Growing numbers of
women are dismayed to discover they didn’t leave acne behind when they finished
high school. Yes, it might seem like a cruel joke, but it’s possible to have
pimples and wrinkles at the same time. In fact, 54 percent of women over 25 experience
some acne. Sadly, these
numbers are expected to increase, with some skin care
experts calling the increase in outbreaks in adult women “an epidemic.” There’s a hormone epidemic that
contributes to this issue as well.

What’s behind the rise in problem pimples?

Although we tend to
associate acne with the angst-ridden adolescent years, in actuality many of the
factors that contribute to teenage acne are still at play in older women’s
lives. In particular, stress and hormonal fluctuations can wreak havoc on our
skin - and most women
in my office suffer from that magical combination of
hormonal changes and lifestyle stress.

Stress and acne: a vicious cycle

Stress and breakouts can quickly become a
vicious cycle. When our bodies feel stress, our adrenal glands respond by
producing more of the stress hormone cortisol as well as small amounts of
testosterone. Testosterone
causes the oil glands in the skin to produce more
sebum, which can raise the risk of skin infections and pimples. Of course, when
we notice pimples appearing, we feel more stress. Add to that the fact that
many of us can’t resist the temptation to pick and spread any bacteria present,
and you have the formula for ongoing acne outbreaks.

How can you treat adult acne?

The simple truth is
that treatment has to start from within. Instead of seeking a “magic bullet”
skin cream, it’s often best to start with a bit of self-reflection. For
example, try tracking outbreaks to see if they coincide with your hormonal
cycle, with other symptoms, with specific foods, or with stressful periods in
your life. Symptom
journaling can be a powerful tool, even when tracking things other than acne.

Reduce stress to tackle breakouts

Think of ways you
can reduce the stressors around you. Yoga and meditation have been proven to
reduce stress, and ayurvedic tradition holds that many yoga poses can help with

In addition, don’t
forget one of the most essential parts of stress management: adequate sleep!
(To keep your skin extra fresh while you sleep, make sure your pillow cases are
always clean). This
topic warrants a whole other blog post in itself.

The food you eat affects your skin

Much research
remains to be done on the impact of diet on acne, but it’s been confirmed that
the quality of the food we eat is reflected in our skin. Ultimately, you’re the
best test study for which foods affect your complexion, since people can react
differently to various foods. Keeping a food diary and reviewing it with your
healthcare practitioner is a good starting point. If you’re thinking about individualized food
sensitivity testing, chat with us about it.

A sensible approach
is to eat a healthy, whole-foods based diet, opting for antioxidant-rich foods
whenever possible. (Yes, that can include dark chocolate!) Antioxidants can
reduce inflammation and destroy harmful free radicals.

In addition, studies have shown the following nutrients may have a positive effect on the health of your skin:

Nutrients for Better Skin:

  • Zinc:
  • The anti-inflammatory properties of zinc can help relieve the irritation of acne. Some research shows that taking a zinc supplement can even reduce acne scars. Zinc can also be applied topically, but it usually won’t be as effective. When it comes to your diet, zinc rich foods include beef and shellfish, especially oysters, and vegetarian sources like hemp seeds, pumpkin seeds, beans, nuts, and whole grains.
  • Omega-3 Fats. Not only do omega-3 fats soothe inflamed skin thanks to their antioxidant properties, they can also help regulate hormones. Omega-3 fats can be found in nuts, flax, hemp seeds, and many types of fish. Supplements containing fish oil or a vegan blend are also an excellent way to benefit from the acne-fighting powers of Omega-3. (It might seem as if oil will make acne worse, but remember that the goal is to tackle hormonal imbalance, and healthy fats are vital building blocks for hormones.)
  • High fiber foods. Eating food with a lot of fiber can help control your blood sugar by slowing down sugar absorption and keeping you fuller longer. This helps to curb acne breakouts since healthy blood sugar levels can influence cortisol production. Aim for plenty of green veggies with each meal!
  • Stay Hydrated. You may have noticed that your skin loses some luster when you’re dehydrated - It’s important to drink plenty of water to keep your skin cells healthy and nourished.
  • Green Tea. In addition to water, don’t hesitate to pour yourself a cup of green tea. Studies show green tea can decrease sebum production. Plus, this delicious beverage is high in antioxidants!

Talk to your
healthcare provider for guidance if you are having difficulty finding the right
skincare solution. A number of effective remedies are available, but you want
to make sure to pick a treatment that works for your particular skin.

Hormonal Adult Acne

Often the more stubborn cases of acne come
down to a hormonal imbalance. Whether you’re in your 20’s or firmly in
perimenopause, in-depth
hormonal testing that we offer can help you look at
your full hormonal picture and find the right plan to bring your hormones, and
your skin, back in balance.

If you have done
what you can and are ready for professional analysis and guidance on
skin-friendly treatments, come into the office! Together we can look at your
diet, coping mechanisms, and other possible contributors. Adult acne doesn’t
have to be frustrating.

Your Hormone Advocate,

Dr. Hillary


Dr. Hillary Webster, ND is a Naturopathic Doctor with a thriving hormone-focused practice in the Danforth area of Toronto. Are you having trouble losing stubborn weight, or finding that your energy isn't what it used to be? Call Dr. Hillary for a free consult. Naturopathic hormone or thyroid testing and balancing could be just what the doctor ordered!