What makes skincare a possible culprit?

Some creams, lotions and cosmetics clog pores. The resulting bumps can include whiteheads, blackheads and pimples, and product related acne often appears on the chin, cheeks or forehead. A product can contribute to acne rather than being its only cause, which makes blaming one bottle less tidy than the bathroom shelf suggests.13

Small bumps that mostly match your skin color and are not tender or swollen suggest comedonal acne: pores blocked with oil and dead skin cells. The chin is a common site. Oily personal care products increase the risk, and excessive skin hydration from moisturizers can contribute to these plugs. A richer moisturizer is not automatically a better choice for clogged pores.45

Check more than your newest serum. Cosmetic acne can take a few days to six months to appear, so a product does not have to be new to deserve scrutiny. Tiny breakouts around the lips can also come from lipstick or lip balm, which means the suspect does not have to arrive wearing a skincare label.1

Could it be hormones instead?

Hormonal breakouts often affect the chin and jawline. They can be deep, painful and tender, sometimes without a visible head. If you menstruate, look for a recurring pattern around your period: hormone changes increase skin oil, and many people flare before bleeding starts. An episode can last a few days or a few weeks.2

Hormone changes during pregnancy, menopause, or after starting or stopping birth control can also trigger adult acne. Skincare and hormones can both contribute, so replacing a clogging product will not necessarily stop every breakout.16

What should I do next?

  1. 1Check the labels on your cleanser, moisturizer, sunscreen, makeup and hair products. Choose products marked noncomedogenic, meaning designed not to clog pores, or oil free. These are less likely to cause acne.
  2. 2Stop using cosmetics or skincare that appear to be causing breakouts and replace pore clogging products. Include lip products in the review if the bumps cluster around your lips.
  3. 3Wash gently morning and night, and after sweating. Use your fingertips and lukewarm water rather than scrubbing. Remove makeup before bed, then cleanse.
  4. 4For mild acne, consider an acne treatment containing salicylic acid to unclog pores or benzoyl peroxide to fight acne causing bacteria. If your skin is sensitive, choose a lower concentration of benzoyl peroxide to reduce irritation.
1236

For comedonal acne, pore clearing topical treatments are generally applied as a thin layer across the affected area, not just individual bumps. Follow the chosen product's directions. If you wear makeup with an acne medication, apply the medication first.15

Allow time: acne treatments can show some improvement in four to eight weeks. Comedonal acne can take eight to twelve weeks to start improving and many months to clear. Do not squeeze the bumps; picking can damage follicles, cause infection and leave scars.14

When should I see a doctor?

Get firm, deep, painful lumps assessed promptly. Nodular acne needs medical treatment because it can cause severe scarring; ordinary acne creams cannot treat it adequately. Also seek help if treatment is not improving your acne or you cannot identify the product responsible.3

Mention irregular periods or increased facial or body hair alongside persistent acne. These symptoms can warrant checks for an underlying hormonal condition; skin appearance alone cannot diagnose one. If a prescribed medicine seems to worsen acne, keep taking it and contact the prescriber. Report acne medication side effects to your provider. Spironolactone, a prescription hormonal acne medicine, must not be used during pregnancy because it can harm a developing fetus.2467

Where this answer comes from

  1. 1I have acne! Is it okay to wear makeup?aad.org
  2. 2Why You Get Acne Around Your Periodhealth.clevelandclinic.org
  3. 3Nodular Acne: What It Looks Like, Causes & Treatmentmy.clevelandclinic.org
  4. 4Comedonal Acne: Causes & Treatmentmy.clevelandclinic.org
  5. 5Comedonal acnedermnetnz.org
  6. 6Adult acneaad.org
  7. 7PMOS and Acne: Symptoms and Treatmenthealth.clevelandclinic.org