Adult Acne: Prevalence, Tips to Beat It and Prevention

Adult acne, or post-adolescent acne, is acne that occurs after age 25. In the 1980's adult acne was a rare occurrence amongst our population. Yet within four decades, adult-onset acne now affects more than 50% of women aged 20 to 29 and goes all the way up to 25% of women aged 40 to 491.

Acne is not just for teens — there are extraordinary numbers of adults with acne, and the numbers seem to be going up,” — Dr. Adam Friedman, interim chair of dermatology at the George Washington University School of Medicine.

“I treat more adult acne patients than teens, and it’s mostly women in the thirty to fifty age range.” Friedman says.

Why Is Acne More Prevalent Than Ever?

Dr Friedman believes that certain acne treatments may be to blame as they unbalance the skin’s microbiome2.

“It’s only during the last 50 years that teenagers started using all these acne products” — salicylic acid washes, prescription antibiotics and benzoyl peroxide creams to name a few — “and now we’re seeing massive numbers of adults with acne,” Friedman says.

The DIY revolution has led many to use products that are too harsh for their skin or layer multiple products which were never designed to work together.

This can disrupt the skin's microbiome making their skin more prone to breakouts.

“What we put on our skin can improve or disrupt the survival of these microorganisms. This is something we didn’t know before, but we’re paying attention to now” says Dr. Friedman.

What Should I Do?

Deanna, from Essex, had enjoyed clear skin throughout her teenage years but started to get adult-onset acne through her 20’s. She tried every cosmetic, diet, and lifestyle change imaginable but still could never find any solution that's lasting.

Excluding the factors which are largely out of our control: hormonal-shifts, relocating for work, pollution and stress. Here are some practical tips on how to stop persistent acne:

  1. Less is more when it comes to skincare. Resist the urge to layer on multiple products unless you know they were designed to work together.

    Also, higher concentrations of active ingredients lead to increased side effects. Well formulated lotions often contain multiple active ingredients in lower concentrations because the ingredients work together to drive better results without the need for high concentrations (hence less side effects).

  2. Focus on quality. Opt for ingredients which are US Pharmacopeia or British Pharmacopeia certified. The certifications ensure the purity and potency of the ingredients (less unwanted side effects).

  3. Don't get suckered into fad products. When it comes to acne, look for products which have an established track record of success. Has there been comprehensive medical research on the products?

    Also, look at the Google Reviews on the acne product. I would be suspicious if the brand disabled their Google Reviews and opted for a third party review site where they pay to censor their reviews.

  4. Play the long game. There is too much focus on products that treat a breakout after it has already surfaced when the focus should be on PREVENTING pimples from surfacing in the first place.

    This means purging out the clogs trapped inside your pores that eventually surface as pimples.

How Do I Get Rid of Acne for Good?

At the root of all acne is a clogged pore.

Therefore our primary focus should be on the most effective ways to prevent clogs from being trapped inside our pores before it becomes a recipe for pimples.

To know what's effective, we look at the algorithm below:

algo

Looking at the playbook which dermatologists use to treat acne, retinoids³ are the dermatologist's first choice for treatment followed by AZA. Here's why:

Retinol - The Gold Standard

Maybe you’ve heard of topical vitamin A (retinoids)? They are the primary tool dermatologists use to treat breakouts4.

And for a good reason!

It is very effective in stopping acne by flushing out dead skin and clogs trapped inside your pores.

If there are no clogs, pimples do not form.

Note: Depending on what is trapped inside your pores at the time you start using retinol, pimples may surface as retinol draws out the clogs.

It is necessary to clear these clogs in order to get clear skin. Had you left these clogs trapped in your pores, they would only fester and grow larger in size.


AZA - The Unsung Hero?

In the derm's acne treatment listed above, AZA is often used together to fight acne.

AZA works well with retinol as it flattens the pimples.

It is also very effective in diminishing the appearance of acne marks and hyperpigmentation5.

It takes the edge off retinol as AZA calms the skin and reduces skin sensitivity6.


Meet Clear Out – Effective, Gentle Solution for Clear Skin

Most acne products only have a SINGLE active ingredient. However, to maximize effectiveness and minimize irritation, Clearly Basics spent years formulating Clear Out so that it contains BOTH retinol + AZA.

*We've combined the top two ingredients which derms use to fight acne (in the right percentages) to drive synergy. This means Clear Out is very effective in flushing out clogs while being gentle on sensitive skin.

This unique formulation is a deadly combination that flattens active pimples and reduces future breakouts.

Since retinol is used in low percentages, Clear Out is gentle on the skin and does not disrupt the skin's biome. Over 50% of our users have sensitive or combination skin and they have no issues using Clear Out.

It took us years of intensive research to create this formulation that can’t be found anywhere else on the market!

98% of people who use Clear Out see significant improvements. If you don't see a noticeable improvement after using your first bottle of Clear Out, you can get a full refund through Clearly's moneyback guarantee.

See what others have to say...


Real People with REAL, Lasting Results

Clearly Basics has helped many adults with acne ranging from mild to severe; people with sensitive skin to people with extremely oily skin. For a personalized assessment, please click "Send Message" on the Clearly Basics Facebook page.

Here are some of our user's stories below. These are users who have documented their entire acne journey on Instagram, including products they have used before they started Clearly Basics:


Toni (@xx.tonilumsden), a stylist from Hertfordshire spent over $6500 in acne products and treatments that did nothing for her acne…

Then she discovered the Power Duo and it changed her life…

@xx.tonilumsden Individual results may vary

Never in my life did I imagine my skin would be this clear! Clearly Basics has completely transformed my skin!”


Alisha (@skinwithak) suffered from severe acne and went on oral medications 3 times before finding Clear Out:

alisha
 

@skinwithak Individual results may vary

All I can say is ‘Clear Out’ by @clearlybasics is a Godsend ❤️ It doesn’t leave me overly dry or flaky which most retinol creams did.” "I wish I came across Clearly Basics before starting oral medication as I would have purchased these and wouldn't have had to put my body through so much!"


Although Deanna (@deannaskin) saw minor progress by going vegan and using natural products, she saw the most improvement using Clear Out. Occasionally, she may get a flare up, but with Clear Out, it goes away quickly.

@deannaskin Individual results may vary

“At the moment, my skin looks a lot clearer and fresher than usual and I've gained so much more confidence after using Clear Out."


Or Ella (@_myskinstory), an aesthetician and a makeup artist who has not found anything like Clear Out to keep her breakouts under control.

 

"Clear Out is my favorite and most recommended product to any of my followers who suffer with mild-acne as well as post-acne suffers. The combination of ingredients are unique and work THE BEST in keeping spots at bay as well as improving acne marks & scars."


And many more reviews….


FAQ

How is Clear Out any different from other retinol or AZA products?

Most products in the market contain only a SINGLE active ingredient so it does not use multiple pathways to address your skin concern.

Using multiple ingredients simultaneously is more EFFECTIVE, but getting the percentages correct in order to maximize synergy is difficult without precision machinery.

Every ingredient in Clear Out took years to balance in order to maximize synergy: ingredients work together to address your skin concerns with better results and less side effects.

I have sensitive skin. Can I use Clear Out?

Clear Out can work on its own for 95% of the population. The formulation is gentle yet powerful enough to tackle many cases that would otherwise require prescription medication.

For the 5% with very sensitive skin, add the Protective Moisturizer. Using Clear Out with the Protective Moisturizer will ensure that it works for even the most sensitive of skin. The Protective Moisturizer contains a wealth of antioxidants and botanicals that nourish your skin and peptides that simulate your lipid barrier to regrow.

This moisturizer reduces your skin's sensitivity and reduces general redness/blushing. It doesn't clog your pores even on the most sensitive skin!

I Have Oily Skin, What's Best for Me?

Acne and larger pores are often attributed to oily skin.

As pores are clogged, oil may not reach its intended target leading to a vicious cycle of overproduction (clogged pores -> more oil production -> more clogged pores).

Thus we designed the Matte Hydrator, to break the oil production cycle. It keeps your skin matte and supple so that your skin does not need to overproduce as much oil during the day!

Most skincare brands have one, perhaps two formulations that are really effective.

However, Clearly carries FIVE formulations that are UNIQUE and the BEST in its class: Clear Out, Lighten Up, Protective Moisturizer, Matte Hydrator and Dark Mark Defense.

What if it doesn't work on my skin?

Clear Out is so EFFECTIVE that you will get a full 90-day money back guarantee if you do not see a noticeable improvement after your first bottle. T&Cs apply.

This moneyback guarantee has been on every bottle of Clear Out and we have seen over +98% success rate.

How long will it take to see results?

In the first month, this formulation will trigger a purge of dead skin trapped in your pores which can appear as flakes or low level breakouts.

This purge will peak at week 5 and subside after week 8 of use. At week 10, you will turn over a clearer layer of skin that is less clog prone. See below:

@xx.tonilumsden Individual results may vary.

Directions for use?

Clear Out is only used in the evening as part of your night-time routine:

  1. Wash your face with a cleanser
  2. Apply toner (if applicable)
  3. Apply Clear Out (leave-in lotion)
  4. Apply moisturizer or other skincare that you normally use in the evening

Try Clear Out, Risk FREE!

If you finish an entire bottle and don’t see any results…

You’re entitled to a full refund within 90 days! T&Cs apply.

Try it with CONFIDENCE!



References:
1. Joshua A. Zeichner et al, 2017 : Emerging Issues in Adult Female Acne
2. Adam Friedman, 2019 : Why Is Acne More Prevalent Than Ever?
3. James Leyden et al, 2017 : Why Topical Retinoids Are Mainstay of Therapy for Acne
4. Expert Rev Clin Pharmacol, 2010 : Acne Algorithm from the Global Alliance algorithm to improve outcomes in acne
5. Nazzaro-Porro, et al : AZA in the treatment of acne
6. Paula Begoun : Everything You Need to Know About AZA for Skin

Disclaimer:

Nothing on this article should be interpreted as personal medical advice. For medical related matters, please consult with your dermatologist.

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#RealResults

See what others have to say about Clearly Basics.

Based on 705 reviews
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Power Duo*
Chuan Ling T.

Adult acne is a new thing for me- I’ve had clear skin growing up so the outbreaks were very stressful! I did everything and anything I could, from watching YouTube reviews, trying out cult products to professional advice, but nothing quite did the job. So how the power duo panned out for me was definitely a pleasant (-ly hugeeee) surprise. I do acknowledge that my acne challenges are not on the extremely severe end, but I must say, emotionally the positive outcome of using both the power duo encouraged me to wear my skin as it is again. It’s really worthwhile trying as it is also a no fuss duo; hence the currently gild of my staple skincare products.

I saw a huge reduction in new pimples and any new pimples scars healed and disappeared a lot quicker

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Power Duo*
Anne F.

I have struggled with acne since I was 12 years old. All through my teenage and adult life my skin has been unpredictable and the breakouts have been constant and so frustrating. I’ve tried everything you could imagine but nothing worked reliably. Clear Out and lighten up have been a total game changer for me and I couldn’t be happier with the results

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Power Duo*
Mamtha J.

Tried every product out there from proactiv to slurp! None worked, they infact aggravated the condition! Tried clearlybasics as last resort and oh boy it works! Worth every penny! First time in 20 years, stepped out without wearing base makeup! Never thought this day would come!

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Power Duo*
Laura S.

This stuff changed my life!!!!
After reading the reviews I never thought it would work for me in the same way as it had for other people, as my skin was so bad and cystic. But after just a few months of using this and cutting down on dairy, my skin was 10 times better!
I’m still religiously using the Power Duo and don’t think I’ll ever stop 😊

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Clear Out
Veronica Ilenya Ranieri

"My skin has changed in better after using these products, they are practical and are not aggressive towards the skin.
I was ashamed of going out in public because everyone was pointing out my acne and scars, but since I started using clearly basic, I found a new me. Thank you changing my life!!"

I am 32 years old and still suffering from acne. I tried many things, but acne will dissappear and come back. Now I am using this product and my skin is getting better. Still I get some acne, but hopefully it clear all. But I am not sure how long I should use this product ?

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Clear Out
Amy Y

I love my transformation! I suffered severe acne breakouts for a couple of months and didnt know what to do – I decided to try this So Fresh cleaner alongside the Clear Out and Lighten Up products and saw a massive difference! It took a few months but it cleared up. I have since purchased the So Fresh cleanser again, and will continue to use.

Ive been using clear out for about 3 months and I have noticed a big change. Breakouts are minimal and my skin is looking and feeling much clearer. Im just about to start the clear out extra strength to try and clean out the remaining stubborn cystic bumps. Id like the pigmentation and scars to fade quicker, but Im sure they will in time. Overall Im happy with the product and can notice the change when comparing photos.

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Power Duo
Emma Taylor

I love clearly basics so much!! My skin has cleared up amazingly, check out @myacnepage on insta or clearly basics website to see how far my skin has come while using their products. I love the power duo especially and recommend to anyone who has been struggling with acne or redness/hyperpigmentation and scarring

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Clear Out
Amy Nuramira

"""I have been struggling with acne for 10 years. This is by far the best product. I started out with brown pigmentation (acne marks) and a lot of tiny bumps of acne on my forehead, cheek and nose (kind of like sand paper). As soon as I started the Clear Out and Lighten Up, my acne bumps got smaller and smaller. My brown pigmentation began turning lighter (reddish pinkish).
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Initially, when I started using it, I didn't really get a 'purge' it was just a small amount of break outs which went away in a few weeks. Now my hormonal break outs are not as terrible as before, they still appear but barely noticeable.
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My skin is acne free, pigmentation are still there but they've improved tremendously. The Clear Out does not dry out your skin at all, even when I apply makeup on, it's not patchy."""

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Power Duo
Amy Nuramira

"""I have been struggling with acne for 10 years. This is by far the best product. I started out with brown pigmentation (acne marks) and a lot of tiny bumps of acne on my forehead, cheek and nose (kind of like sand paper). As soon as I started the Clear Out and Lighten Up, my acne bumps got smaller and smaller. My brown pigmentation began turning lighter (reddish pinkish).
⠀⠀
Initially, when I started using it, I didn't really get a 'purge' it was just a small amount of break outs which went away in a few weeks. Now my hormonal break outs are not as terrible as before, they still appear but barely noticeable.
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My skin is acne free, pigmentation are still there but they've improved tremendously. The Clear Out does not dry out your skin at all, even when I apply makeup on, it's not patchy."""

Started using the Power Duo approximately 2-3 months ago, the creams have really helped to improve my skin quality, it feels so much smoother. I still have pigmentation which I will be starting to use the Dark Mark Defense for. But overall VERY happy with the Power Duo

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Power Duo
Megan Downes

"Amazing!!

Never have I found a brand that is so gentle on my skin but works wonders.

The lighten up is the best thing for redness, the difference in just one day on my pictures below.

Can't recommend enough, especially for hormonal acne.

Thank you Clearly"

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Power Duo
Louisa Bohm

Before I started using Clearly Basics, I was using normal pharmacy products and this obviously wasn’t enough. I was having a lot of breakouts and cysts underneath the skin. I found Clearly through a giveaway which I participated and won, and I’m so glad it gave me the opportunity to try their products. 2 months in, I was amazed how powerful the products are, especially the Power Duo, and I absolutely love them. My skin has changed so much, it heals much faster now. I definitely recommend trying.

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Power Duo
Celeste Robinson

This company is honestly incredible! I have been struggling with really painful hormonal cystic acne for years. I was prescribed oral medication, but decided against taking it because of all the side effects. So I did some research and found Clearly Basics! I have been using the Power Duo for 3 months and the progress my skin has made has been amazing! It has cleared my skin without causing any irritation or sensitivity. I am finally at the stage where I can leave the house without makeup! My skin is clear!! The customer service is also very personal and efficient. I don’t have enough wonderful things to say about these products, they literally saved my skin.

Really lovely product range! The power duo is the first thing, after 6 years of searching, that has helped my hormonal acne. I've tried antibiotics, differin, epiduo and everything range going but my skin got burnt, the acne came back or just didn't work. Clealry have the balance just right of clearing out your pores to prevent acne and calm pigmentation without irritating the skin. Absolutely amazing stuff that has transformed my skin!

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Clear Out
Gemma Brewerton

" A little progress goes a long way! 🙌🏻 In the first picture I think my skin was purging from the first week of using @clearlybasics ‘Clear Out’. I believe I actually cried either before or after I took this photo, my skin was super painful and I felt so ugly and self conscious!

The second picture is 5 weeks after using Clear Out, just scarring (being helped by using Lighten Up) and no actives!
I’m so happy with the results so far using these products and they have been the only thing that has helped my skin!"

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Power Duo
Ghina Arbid

I've had acne since I was in high school. It was coming and going, but I never got rid of it completely. Last year, I had a few months without acne at all and I thought "Okay, great. This is it." But then it started coming back. So I went to see a doctor and they gave me some prescriptions. They didn't work. I saw an ad for Clearly Basics on social media once, and I was like, "This is great! But do I trust online products like this?" And guess what? I'm back here and I trust them completely because I've seen results. I started using Clearly almost 3 months ago, had a purging period where everything was just coming out. Now I'm in my third month, and I really like the results so far. My skin has cleared up, and there aren't any large bumps underneath my skin anymore. And it's just great, honestly. I didn't expect a product I bought online to be this helpful and useful. I wouldn't go anywhere else anymore after this.

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Extra Strength Duo
Melissa Aldana

I love what the Sensitive Skin Trio (Clear Out + Lighten Up + Protective Moisturizer) has done for my skin! I had tried so many things before trying these products out and my skin was at its worst and peeling horribly, but I noticed a difference within the first week of using these products. The So Fresh cleanser is so refreshing and it has worked so well without stripping my skin. And with the Dark Mark Defense, my dark marks have faded greatly in comparison to when I first started using it. Since starting Clearly, I have upgraded to the Clear Out Extra Strength and even with the stronger formulation, I don’t experience any sensitivity and my skin has never looked or felt better! My skin is not dull or dry, and even has a glow, and the texture of my skin has also improved significantly

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Power Duo
Chelsey Hendriksen

"I have been using Clearly for about 5 weeks and I am blown away by results. I have no large lumps, which is awesome because they were super painful. My skin is smooth and soft and everyday I see my red scars fading. I had tried so many things from drug store brands to high end products for my cystic acne and nothing worked.
After months of struggling and literally hating my skin I can not believe how amazon it looks"

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Extra Strength Duo
Nicole Long

I have always struggled with acne ever since I was a teenager. Constant breakouts, constant red marks, fading into acne scars that I still probably have today. I found Clearly through social media and I was really taken in by their testimonials, so I took the leap. I started with the Clear Out + Lighten Up (Power Duo), and I really was able to see that any breakouts I was having would go away faster than I've ever seen and the Lighten Up would get rid of those red marks very quickly. Eventually I moved into the Clear Out Extra Strength and I was able to really feel like I was clearing out my clogged pores and really resetting my skin. I also added the Dark Mark Defense to really target those dark marks, acne scars that I've had since I was a teenager, and I was able to see the difference within the first month, which was really exciting for me to really target those spots that have been bothering me for years!

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Clear Out
Barbora Schulzova

"Hey guys! So I rarely write reviews, but I’m going make an exception, because it literally changed my life (what a cliche I know).

I’ve suffered from acne pretty much my whole life. I’m generally a happy and optimistic person, or at least I try to be, but acne made it impossible for me. It got to a point where I couldn’t look at myself in the mirror without crying. I didn’t wanna go out or even meet my friends. My self confidence was nonexistent. I had severe anxieties and break downs. I sought the help of a GP and dermatologist but nothing worked. Antibiotics made it even worse.

Then I read about the Clear Out and the reviews were great. Still a bit skeptical, I decided to give it a shot and thank God I did. My skin improved drastically and even though I still get a pimple or two every now and then, I am overall very happy with the results."

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Clear Out
Fiona

I just wanted to post my progress, firstly to thank Clearly for giving me my confidence back! I have suffered on and off with my skin for years, the contraceptive pill kept it under control for a long time but since stopping any hormonal contraception my skins been up and down like a yo-yo! I really didn’t want to go down the route of prescription oral medication, personal choice, so when I read about Clearly Basics (after ALOT of research) I decided to give it a go. Even after a few weeks I could tell a difference, and after a few months, the difference is huge! My skin was angry, painful and inflamed. Its now way way calmer, with only a couple of spots popping up around that time of the month. And I’m overjoyed with that! I next plan on tackling the red marks left behind so I can feel even more confident make up free. It does take time, but be patient, and consistent, and it will work! No foaming face washes seem to have helped for me too. Thanks again clearly 🤗😀

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Clear Out
AishX

"I have been using this product for the last 3 months and I swear by it!

My nasty pimps went away within days, my blemish marks were lightened and the size of my pores decreased drastically! In fact I feel that my skin brightened up a lot and my makeup looked smoother too!"

Individual results may vary

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