How to Get Rid of Teenage Acne

Approximately 85% of all teens deal with acne to one degree or another. Contrary to popular belief, no link has been found between diet and acne. The actual cause is due to hormonal changes in teenagers, which produce additional facial oils. Most of these cases are basic and can be cleared up with a daily washing regimen that combats the extra facial oil. However, some cases may be severe or persistent enough to warrant a trip to the dermatologist.

Method 1

Method 1 of 2:

Using over-the-Counter Treatments

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This step is especially important for teens with long hair. Oily hair or hair products in constant contact with the face can help clog pores. Even those with short hair can see blemishes around the hairline due to oily hair or hair products. Wash your hair regularly and try to keep your hair off of your face as much as possible.
2
Wash twice daily. One of the biggest causes of teenage acne is increased oil production based on hormonal changes. Washing your face once a day can still leave oil and dirt behind to clog pores. Instead wash once in the morning and once in the evening with warm water and a mild oil-free cleanser.
- Use clean fingertips and not a washcloth to clean your face.^{[1]XResearch source}
- Do not use a regular bar soap or body wash. Always use a gentle cleanser especially formulated for facial skin.
- Do not over wash. Washing the face more than twice a day can dry out the skin, which can actually cause the oil glands to go into overdrive production and make the acne worse.^{[2]XResearch source}
- It can take anywhere from four-to-eight weeks of a daily regimen before you notice a significant difference.^{[3]XResearch source}
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3
Use over-the-counter medications. Depending on the severity of your acne, you should also use an over-the-counter medication once or twice a day. The two most commonly used OTC acne treatments are benzoyl peroxide and salicylic acid.
- OTC medications come in gels, lotions, creams, soaps, and pads.^{[4]XResearch source} Gels and creams are good for spot treatments of problem areas whereas pads, soaps, and lotions are more commonly used on the entire face.
- In addition to clearing pores, benzoyl peroxide has antibacterial qualities that makes it more difficult for the acne-causing p. acnes bacteria. And benzoyl peroxide reduces inflammation (which causes redness and swelling) of the skin.^{[5]XResearch source}
- Benzoyl peroxide formulations are usually a 2.5% to 10% solution and salicylic acid formulations are usually 2% solutions.^{[6]XResearch source}
4
Apply a moisturizer. Since the additional washing and OTC medications can dry out skin, you want to add a daily moisturizer to your regimen. A standard lotion can have oils that will clog pores as well, so find an oil-free moisturizer that is nonacnegenic or non-comedogenic.^{[7]XResearch source} These words simply mean that the product will not cause acne or clog pores.
- If you apply a moisturizer for daytime use, then you should find one with an SPF of 30 as well.^{[8]XResearch source}
While certain cosmetics like eye makeup and lipstick aren’t likely to cause acne trouble, others such as blushes and foundations can clog pores and worsen acne. Make sure than any cosmetics applied to the face say they are non-comedogenic, which means that they will not clog pores. Many major brands provide such products, so they are not difficult to find.
6
Try a clay mask once per week. Using a clay mask once per week may help to eliminate excess oil and dirt, which may help with acne. You can find clay masks in most drug stores.
- Apply the mask to clean skin and leave it on until it dries completely, which takes about 10 to 15 minutes.
- Then, rinse off the mask using lukewarm water and your fingertips.
- Pat your face with a clean, dry towel and apply moisturizer after you remove the mask.

Method 2

Method 2 of 2:

Treating Persistent or Severe Cases

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If you have persistent acne that doesn’t respond to the first method or if you have severe, cystic acne, then you should consider meeting with a dermatologist who can prescribe other medications.
For many women, certain birth control medications can help regulate acne-causing hormones. Since hormones are the initial cause of acne, regulating these hormones can lead to decreased breakouts.^{[9]XResearch source}
3
Ask about acne-treating antibiotics. Oral antibiotics can decrease the amount of the p. acnes bacteria on your skin, which can decrease inflammation.^{[10]XResearch source} Oral or topical antibiotics may be one of the first treatments that a dermatologist recommends for persistent acne.
- Antibiotic treatments will usually require daily dosages for four-to-six months. After which point, they will be tapered off.^{[11]XResearch source}
4
Discuss other topical prescription options. In addition to some topical antibiotics, a dermatologist may want to prescribe other topical medications. These can range from prescription-strength benzoyl peroxide to azelaic acid or tazarotene and other retinoids.^{[12]XResearch source} ^{[13]XTrustworthy SourceMayo ClinicEducational website from one of the world's leading hospitalsGo to source}
- Most of these medications are meant to reduce skin lesions and inflammation associated with acne.
- Another topical medication called Dapsone gel (Aczone) is especially helpful for hormonal acne in women.
5
Ask about isotretinoin. Isotretinoin is one of the most effective acne treatments available. However, it’s also the medication with some of the most serious potential side effects and risks, and usage is closely monitored.^{[14]XResearch source} Isotretinoin actually shrinks the size of oil glands, which causes them to produce less oil.^{[15]XResearch source}
- Side effects of isotretinoin include increased risk of depression, and it has also been tied to birth defects, so women who are pregnant will not be prescribed the medication. Other side effects may include very dry skin, dry eyes, and increased risk of sunburn.
- In addition, women who could become pregnant need to take birth control or abstain from sex about one month before, during, and for one to two months after taking Isotretinoin. They also need to take monthly pregnancy tests during this time.
- The medication is typically taken once or twice a day for sixteen-to-twenty weeks with results that are often permanent.^{[16]XResearch source}
6
Look into other treatments that might be helpful for you. If topical and oral medications do not work for you, then you may want to consider other types of treatments for your acne. Ask your dermatologist about your options, which may include:^{[17]XTrustworthy SourceMayo ClinicEducational website from one of the world's leading hospitalsGo to source}^{[18]XTrustworthy SourceAmerican Academy of DermatologyProfessional organization made of over 20,000 certified dermatologistsGo to source}
- Laser or light treatments, such as photodynamic therapy.
- Chemical peels.
- Extraction of blackheads and whiteheads.
- Microdermabrasion.

Expert Q&A

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Question
Can oily hair cause acne?
Laura Marusinec, MD
Board Certified Pediatrician
Dr. Marusinec is a board certified Pediatrician at the Children's Hospital of Wisconsin, where she is on the Clinical Practice Council. She received her M.D. from the Medical College of Wisconsin School of Medicine in 1995 and completed her residency at the Medical College of Wisconsin in Pediatrics in 1998. She is a member of the American Medical Writers Association and the Society for Pediatric Urgent Care.
Laura Marusinec, MD
Board Certified Pediatrician
Expert Answer
Oily hair can lead to more acne breakouts. It's only one factor in causing acne. But if your hair is oily, then look for gentle shampoos and conditioners or ask a salon for help. Some people even use shampoos with salicylic acid if their hair is really oily or if they have dandruff. Neutrogena has some good shampoos for this. Also try to keep your hair off of your face.
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Question
I have tried every single method and acne is still on my face. Is there a medication that will burn off my acne?
Laura Marusinec, MD
Board Certified Pediatrician
Dr. Marusinec is a board certified Pediatrician at the Children's Hospital of Wisconsin, where she is on the Clinical Practice Council. She received her M.D. from the Medical College of Wisconsin School of Medicine in 1995 and completed her residency at the Medical College of Wisconsin in Pediatrics in 1998. She is a member of the American Medical Writers Association and the Society for Pediatric Urgent Care.
Laura Marusinec, MD
Board Certified Pediatrician
Expert Answer
Make sure you give a method a chance to work (usually 6-8 weeks), and that you are following the directions. If it's still not working, see a doctor, especially a dermatologist. They don't burn acne, but there are many treatments that can help, from different creams or oral medications, to treatments such as light or laser treatments, chemical peels, or microdermabrasion.
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Question
How would you know if the cleanser is to strong for your skin?
Laura Marusinec, MD
Board Certified Pediatrician
Dr. Marusinec is a board certified Pediatrician at the Children's Hospital of Wisconsin, where she is on the Clinical Practice Council. She received her M.D. from the Medical College of Wisconsin School of Medicine in 1995 and completed her residency at the Medical College of Wisconsin in Pediatrics in 1998. She is a member of the American Medical Writers Association and the Society for Pediatric Urgent Care.
Laura Marusinec, MD
Board Certified Pediatrician
Expert Answer
The cleanser is too strong for your skin if you get redness, itching, or burning after using it, or if it makes your skin very dry. If this happens, try another cleanser with a weaker form of the medication (such as going from 10% benzoyl peroxide to 2.5%), or a different ingredient.
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Tips

Do not pick at or squeeze blemishes. In addition to causing inflammation, you can spread around acne-causing bacteria.^{[19]XResearch source}
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Don't use a regular lotion as moisturizer. It can also clog pores, make sure you use something for your face that is oil-free.
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Since a cleaning regiment can take several weeks to produce a significant difference, you’ll have to stick with it and have patience.
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Warnings

Isotretinoin use should always be closely monitored. Women who have the risk of becoming pregnant should not take the drug, and anyone who starts feeling symptoms of depression while taking the drug should consult with their dermatologist immediately.
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Benzoyl Peroxide isn't always for everybody. Sometimes the side effects associated with it can make your skin irritated and appear red for up to 24 hours. Make sure it is right for you.
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Things You'll Need

You will need a gentle cleanser. It doesn't have to be a cleanser that specifically treats acne. As long as it fits your skin type (oily, dry, normal, sensitive, etc.) it will work.
A spot treatment such as benzoyl peroxide or salicylic acid
Moisturizer