Clearing up
acne myths
UQ Mythbusters
It’s a sore spot for many of us – undesirable blemishes on the skin can ruin your day and have a real impact on self-esteem.
But despite the endless array of products, advice, and pimple-popping YouTube videos, most of us probably couldn’t say with certainty what actually causes acne, nor which treatments are genuinely effective.
We asked Dr Lisa Byrom, UQ alum (Bachelor of Physiotherapy ’04, Bachelor of Medicine and Bachelor of Surgery ’11, Master of Philosophy ’15), Senior Lecturer in Dermatology and acne specialist, to help us clear up some common acne myths.
Key points
- The idea that acne is caused primarily by poor hygiene is a myth.
- There is no conclusive scientific evidence that chocolate causes acne.
- No acne treatment will work instantly – all proven treatments take time.
- It’s generally best NOT to pop your pimples – leave them be!
What's the number one myth you feel needs to be busted when it comes to acne?
The biggest myth about acne is that it’s caused solely by poor hygiene. Many believe that acne results from dirty skin, leading to excessive washing. However, acne is primarily driven by factors like hormones, genetics and inflammation, not cleanliness. Over-washing can strip the skin of natural oils and cause skin irritation, potentially worsening acne. Effective acne management involves a balanced skincare routine, appropriate treatments and, often, professional advice from a dermatologist. Understanding the true causes of acne helps prevent harmful practices and promotes better skin health.
What's the most common misconception about acne treatments?
A prevalent misconception is that acne treatments should provide instant results. Many expect overnight improvements, leading to frustration when acne doesn’t immediately clear up. Effective acne treatments require time and consistency, often taking months to show significant improvement. Some treatments might initially cause a mild flare-up before the skin adjusts. Patience and adherence to a dermatologist-recommended regimen are crucial. Establishing a therapeutic relationship with your dermatologist is essential, as managing acne is often a long journey with fine-tuning along the way. Setting realistic expectations and understanding the gradual nature of acne treatment can improve adherence and outcomes.
Do pimple patches work and, if so, how?
Pimple patches, or hydrocolloid patches, work by absorbing excess fluid and creating a protective barrier over the pimple. They help reduce inflammation, prevent bacteria from entering the lesion, and most importantly discourage picking at the skin, which can lead to scarring. Some patches are infused with acne-fighting ingredients like tea tree oil and salicylic acid. As these can also be irritating it’s important to test the pimple patch on the inside of your forearm first to ensure no unwanted reaction on the skin. They can be effective for superficial pimples and can speed up the healing process. However, for deeper, cystic acne, I usually recommend them predominantly to help prevent picking and scratching. While not a cure, pimple patches can be a helpful tool in an overall acne management strategy.
What's the number one myth you feel needs to be busted when it comes to acne?
The biggest myth about acne is that it’s caused solely by poor hygiene. Many believe that acne results from dirty skin, leading to excessive washing. However, acne is primarily driven by factors like hormones, genetics and inflammation, not cleanliness. Over-washing can strip the skin of natural oils and cause skin irritation, potentially worsening acne. Effective acne management involves a balanced skincare routine, appropriate treatments and, often, professional advice from a dermatologist. Understanding the true causes of acne helps prevent harmful practices and promotes better skin health.
What's the most common misconception about acne treatments?
A prevalent misconception is that acne treatments should provide instant results. Many expect overnight improvements, leading to frustration when acne doesn’t immediately clear up. Effective acne treatments require time and consistency, often taking months to show significant improvement. Some treatments might initially cause a mild flare-up before the skin adjusts. Patience and adherence to a dermatologist-recommended regimen are crucial. Establishing a therapeutic relationship with your dermatologist is essential, as managing acne is often a long journey with fine-tuning along the way. Setting realistic expectations and understanding the gradual nature of acne treatment can improve adherence and outcomes.
Do pimple patches work and, if so, how?
Pimple patches, or hydrocolloid patches, work by absorbing excess fluid and creating a protective barrier over the pimple. They help reduce inflammation, prevent bacteria from entering the lesion, and most importantly discourage picking at the skin, which can lead to scarring. Some patches are infused with acne-fighting ingredients like tea tree oil and salicylic acid. As these can also be irritating it’s important to test the pimple patch on the inside of your forearm first to ensure no unwanted reaction on the skin. They can be effective for superficial pimples and can speed up the healing process. However, for deeper, cystic acne, I usually recommend them predominantly to help prevent picking and scratching. While not a cure, pimple patches can be a helpful tool in an overall acne management strategy.
What causes acne? Is there any truth to the old belief that chocolate gives you pimples?
Acne is caused by a combination of factors including excess oil production, clogged hair follicles, bacteria, and inflammation. Hormonal changes, particularly during puberty and menstruation, also play a significant role. The belief that chocolate directly causes acne is largely a myth. While some studies suggest a high-glycemic diet can exacerbate acne, there is no definitive evidence linking chocolate consumption to increased breakouts. However, a small study suggested that chocolate might be linked with acne in adult males only! Individual reactions vary, so it’s best to monitor personal dietary influences on your skin. Overall, maintaining a balanced diet and proper skincare routine is more effective for managing acne.
What's the science on pimple popping – to pop or not to pop?
Popping pimples is generally discouraged by dermatologists. Squeezing pimples can push bacteria and pus deeper into the skin, leading to increased inflammation, infection, and potential scarring. It can also delay the natural healing process. If a pimple is particularly bothersome, it’s best to seek professional treatment. Dermatologists can safely drain pimples using sterile techniques that minimize risks. For those who can’t resist, using proper methods and tools, such as a comedone extractor, can reduce damage. However, the safest approach is to avoid popping and focus on effective acne treatments.
Is there a way to get rid of acne scars?
Yes, there are several treatments available for acne scars. Options include laser treatments (both vascular laser and ablative lasers), chemical peels, microneedling, and dermal fillers. Each method targets different types of scars, such as ice pick, boxcar, and rolling scars. Treatment choice depends on scar type, skin type, and individual preferences. Consistent skincare with retinoids and sunscreen also helps improve skin texture and prevent further damage. Consulting a dermatologist is essential to determine the most appropriate and effective treatment plan for acne scars. Early intervention and professional guidance can significantly improve the appearance of scars.
What's your advice for those experiencing stubborn adult acne?
Managing adults experiencing acne is a special interest of mine. For stubborn adult acne, a comprehensive holistic approach is necessary. Start with a consistent skincare routine, avoid harsh scrubbing and over-washing. Hormonal factors often play a role in adult acne, so consider discussing hormonal treatments or oral contraceptives with your dermatologist. Androgens are not the only hormones implicated in acne development, but also cortisol and insulin/IGF-1. Therefore, stress management, a balanced diet, and sufficient sleep are also important. Professional treatments like chemical peels, laser therapy, and prescription medications can be effective. Regular consultations with a dermatologist can help tailor treatments to your specific needs and monitor progress.
And what do you wish all parents knew about teen acne?
I wish all parents knew that teen acne is a common and manageable condition. It’s crucial to approach it with empathy and support, as acne can significantly impact a teenager’s self-esteem and emotional well-being. Encourage your teen to adopt a gentle skincare routine and avoid picking or squeezing pimples. Over-the-counter treatments can be helpful but be mindful that teenage skin is not the same as adult skin. Using the wrong skin care can cause acne as well as skin irritation. Persistent acne may require a dermatologist’s intervention. Avoid blaming diet or hygiene, and instead focus on evidence-based treatments. Open communication and emotional support from parents can make a significant difference in a teen’s acne journey.
Design elements: Good Studio, abstock/Adobe Stock
What's your advice for those experiencing stubborn adult acne?
Managing adults experiencing acne is a special interest of mine. For stubborn adult acne, a comprehensive holistic approach is necessary. Start with a consistent skincare routine, avoid harsh scrubbing and over-washing. Hormonal factors often play a role in adult acne, so consider discussing hormonal treatments or oral contraceptives with your dermatologist. Androgens are not the only hormones implicated in acne development, but also cortisol and insulin/IGF-1. Therefore, stress management, a balanced diet, and sufficient sleep are also important. Professional treatments like chemical peels, laser therapy, and prescription medications can be effective. Regular consultations with a dermatologist can help tailor treatments to your specific needs and monitor progress.
And what do you wish all parents knew about teen acne?
I wish all parents knew that teen acne is a common and manageable condition. It’s crucial to approach it with empathy and support, as acne can significantly impact a teenager’s self-esteem and emotional well-being. Encourage your teen to adopt a gentle skincare routine and avoid picking or squeezing pimples. Over-the-counter treatments can be helpful but be mindful that teenage skin is not the same as adult skin. Using the wrong skin care can cause acne as well as skin irritation. Persistent acne may require a dermatologist’s intervention. Avoid blaming diet or hygiene, and instead focus on evidence-based treatments. Open communication and emotional support from parents can make a significant difference in a teen’s acne journey.
Design elements: Good Studio, abstock/Adobe Stock
All about acne
Learn all there is to know about acne from a group of medically-trained skin experts from across Australia.
