adult acne facial

Causes of Adult Acne: Understanding Why It Happens and How to Treat It Naturally

Acne isn’t just a teenage concern. Many adults—especially women—find themselves battling breakouts well into their 20s, 30s, 40s, or even later. 

If you’re one of them, you’re not alone. In fact, dermatologists report that adult acne affects nearly half of women between ages 20 and 49.

At Sabai Thai Spa, we understand that adult acne isn’t just about skin—it’s about confidence, balance, and self-care. 

In this post, we’ll explore the real causes of adult acne, how it differs from teenage breakouts, and how professional spa treatments can help restore clarity and harmony to your skin.

What’s Really Happening Beneath the Surface?

Whether you’re 16 or 36, acne begins the same way—with a clogged pore. Each pore contains an oil gland that produces sebum (natural oil) to keep skin soft. 

When dead skin cells and excess oil block that pore, bacteria can grow inside, leading to inflammation, redness, and pimples.

But for adults, the triggers that lead to clogged pores can be very different. Instead of teenage hormones or oily skin, adult acne is often tied to lifestyle, stress, and internal imbalances.

1. Hormonal Fluctuations and Imbalances

Hormones play a major role in adult acne—especially for women. Changes in estrogen and progesterone during menstrual cycles, pregnancy, or menopause can cause oil glands to overproduce sebum.

Breakouts along the jawline, chin, and lower face are common signs of hormonal acne. You might notice flare-ups right before your period or during times of heightened stress.

At Sabai Thai Spa, our Balancing Skin treatment is designed to restore equilibrium to the skin.

It helps calm inflammation, reduce excess oil, and bring your complexion back into balance—an essential step when hormones are in flux.

2. Stress and Lifestyle Factors

When you’re stressed, your body releases cortisol—the “stress hormone.” Cortisol can increase oil production, which often leads to clogged pores and inflammation.

Long work hours, irregular sleep patterns, and skipped meals can also upset your body’s balance, showing up on your skin as breakouts or dullness.

Incorporating regular relaxation into your lifestyle—like a soothing spa facial, massage, or mindfulness practice—can make a real difference. Taking care of your skin is also about taking care of your nervous system.

3. Clogged Pores from Cosmetics and Skincare Products

Sometimes, adult acne is a side effect of good intentions. Heavy moisturizers, rich night creams, or makeup labeled “hydrating” can actually clog pores, especially if you have combination or oily skin.

Look for products labeled non-comedogenic, oil-free, or won’t clog pores. And never skip cleansing at night—even one night of sleeping with makeup on can contribute to breakouts.

A professional Clear Skin facial at Sabai Thai Spa deeply cleanses pores, removes impurities, and detoxifies the skin—leaving it fresh and radiant without stripping away moisture.

4. Diet and Gut Health

What you eat can affect your skin more than you might think. Foods with a high glycemic index (like sweets, white bread, and processed snacks) can spike insulin levels, leading to increased oil production.

Some people also find that dairy or certain fats can worsen acne. It’s not the same for everyone, but if you notice a pattern, try reducing these foods and increasing your intake of water, leafy greens, and omega-3s.

Supporting gut health through balanced nutrition can promote clearer skin from within.

5. Genetics and Family History

If your parents struggled with adult acne, you may have inherited a similar skin tendency. Your sebaceous glands might be naturally more active or sensitive to hormonal changes.

While you can’t change your genes, professional treatments and a consistent skincare routine can help minimize flare-ups and improve your skin’s resilience.

6. Medications and Environmental Factors

Certain medications, such as corticosteroids or lithium, can trigger breakouts as a side effect. Environmental pollution and frequent exposure to irritants can also clog pores and stress your skin barrier.

If you think a medication is contributing to acne, consult your doctor—but continue to support your skin externally through gentle cleansing, hydration, and targeted facials.

Why Adult Acne Looks—and Feels—Different

Adult acne tends to appear on the lower half of the face—around the mouth, chin, and jawline—unlike teenage acne, which often covers the forehead or nose.

The blemishes are also usually deeper and more inflamed, which makes them more painful and prone to post-acne marks or hyperpigmentation.

That’s why adult acne requires a calming, balancing approach, rather than harsh products that strip the skin and cause further irritation.

How Professional Spa Treatments Help

At Sabai Thai Spa, we take a holistic approach to treating acne. Instead of focusing only on the surface, our treatments address the underlying causes—oil imbalance, clogged pores, inflammation, and stress.

  • Our Clear Skin Facial focuses on deep purification. It includes gentle exfoliation, pore-clearing techniques, and soothing masks to reduce bacteria and redness. 
  • Our Balancing Skin Facial helps regulate sebum production, strengthen the skin barrier, and restore a smooth, even complexion. 

Both treatments are customizable based on your skin condition, ensuring that every visit supports healing and long-term clarity.

At-Home Tips to Prevent Adult Acne

Even between treatments, you can maintain clearer skin by following these habits:

  1. Cleanse gently, twice daily. Use a mild, sulfate-free cleanser to remove oil and makeup without over-drying.
  2. Moisturize—even if you’re oily. Dehydrated skin produces more oil to compensate.
  3. Exfoliate weekly. Choose gentle exfoliants with enzymes or acids (like AHA/BHA) to clear dead skin cells.
  4. Avoid picking or popping pimples. This can lead to scarring and prolong healing.
  5. Wash pillowcases and towels regularly. Bacteria and oil buildup can reintroduce impurities to the skin.
  6. Manage stress. Yoga, deep breathing, or simply taking time for yourself can visibly improve your skin.
  7. Get regular facials. Professional care helps maintain balance and prevent clogged pores from recurring. 

When to Seek Professional Help

If your breakouts are painful, persistent, or leaving scars, it’s time to seek expert care. At Sabai Thai Spa, our trained aestheticians assess your skin type and tailor treatments that help restore clarity and confidence.

Remember—acne is not a sign of poor hygiene or neglect. It’s your skin’s way of signaling imbalance, and with the right approach, it can be managed beautifully.

Conclusion: Clarity Begins with Care

Adult acne can be frustrating, but it’s also a sign that your skin—and body—need a bit more balance and attention.

At Sabai Thai Spa, we believe that clear, healthy skin starts from within and is maintained through personalized care. Our Clear Skin and Balancing Skin facials are designed not only to treat acne but to nurture and strengthen your skin long-term.

Book your treatment today and let our experts help you restore your skin’s natural harmony—because glowing, clear skin is timeless.