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Acne that is contracted during adulthood, specifically after eighteen years old is considered adult acne. It commonly appears during the early twenties to even late forties and fifties. Women are the ones frequently affected by adult acne, also known as post-adolescent acne. Hormones are the obvious cause of adult acne since there is no definite pattern to its occurrence as compared to the teenage variety of acne vulgaris. Adolescent girls are often conscious of the growth of this skin condition, especially during their menstrual cycle, although the acne that forms during adulthood comes and goes more easily than the ones contracted during the teenage years.

The appearance of post-adolescent acne differs from that of teenage acne:

Blackheads and whiteheads (comedones) are less commonly seen.
Breakouts are usually mild to moderate.
Significant scarring is unusual.

Lesions more often appear on the lower cheek, the chin, and along and below the jaw line. Although some women may have breakouts on the chest and back, most have blemishes exclusively on the face.

Risk factors:
Hormonal changes in your body can provoke or aggravate acne. Such changes are common in:

Teenagers, both in boys and girls
Women and girls, two to seven days before their periods
Pregnant women
People using certain medications, including cortisone

Other risk factors include:
Direct skin exposure to greasy or oily substances, or to certain cosmetics
A family history of acne - if your parents had acne, you're likely to develop it too
Friction or pressure on your skin caused by items such as telephones or cell phones, helmets, tight collars and backpacks

Other than the major hormones of women, adult acne may be caused and enhanced by the intake of pills containing hormones and drugs that have hormonal effects like those seen in oral contraceptive medications, food products, steroids and allergy medications.

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