Acne results from hormones, genetics, oil production, and sometimes diet. Care focuses on gentle cleansing, appropriate OTC actives (benzoyl peroxide, salicylic acid, AHAs, adapalene), consistent sunscreen use, and avoiding picking. See a dermatologist for nodular, scarring, or treatment-resistant acne.

Why acne appears

Acne isn't just from dirt or stress. Hormonal changes are a major driver, and diet can affect breakouts for some people - high-glycemic-load foods and dairy have been linked to acne in research. Genetics, excess oil production, and clogged pores also play roles.

Daily habits: gentle cleansing and hydration

Wash your face twice daily with a mild, non-comedogenic cleanser. Use light pressure and avoid scrubbing: friction and over-exfoliation can irritate skin and worsen breakouts. Rinse thoroughly to remove soap residue.

Hydrate skin with a non-comedogenic moisturizer suited to your skin type. Drinking fluids as needed supports overall health, but topical moisturizers are more important for keeping skin barrier function intact during acne treatment.

Targeted over-the-counter options

Several proven OTC ingredients can reduce breakouts and improve skin texture:
  • Benzoyl peroxide: reduces acne-causing bacteria and inflammation.
  • Salicylic acid (a BHA): helps unclog pores and exfoliate inside the follicle.
  • Alpha hydroxy acids (glycolic, lactic): speed surface exfoliation and can improve discoloration.
  • Adapalene (OTC retinoid): promotes cell turnover and can prevent new comedones.
  • Niacinamide and azelaic acid: reduce redness and hyperpigmentation without strong irritation.
Introduce one active at a time and stop if irritation occurs. Use sunscreen daily, because many actives increase sun sensitivity.

Avoid picking and aggressive treatments

Picking, squeezing, or aggressive exfoliation can cause inflammation and permanent scarring. If pores look large, note that their appearance can be worsened by oil and loss of collagen with age. Topical retinoids, AHAs/BHAs, niacinamide, and procedural options can reduce pore appearance over time.

When to see a dermatologist

See a board-certified dermatologist if you have:
  • Nodular or cystic acne
  • Widespread or treatment-resistant breakouts
  • Early or established scarring
  • Significant emotional impact from acne
A dermatologist can prescribe oral or topical medications, offer in-office treatments (prescription peels, lasers, injections), and tailor a plan to minimize scarring.

Sun protection and post-treatment care

Use a broad-spectrum sunscreen (SPF 30 or higher) daily and reapply when outdoors. Many acne treatments sensitize skin to UV light. If you pursue chemical peels or stronger prescription therapies, follow your provider's post-care instructions closely to reduce risks and protect results.

FAQs about Acne Treatment Cream

How often should I wash my face if I have acne?
Wash gently twice a day with a mild, non-comedogenic cleanser. Avoid scrubbing, which can irritate skin and worsen acne.
Which over-the-counter ingredients help acne?
Benzoyl peroxide, salicylic acid, alpha hydroxy acids (glycolic/lactic), adapalene (OTC retinoid), niacinamide, and azelaic acid are commonly effective. Introduce one active at a time to monitor tolerance.
Will drinking more water clear my acne?
Staying hydrated supports overall health, but topical care and active treatments have a more direct effect on acne. Use appropriate moisturizers to protect the skin barrier while treating acne.
When should I see a dermatologist?
See a dermatologist for nodular or cystic acne, widespread or treatment-resistant breakouts, scarring, or significant emotional distress. They can offer prescription options and procedures to prevent or treat scarring.
Does sunscreen interfere with acne treatment?
No. Broad-spectrum sunscreen (SPF 30+) is essential because many acne treatments increase sun sensitivity. Choose non-comedogenic formulations to avoid clogging pores.

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