Why are You Breaking Out? The 10 Most Common Causes of Acne

**Hi all, if you enjoy the article below, please check out my videos on in depth skin care topics

Understanding the most common factors that may be causing your breakouts is the first and most critical step to targeting your acne at its source, and thus combating it for good. Based on my 30+ years of experience, here are the top 10 most common causes of acne breakouts:

Acne Factor #1: Touching Your Face

This may come as a surprise, but subconsciously touching your face all day makes it quickly become the dirtiest part of your body. This is something most of us do without even being aware of it, and is the common cause of breakout around your chin and jawline. Make a conscious effort to not touch your face during the day. Also, be sure to clean your cell phone often or use an ear piece (recommended), as holding your cell phone to your face can also be causing bacteria to spread and giving you breakouts on your cheeks.

Acne Factor #2: Dairy and Sugar Consumption

If you are devolping breakouts on your chin, jaw line and neck area, it might be a sign that you’re getting more dairy or sugar in your diet than your body can tolerate. Your skin acts as an excretory system to get rid of things that your body is not in agreement with, so when you get too much dairy or sugar, it is by nature harder to digest and can come out in the form of cystic blemishes in the lower area of the face. READ: It’s Proven: Sugar and Dairy Cause Acne

Acne Factor #3: Stress

Stress has been proven in clinical studies to worsen the overall skin condition. This is because stress induces the adrenal glands into overproduction of cortisol, a steroid, which in turn makes sebaceous glands produce more oil and make skin extra oily. Thus the reason why in stressful periods, people experiencing an increase in acne get more inflamed, puss-filled papules than simple whiteheads or blackheads. To control stress, try simple breathing techniques, taking breaks during the day or practicing yoga or meditation.

Acne Factor #4: Not Washing Your Face

Oil on the skin makes for a breeding ground of bacteria, and bacteria will cause blemishes. Sleeping with not only your makeup on, but also the addition of oil, dirt and debris that has built up on the skin during the day, can absolutely trigger new blemishes. Here’s how to wash your face properly:

  • Wash your hands and apply a quarter size dollop of facial cleanser to your palm (we recommend our Olive Oil Cleanser for anti-aging or our Foaming Cleanser for acne prone/oily skin). Work the cleanser into your skin in gentle circular motions and then lean over the sink and splash lukewarm water on your face 8-10 times to completely cleanse the skin. Then pat the skin dry with a washcloth. DO NOT wash your face by applying face wash to a towel and rubbing it on your face. Not only does this irritate your skin, it does not fully clean it and can actually make matters worse.

Acne Factor #5: Using New Skin Care Products

When your skin is introduced to new products, sometimes you might get some initial blemish purging, especially if the products are giving your skin more exfoliation than normal. If it continues on more than two weeks, then they may not be a good fit for your skin or may contain ingredients that are actually causing you to break out. READ: The Top Cosmetics Ingredients to Avoid

Acne Factor #6: Hormones

Many women can experience a surge of blemishes leading up to their monthly cycle and mid cycle during ovulation due to hormone fluctuations in the body. This is completely normal, but can be very frustrating. If you are female with cyclical breakouts that tend to flare up the week before and two weeks after your menstrual cycle, consider taking an estrogen dominant birth control pill (such as Yasmin) in order to even out your body’s hormones. I have found in females, switching to an estrogen dominant birth control pill is one of the easiest, fastest ways to clear the skin. (WARNING: do not take a progesterone dominant birth control pill, as it will likely make your skin worse). Learn more about birth using birth control to manage acne.

Acne Factor #7: Menopause

Hormones are chemical messengers, created by our bodies to regulate everything from metabolism to cell growth to reproductive cycles and mood. When they fluctuate, they can trigger weight gain, depression, sleeplessness and fatigue in addition to adult acne and breakouts.

Acne Factor #8: Air Travel

The cabins of airplanes have extremely low humidity, which cause the skin to get extremely dehydrated (lack of water). The dry air looks for moisture where it can get it and that means robbing it right from your skin! The dehydrated cells cause a buildup, which can trap oil underneath the skin resulting in post-flight breakouts. READ: Skin Tips for Your Flight

Acne Factor #9: Weather Changes

When the season is changing and the weather is warm one day and cold the next, it can wreak havoc on the skin, leaving it confused, unbalanced, and prone to blemishes. If the air is dryer than normal, moisturize with a highly emollient cream based moisturizer, if the air is cold or windy, use a skin protecting serum and if its hot and humid, use a high potency, mineral-based sunscreen.

Acne Factor #10: Medications

Every drug will affect the body differently, but generally speaking, medications and drug use can cause stress on the nervous system, which elevates hormones (adrenals). This will contribute to the wear and tear of connective tissue resulting in flaccid, loose, sagging skin as well as increased blemishes.

208 thoughts on “Why are You Breaking Out? The 10 Most Common Causes of Acne”

  1. I agree with your thoughts here and I genuinely love your blog! I’ve bookmarked it so that I can come back & read more in the future. Your post is very interesting. I’ve read your blog for few days now and I trully enjoy your blog. Thank you for your great work!

    1. Hi there, we will be writing a separate post on this next week because it is an important topic. In sum: Most birth control pills have the hormones estrogen and progesterone in them. Estrogen is anti-androgenic, while progesterone has varying levels of androgenicity. A rule of thumb is, if the estrogen content is high enough to counter the androgens, you will see some improvement in your acne. If the estrogen isn’t strong enough to offset the androgenic activity (which stimulates oil production in the skin), then your acne may actually worsen. Birth control pills containing this high androgenic/low estrogenic pattern include:

      Estrostep FE
      Loestrin 1.5/30
      Loestrin 1/20 Fe

      1. I was actually deliberately put on low estrogen birth control pills to combat my acne (Lostrien 1.5/30). No wonder I thought my acne was getting worse and stoppoed the pills!

      2. I have beautiful skin when I am on a estrogen pill. Problem is I also have a blood disorder that doesnt allow me to have any extra estrogen.what would you suggest?

      3. You don’t need to be on an estrogen dominant birth control pill to have clear skin – this is just something that can help. You should go on a clear skin diet (eat more vegetables, drink more water and cut out all dairy, sugar and gluten). You also will need to get on a good regime of skin care products – depending on your particular skin concerns. You are welcome to call us for a consult! 619-236-9095

      4. Im on aleese birth control, im taking an extended period cycle, were i take 3 pks of 21 pills (63 days) then stop for 4 days and repeat. So far good skin but from time to time, ill get major breakouts, is that normal??? Please help me

  2. Great blog. Covers everything I tell my patients. Toxicity is a big issue for skin problems, heavy metals, toxic chemicals etc, all affect your health.

  3. Great blog, covers everything I tell my patients. Toxicity also plays a big part – heavy metals, chemicals etc all affect your health. Bio chemical pathways are compromised and the results are seen in your skin.

    1. I have dry, sensitive, blemish prone skin. I’m in my late 20’s with severe environmental allergies and mild acne. I cannot use Benzoyl Peroxide as it’s too irritating and actually makes my skin swell. Retinol, AHA and BHA are the only OTC products I can use without breaking out.

    2. I just would like to share what had helped me with acne, its hiilbcens, which is an antimicrobial skin cleanser surgeons use it during surgery to get rid of all germs. It does not dry out your skin it simply gets rid of all germs. I promise it will help your acne! So I hope it works for you!

  4. I have used proactive well didn’t really work I used medicine for acene nothing work I wash my face every day but nothing changes I just get more and more and you guys are probably gonna say hormones or try this and that but my acne is not those that are little it reapply ban cause Im good lookin it’s just the pimples that are making me ugly and it’s on my forehead and cheeks I have black heads on my nose and chin I also have pimples on my jaw also on the side of my head I cut my hair cause I know it causes grease and nothing worse I just cry everyday and I pray but nothing =( I can’t even look in the mirror I see my pimples differently as other people do so it’s like the mirror lies to me please help

    1. Hi my name is jessica. I have acne on my checks, forehead and a bit on my chin. What I do is wash my face with ( dove ) soap. Then I get 3 ice cubes and then one at a time I put it on my face it works really well. And also try not to get stressed out. Try and get somewhere cold. Eat veggies, fruits and drink lots of water don’t have lots of dairy like milk, icecream, butter or stuff like that or don’t have chocolate just try all that and try and stay happy if any side effects tell me 🙂

    2. I swer I feel the same way but you are your worse critic, no ones perfect everyone gets breakouts here and there. Sure I envy those people with smooth clear skin but acene is temporary the pyscological stress you’re putting on yourself will be permanent, love yourself everyway wake up and practice accepting yourself the acene will clear dont let the insecurity and fear stay. Goodluck.

      1. I agree with Tal all the way. I’m not saying acne doesn’t suck. Believe me I know.
        I disagree with your other reply from Anonymous. Restricting certain foods does not help with acne. Many people just stress out about what foods they can’t eat. I’m sure you know stress can also effect acne.

    3. Hello Alexander, your email totally broke my heart. I am in my forties now, but suffered with acne so bad in my twenties and some in my thirties. I would cry and try not to be out in public much if I had a breakout. I would try and cover it up with makeup, which would make it worse. As I look back now, I know what caused it. I was so lucky because I had the help of a fantastic Naturopathic Doctor. Diet is so important, more than what you are putting on your face. Biggest thing is the modern day milk and milk products that we drink. If you can get organic milk and products great, other wise don’t drink it or eat it and see how your skin goes. Anything that may have hormones in it will mess with your skin. Try Desert Essence Tea Tree face wash. I have been using it for 15 years and could not live without it. It helps keep acne under control. It will kill bacteria on your face. it is drying so if you put cream on your face, be very careful. Believe it or not a tiny lit bit of olive oil will work. As Olive oil is close to our own skin oil and is antibacterial too. Email me if you would like more info. Good Luck

  5. This was a very helpful post, thank you! I used to have terrible acne on my face that I am finally rid of, but lately I’ve been breaking out at the top of my neck and under my jaw. I thought it was such an odd place, especially because I am always careful to wash my neck well. But the too much dairy thing makes COMPLETE sense. I’m a dairy fiend, especially when it comes to yogurt.

    Thanks so much!

    1. hey like this is drivin me crazy in i dont knw wat to do any mre but im 23 in my face have never ever broke out until now wat should i do

  6. I had a sudden Breakout on my Chin and it says if you consume too much suger or dairy. I don’t eat sweets but I’m guessing its all the beer I’ve been drinking because once I came back from a two day vacation I broke out all over my chin its getting better its been 3days but you never really know with acene I feel like it controls me

  7. i need some advice on what to use i have acne and scars on my chicks, i am from ghana and i don’t know which product to use on my face pls i need help. Incase any of you have any help or advice to give please don’t hesitate to inform through this email address: nnamdiattah@yahoo.com

  8. I’m 15 years old and I’ve always had acne but lately it’s getting a lot worse. I don’t know what to do and I’m too embarrassed to go to school. I’m so stressed too so I assume that’s a cause of acne, I have oily skin but I’m using this cleanser that takes away a lot of the oil on my face. I live in Canada so right now it’s soo cold outside (winter) so I guess that’s something else. I just want to know if I should keep using face cleansers or ask my mom for birth control or ask for that pill for acne (not birth control) I just don’t know what to so with my face anymore 😥

    1. Hi Shayanne — I can totally relate to you. I had severe acne as a teenager and that’s what inspired me to start Vasseur Skincare. First, your current skin care products are likely stripping all the oil from your skin, causing your skin to compensate by producing MORE oil and clogging your pores. You can read about this here: http://freshandagelessblog.com/2013/03/07/the-oil-cleansing-method/. We recommend that you call our acne clinic and we can help you over the phone – there IS hope, we have cleared even the most severe acne cases. 619-236-9095

  9. I am a white 40 yr old female and I have breakouts on my face……its ugly and it hurts….I never had acne in school and this did not start til I was around 30 and got REALLY bad in SEPT., 2008 when I got clean and sober and have been since …only by the GRACE of GOD! Majority of these bumps I have to jerk out blonde hairs until there r no more and then mash until a little whitish color seed comes out or pick it out then the hurting goes away and if all that is out it will start healing…a big sore on my face….and it does better to sleep in bandades too…..and I’ve tried bactrim,kflex,arithromyocin,mupirocin and more consistently……NOTHING WORKS!!!!! HELP PLEASE

  10. I’m currently experiencing a breakout and its terrible. I’m literally waking up to a new zit everyday. But I don’t know what has caused it. Could it be the new toner I’m using (Olay skin adapt cause I have combination skin), or this new dead sea mineral scrub I’m using twice a week only, or it could be this new method I’m trying I read from some article – washing my face with only water in the morning so basically I only use a foam cleanser at night. I would really appreciate it if you could help me figure out which one is causing the breakout. Its very frustrating 😦 Thank you!

  11. These are all really great! I love learning about all of the different things that can cause acne.. because that makes it so much easier to eliminate them and keep acne from forming in the first place. While there are a ton of things that can cause it, it is easier to prevent than to get rid of it, at least with respect to the health of the rest of your skin. Knowing that cell phones can cause acne will help people remember to clean their phones, which build up a ton of dirt and germs.

  12. Pls help me the pimples in my face are stressing me. They have been bothering me since 2010 . Am now 36 years n since I was born I have never experienced dem until 2010. Pls need help to clear them away.

    1. Deb we do not eat 80/10/10 actually far from it. we eat way too much fat to be conisdered 80/10/10. Just something we experimented for a few days and realized not for us. Although like we mentioned in the video it taught us not to fear fruit.

  13. I’ve started using Uriage face wash for dry skin prone to redness but I started to break out! This is meant to be a good prouduct, is it maybe because its clearing out everything from under my skin?

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  87. Hi, so I woke up this morning and my face broke out of no where and alot too like more than one or two which is odd for me, even when my hormones are mixing up with the well u know monthly stuff. And I wash my face with none skill stuff, can you tell me more about the seasons causing my break out possibly? Cause I feel like ppl are staring at those blemishes on my face and its discouraging specifically around cute guys lol… So how do I help this condition and feel confident again??

    1. Oh and I got my hormones checked through a blood thingy they said all hormones are normal so its not my hormones and I do not wash my clothes in fragrant detergents or use scented shampoos, conditioners, or body soaps. Not even face wash. I get plenty of rest, I haven’t been stressing this week, I like to keep up with what’s going on my body when something out of the ordinary for me happens.

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  93. […] Why are You Breaking Out? The 10 Most Common Causes of Acne. – Apr 11, 2011. Acne Factor #1: Touching Your Face. This may come as a surprise, but subconsciously touching your face all day makes it quickly become the dirtiest part of your body. This is something most of us do without even being aware of it, and is the common cause of breakout around your chin and jawline. […]

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