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Main Causes of Acne and When to See a Dermatologist for Treatment

Norm Brackett
Norm Brackett
Board Certified Dermatologist

Acne is one of the most common skin concerns affecting people of all ages—not just teenagers. Whether you’re experiencing occasional breakouts or persistent acne that doesn’t seem to go away, understanding what causes acne and when to seek professional care can make a big difference in your skin health.

At Elect Dermatology, we serve patients in New Braunfels, San Antonio, and the surrounding areas with expert acne care tailored to your skin type and lifestyle.

Here are the main causes of acne and how a dermatologist can help you regain control of your complexion.

What Causes Acne?

Hormonal Fluctuations
Hormones play a major role in acne development. Androgens (male hormones present in both men and women) increase sebum production, leading to clogged pores and breakouts.

Hormonal acne often flares up during:

  • Puberty
  • Menstrual cycles
  • Pregnancy
  • Perimenopause
  • Starting or stopping birth control

Excess Oil Production
People with naturally oily skin are more prone to clogged pores. Excess sebum mixes with dead skin cells and bacteria, creating the perfect environment for acne.

Bacteria (Cutibacterium acnes)
This skin-dwelling bacteria thrives in clogged pores and can trigger inflammation, leading to painful pimples, cysts, or nodules.

Diet and Lifestyle
While diet isn’t always the main cause of acne, high-glycemic foods, dairy, and processed foods can aggravate existing breakouts. Stress, poor sleep, and environmental pollutants can also contribute to flare-ups.

Cosmetics and Skincare Products
Using pore-clogging or oil-based products can worsen acne. Always look for non-comedogenic labels on makeup and skincare items to reduce your risk of breakouts.

Genetics
If your parents had acne, there’s a higher chance you might experience it too. Genetics influence how your skin produces oil and responds to inflammation.

When Should You See a Dermatologist for Acne?

While over-the-counter acne products can help with mild breakouts, persistent or severe acne often requires a professional approach.

Here’s when you should see a dermatologist:

Acne Isn’t Responding to OTC Treatments
If you’ve tried drugstore products for more than a few months with little improvement, it’s time to consult a dermatologist. Prescription treatments can target acne more effectively.

You’re Experiencing Painful, Cystic Acne
Cystic acne is deeper, more painful, and can lead to scarring. Professional treatment is crucial to prevent long-term skin damage.

You’re Concerned About Acne Scars
If you’re noticing dark spots or pitted scars, early intervention can help minimize permanent marks. Dermatologists offer solutions like chemical peels, laser treatments, and microneedling to restore smoother skin.

Your Acne Is Affecting Your Confidence
Acne can impact your self-esteem and mental health. If breakouts are making you feel anxious or self-conscious, seeking help is not just skin-deep—it’s about your overall well-being.

Expert Acne Treatment in New Braunfels and San Antonio

At Elect Dermatology, our providers take a personalized approach to acne care. We treat patients of all ages from New Braunfels, San Antonio, and nearby communities, using advanced diagnostic tools and treatment options that include:

  • Prescription topical and oral medications
  • Hormonal therapy (for hormonal acne)
  • In-office treatments like extractions, chemical peels, and blue light therapy
  • Skincare guidance tailored to your skin type and concerns

We understand that every acne journey is different, which is why we focus on customized, compassionate care to get you the best results possible.

Clear Skin Starts Here

If you’re struggling with persistent acne, don’t wait. The sooner you seek help, the easier it is to prevent long-term skin damage and restore your confidence.

Contact us today at 833-353-2875 to schedule a consultation in New Braunfels or San Antonio, and let our experienced dermatology team help you achieve clearer, healthier skin.

Schedule Your Dermatology Appointment

Our board certified dermatologists in New Braunfels are here to help. New patients are always welcome.