When we think of acne, we often picture high school hallways and teenage hormones—but for many adults, the reality is much different. Adult acne is incredibly common, especially among women, and it doesn’t always follow a predictable path.
I recently sat down with a dermatologist to discuss why acne persists—or even begins—in adulthood, and whether facials help or hurt the situation. Here’s what I learned.
Why Do Adults Get Acne?
“Honestly, we still don’t fully understand why some people continue to get acne as adults,” the doctor explained. “It’s supposed to be something that fades after the teenage years, but that’s not always the case—especially in women.”
Some people experience acne for the first time in their 30s or 40s. Others may have dealt with it as teenagers, only to have it clear up and then come roaring back years later. Hormones, stress, diet, skincare products—all can be contributing factors, but the exact cause often remains unclear.
Do Facials Help or Hurt Acne?
Here’s where the conversation got really interesting.
The doctor pointed out that many people go for a facial because they notice breakouts starting. “But the facial itself can sometimes make things worse,” they warned.
Aggressive extractions, especially when dealing with stubborn blackheads, can inflame the skin. “If someone is really pushing to get a blackhead out that doesn’t want to come out, they can actually rupture the wall of the follicle,” the doctor explained. “That turns a simple blackhead into an inflamed pimple.”
If you’ve ever squeezed and squeezed a blackhead only for it to turn red and swollen—you’ve experienced this firsthand. “The blackhead’s still in there, but now you’ve got inflammation and damage. Once the blackhead comes out on its own or with proper care, the skin typically calms down quickly.”
Bottom Line: Be Cautious With Facials
Facials aren’t inherently bad, but timing and technique matter. If you’re actively breaking out or dealing with deep congestion, it’s better to consult a dermatologist before booking a facial. Not all estheticians are trained in treating acne-prone skin, and aggressive treatments can do more harm than good.
Instead, ask about gentler options and focus on building a consistent skincare routine with ingredients like salicylic acid, benzoyl peroxide, or retinoids—under medical guidance when needed.