Acne is Common, but Help is Available

Acne is the most common skin condition in the United States, affecting up to 50 million Americans each year, according to the American Academy of Dermatology (AAD). While many teens expect to deal with breakouts, acne can last well into adulthood and take a toll on both physical and emotional health. 

 

“Acne can come in several different varieties. Commonly we call them whiteheads, blackheads or pus bumps,” said Sarah Hostetler, MD, dermatologist at Aspirus Health. “Medically we refer to those as open and closed comedones, papules, pustules, cysts, and nodules. Most commonly, acne will affect the face, chest, back and sometimes the shoulders as well.” 

 

For men, acne often subsides by about age 25. For women, it can be more of a lifelong experience. Many women do not develop acne until their 30s or 40s. 

 

According to Dr. Hostetler, the most common reasons patients seek professional acne care include: 

• Scarring – Permanent scars forming from breakouts. 
• Cystic or deep lesions – Larger, painful breakouts that do not respond to over-the-counter products. 
• Mental health impact – Acne can contribute to stress, anxiety, or depression, especially among teens. 
• Lack of improvement – When over-the-counter options have not delivered results. 

 

“When we treat acne, we view it as a ladder,” Dr. Hostetler explained. “Over-the-counter options are a good starting point, but when those are not enough, dermatologists can create customized plans that may include topical prescriptions, short-term medications, or advanced treatments like isotretinoin. Whatever the person needs and wherever they are at in their acne journey, we have so many treatments that we can really dial into a great plan for each individual.” 

 

In addition to medical treatment, lifestyle choices can play a role. Research shows that high glycemic foods such as soda, candy, and other highly processed items can make acne worse. Eating a balanced diet with fruits, vegetables, and lean proteins may help keep skin clearer. 

 

Still, Dr. Hostetler cautions against “quick fixes” that can harm skin. “Some people try a new product every week, use toners that dry the skin, or only spot treat breakouts. But effective acne care means building consistent habits, giving products time to work, and caring for the whole area of skin prone to acne.” 

 

Aspirus Health encourages anyone struggling with acne, especially those experiencing scarring, painful lesions, or emotional stress, to talk with a dermatologist. Professional treatment can provide long-term relief and prevent lasting damage. 

 

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