#AcneAwarenessMonth Teenage and Adult Acne: Real-Life Compliance Challenges

In my practice, I most often see two groups of acne clients: teenagers and women 40+ with adult acne. For both groups, I use structured series of professional treatments: initially more intensive visits every 10–14 days with salicylic-based blends and localized Jessner application, followed by maintenance sessions when needed. At home, I keep routines simple and barrier-supportive: a gentle, pH-balanced cleanser, non-comedogenic hydrating products with soothing/barrier-strengthening ingredients, and limited use of low-strength acids a few times per week instead of aggressive drying regimens. When the face is not the only area involved, I also add an acid-based body cleanser in the shower to support clearer skin on the back and other affected areas.

In real life, both teenagers and 40+ clients usually struggle with motivation and long-term lifestyle changes. Only a small number who truly manage their triggers outside the treatment room — especially reducing high sugar and dairy intake that may drive insulin-related flare-ups — achieve outstanding results. In more persistent or severe cases, I refer clients to a dermatologist to evaluate the need for systemic therapy, including possible oral retinoids, and for women 40+ this often goes together with gynecological or endocrine assessment to address underlying hormonal or metabolic factors.