Let’s be real, acne is not just a teenage problem. Whether you are dealing with random breakouts or persistent pimples that just will not quit, it can be frustrating and even affect your confidence. And while TikTok skincare trends are fun to try, not all D.I.Y solutions work. In fact, some might be making things worse.
So, how do you know if your skincare routine is helping or hurting? And when is it time to stop experimenting with over-the-counter treatments and see a dermatologist? Let’s break it all down.
What’s Causing Your Breakouts?
So, what exactly is acne? Most of us can recognize it when we see it, but from a dermatologist’s perspective, acne is a condition that affects hair follicles. The hair follicles can become clogged with debris, which includes sebum (oil), bacteria, and dead skin cells. This buildup can lead to various types of breakouts, including:
- Blackheads & Whiteheads – Non-inflamed clogged pores
- Red Bumps & Pustules – Inflamed pimples that may contain pus
- Deep, Painful Cysts – The kind that lingers for weeks and can leave scars
If your acne is mild (think: a few blackheads and whiteheads), you might be able to manage it at home. But if it’s red, painful, or leaving marks, you may want to change up your skincare routine and maybe even get professional help.
Are You Accidentally Making Your Acne Worse?
Before jumping into treatments, let’s make sure you are not unintentionally sabotaging your skin. Some habits might be worsening your breakouts instead of helping them. If you are dealing with minor blackheads or whiteheads, those small bumps without much redness, you can usually manage them at home with the right skincare routine. However, if your acne is inflamed, deep, or painful, it’s a sign that you should consult a dermatologist to prevent long-term damage like scarring.
Common Acne Mistakes to Avoid
- Overwashing your face – Stripping away natural oils can actually trigger more oil
production. - Using too many products at once – Mixing multiple acne treatments can irritate and
make breakouts worse. - Picking at pimples – We know, it’s tempting. But popping pimples can lead to scarring,
which is much harder to treat. - Skipping moisturizer – Maintaining the skin’s hydration is important even for oily or
acne-prone skin to stay balanced.
The good news is that by making small changes it can lead to big improvements. While mild acne can often be treated at home, deeper inflammation requires professional care to prevent scarring. A dermatologist can help create a targeted plan to get your skin back on track.
When Should You See a Dermatologist?
If your breakouts are persistent, painful, or leaving scars, it is time to consider professional help. A dermatologist can create a customized plan based on your skin type, lifestyle, and whether your acne is hormonal, inflammatory, or cystic. You should book an appointment if:
- Over-the-counter treatments aren’t working after 2-3 months
- Your breakouts are deep, and painful, or leave dark spots and scars
- Acne flares up around your cycle (hormonal acne)
- You suspect an underlying issue like PCOS or Rosacea
Could It Be Something Other Than Acne?
Not every breakout is acne. If your skin is not responding to traditional treatments, it could be something else that mimics acne, such as:
- Rosacea – Looks like acne but comes with redness and sensitivity
- Perioral Dermatitis – Small red bumps around the mouth, often triggered by skincare or
toothpaste - Sebaceous Hyperplasia – Enlarged oil glands that look like small, yellowish bumps
It is important to have a professional evaluation to confirm the diagnosis and develop the best treatment plan for you.
Take Control of Your Skin
Dealing with acne can feel frustrating, but you don’t have to navigate it alone. Whether you need a better at-home routine or prescription-strength treatments, there’s a solution for you. If you are seeking help to manage your acne, book a consultation with our board-certified dermatologist, Dr. Melissa Chiang. We can help you stop stressing over your skin and take the next step toward clear, healthy skin! Let us help you get to the root of your acne problems and take the next step toward clear, healthy skin!
