Beauty Breakdown: Everything You Need To Know About Treating Acne

Beauty is far from frivolous. Yes, it can be fun and playful (a swipe of sparkly shadow can instantly put a smile on my face), but caring about your skin isn't vanity—and this connection is extremely evident when it comes to acne. 

After all, acne is a skin condition, and a complicated one at that. Not only can breakouts become physically painful and lead to long-term scarring, but acne can also take a mental toll. A recent 2022 study even found that individuals compared acne and acne scars to an "unwanted intruder" responsible for their poor self-esteem and struggle for self-acceptance1, and these feelings can linger long after the blemishes themselves have cleared up. A 2020 systematic review2 in the Journal of the American Academy of Dermatology found a significant association between both acne and depression and acne and anxiety. Suffice it to say, acne is more than skin-deep. 

Technically, all acne stems from some level of inflammation as dead skin, oil, and bacteria stick together and block the pores. Specifically, an overgrowth of the bacteria Cutibacterium acnes3 can cause the release of inflammatory cytokines and messengers to create clinical inflammation, which results in a breakout. 

The more you get to know your breakouts, the better you can tackle them before they arrive. Although, a host of internal triggers can cause an acne flare, like stress, diet, hormones, seasonal changes, and lack of sleep—we have a guide to help you along the way, but you may want to enlist the help of a professional to get to the root of the issue (more on that later). 

When it comes to treating acne, AHAs and BHAs are star players. The latter are especially beloved for breakouts since BHAs are oil soluble, meaning they can penetrate deep into pores and unclog them at the source. Of the BHAs, salicylic is perhaps the most popular: "It is able to penetrate the skin deeper into pores to help remove dead skin cells, fight bacteria, and control excess sebum," Gabriel says about the exfoliant. Salicylic acid is also found to be antibacterial, making it particularly effective for acne-prone individuals. 

AHAs, on the other hand, are frequently touted for textural and tonal concerns, like acne scars, dead skin, and fine lines. They're also hydrophilic, meaning water-loving, which makes them simultaneously exfoliating and moisturizing (and perhaps a gentler option for more sensitive skin types). 

Acne-prone skin can also run dry—in fact, a lack of hydration can even cause breakouts to appear in the first place. See, when your skin is dehydrated, inflammation tends to follow. That inflammation "can release CRH (corticotropin-releasing hormone)6, a hormone that can actually tell your sebaceous glands to produce more oil," celebrity esthetician Alicia Yoon, founder of Peach & Lily, previously shared with mbg. CRH can also kick-start what's known as retention hyperkeratosis7—where dead skin cells become cohesive and don't shed as normal (almost like they're "stuck" to your face). When dead skin cells and oil become trapped within your pores, breakouts aren't too far behind. 

Retinol is ideal for acne-prone skin, beloved by derms for encouraging cell turnover, promoting collagen production, and treating acne. Specifically, the vitamin A derivative interacts with the skin cells' receptors and beneficially alters the genes involved with inflammation and cell growth. This reduces the formation of microcomedones8, or skin pores clogged with sebum, bacteria, and dead skin cells. Plus, retinol exfoliates within the pores, "where slowed dead cell shedding leads to enlarged pore appearance and breakouts," board-certified dermatologist Loretta Ciraldo, M.D., FAAD, previously told mbg.

The way you think and talk about your skin can influence its appearance over time—yes, really. See, if you berate your skin for its "imperfections," you'll likely treat it in a harsher manner and ultimately do more harm than good. If you view your skin like the dynamic, functional organ that it is, you might see a budding breakout as a sign you should take a longer look at your daily habits and lifestyle, which often yields gentler, more effective results. 

Take it from holistic esthetician Hayley Wood: "Whenever I have a great skin success story, I find that one of the biggest hurdles that they finally get over is just the way they speak about themselves, their skin, and the skin care experience as a whole," she says on an episode of Clean Beauty School. "Once people actually understand what's happening with their skin, they get the right language to talk about it, then choices are made differently."