reg can lead to bacne. Switch to breathable fabrics, especially when you work out.
- Meds. Your doc can prescribe an oral medication or topical cream to help you get your back on track.
While all acne can be annoying AF, some types are more severe than others.
Here’s the lowdown:
- Mild acne. This includes noninflammatory acne like whiteheads or blackheads. It can usually be treated with an OTC product or lifestyle changes.
- Moderate acne. Peeps with moderate acne have inflammatory pimples like papules or pustules. You might be able to treat them with OTC meds, but sometimes Rx meds are needed.
- Severe acne. Cysts, nodules, and acne conglobata are the most severe types of acne. OTC remedies usually won’t help clear them up. You’ll need to see a skin specialist.
FYI: You usually need to go to a doc to treat severe types of acne. But in the meantime, you can use a cold compress to reduce swelling and discomfort.
Your acne prob won’t clear up overnight, but that’s OK! Some treatments can start to work in a few days, but others can take several months till you see a difference.
Your derm can also determine if your acne is actually acne. Other skin conditions that resemble acne include:
P.S. Don’t use a million products at once. This can dry out your skin and make your acne even worse.
We love a good visual. Here’s a chart to help you pick the best treatment path for your unique skin-tuation.
|Type of acne||OTC treatments||Prescription treatments|
|blackheads||salicylic acid, topical retinoids, benzoyl peroxide, or alpha-hydroxy acids and beta-hydroxy acids (AHAs and BHAs)||topical retinoids like tretinoin or adapalene|
|whiteheads||salicylic acid, topical retinoids, benzoyl peroxide, or AHAs and BHAs||azelaic acid or topical retinoids|
|papules||benzoyl peroxide or salicylic acid||hormonal birth control pills (for peeps who have a vagina) or antibiotics such as erythromycin or doxycycline|
|pustules||cortisone creams, salicylic acid, salicylic acid, azelaic acid, or benzoyl peroxide||antibiotic creams or pills, steroid creams, or prescription-strength salicylic or azelaic acid|
|nodules||cold pack to reduce swelling||hormonal birth control pills (for peeps who have a vagina), antibiotics, corticosteroids, dapsone, or isotretinoin|
|cysts||warm compress to help the cyst drain on its own (DO NOT pop it!)||antibiotics, isotretinoin, or a procedure to drain or remove the cyst.|
|acne mechanica||salicylic acid, topical retinoids, benzoyl peroxide, or AHAs and BHAs||prescription-strength AHAs and BHAs or topical antibiotics|
|acne conglobata||N/A||oral acne meds like Sotret, Claravis, Isotretinoin, or Amnesteem|
It’s totes normal if a facial volcano hits you hard in the feels. But keep in mind, acne is nothing 👏 to 👏 be 👏 ashamed 👏 of 👏.
Give your doc a call if acne is affecting your life. They can help you come up with a dope treatment plan.