Late acne is a form of acne very similar to that of youth but which occurs between 20 and 40 years of age. It involves various areas of the face and is characterized by the formation of white, black comedones and in more intoxicated cases of microcysts.

The cause seems to be due to stress that triggers a psychosomatic manifestation on the face, while the most common theories that have always linked late acne to hormonal imbalances and the polycystic ovary are to be excluded. Stress can in fact induce a neurological input to the skin cells of the face to generate hormones that give rise to acne.

In these cases it is important to avoid the use of make-up to cover and hide the blackheads, because it triggers a perverse mechanism of pollution and intoxication of the pores already put to the test by acne, exacerbating the inflammatory condition.

Late acne can be eradicated relatively quickly, as it is bacterial and inflammatory in nature, unrelated to diet or hormonal factors.

There are various tools to be put in place to combat it: tetracyclines-based antibiotics that eradicate inflammation bacteria and celery or non-pharmacological remedies to be taken topically , require a little more time but allow you to heal the skin from the outermost layer. deep down.

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Late acne remedies

Dermatologists advise against the use of creams, astringent ointments, purifying masks, as there is a risk of inflammation of the follicles and related infection that could worsen and create permanent scar damage.

Instead, they suggest two practices , one of which possibly preparatory to the other if necessary:

1.  Micropeeling: an evening peeling based on glycolic acid and salicylic acid, which deeply cleans, activates a natural desquamation and induces the dissolution of blackheads. The lotion that is applied to the face may not be rinsed off and left on the skin overnight.

   In the morning, after cleansing with water alone, the application of moisturizing creams or oils is not recommended. There are specific creams on the market with a polymeric formulation , characterized by large molecules that cannot be absorbed by the skin, which create a layer of defense against external agents and can be the basis for a light make-up with a non-greasy mineral formulation. 

2. Photodynamic therapy : in the most serious cases, which see a sort of devastation of the face from late acne, it is possible to combine micro peeling sessions of photodynamic therapy, which unfortunately require more time available for treatment and a greater economic outlay.

   This is a technique that uses the reaction of red light to relieve the pimple. In summary and simplifying a lot, an ointment is spread that contains a substance called 5-ALA, the latter is captured by the inflamed follicles and transformed into protoporphyrin IX, a reactive to light; this process takes about two hours with the part covered by a bandage.

   After two hours the area treated with the ointment is subjected to a treatment with red lightat a certain frequency for about 30 minutes. Heat is perceived which serves to dissolve and desquamate acne, for this reason the skin will appear red at the end of the treatment. Photodynamic therapy can be applied several times in addition to the micro peeling to accelerate the remission times of the epidermal surface.

In cases of acne, juvenile or late, it is recommended to follow the dermatologist’s instructions and avoid do-it-yourself treatments, because the risk of permanent marks on the face is very high