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Midlife Acne Crisis or Mature Acne

Getting Acne is awful, but it’s something most people associate with teenagers and puberty and don’t always know what mature acne is.

However, it’s not only a problem in that stage of life. Many people experience outbreaks of acne in later stages of their life. It is just as troublesome and distressing. Interestingly it is not only those that suffered Acne during puberty that suffers, often people have never had the condition in the past yet have an outbreak later.

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The incidence of mature acne – when the sufferer is over the age of 24 – is increasing and the age distribution is widening according to the British Association of Dermatologists. Studies show that 26 per cent of 31-40-year-olds females suffer, and 12 per cent aged 40-50.

A 2015 survey from, a listings hub that covers 120,000 clinics worldwide, also reported that UK enquiries for acne treatment rose by 214% in a year, with 35 per cent of patients aged over the age of 35. So this condition is more common than you might think.

So why on earth do we suddenly start developing this condition after reaching the age when we thought we had got over spots and acne?

It is thought to be related to a whole number of triggers and biological changes in the body. Here are a few causes to consider

After childbirth

Post pregnancy as the body recovers from the swing in hormonal changes the skin can become unbalanced. The high levels of oestrogen in the body creating the well-documented pregnancy glow are quickly reduced postpartum and the skin becomes unbalanced. This may resolve quickly or it may take time, sometimes it will need treatment. Breastfeeding can also prolong the outbreak. The skin behaves differently after childbirth, it’s well worth coming into the clinic for a consultation if you are worried and need help about what to do.

Hormonal Changes

Any hormonal changes can affect the skin, in the same way, menopause is the other female cause again the changes in reproductive hormones affect the balance. For men, the increase in androgens at any point in life increases the production of sebum and the skin is more prone to acne.


Any type of stress can increase the production of cortisol an inflammatory stress hormone and the increase in androgens increases the production of oil. The increased oil can block the pores and lead to spots and pimples.

This can be general stress or work-related and in middle age, it tends to go up a level with children ageing parents and increased responsibility at work.


Sometimes the skin reacts to changes in the environment, for example as the seasons change the central heating goes on and the skin can feel dry and dehydrated or spots can start to appear. This is often a time when people start to compensate and use different products on the skin rather than waiting for the balance to restore.

Our advice is to keep things simple or seek advice before making lots of changes.

Diet and life in general

Life, in general, can throw so many stressful situations at us and we expect the body to stay the same. It doesn’t it responds to changes in our life like levels of stress, the food we eat and smoking and alcohol.

What to do if you have mature acne?

The first thing to do is wait and see it can be a temporary condition. If you can’t do that the best thing is to get good sound advice from a dermatologist that specialises in the treatment of Acne. Money is far better spent getting the right advice than it is buying lots of products with claims to help Acne and confusing the skin further!  Acne treatments depend on the causes and the type of skin you have.