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Acne feels like an unwelcome guest. No one invites it, and dealing with it well into adulthood is an added burden. It’s particularly frustrating when a stubborn pimple finally disappears, only to resurface in the same spot days later.
Today’s pressing question comes from reader puddluv, who wonders:
Why does acne keep appearing in the same exact spots?
There are several potential explanations for why certain areas of your face are more prone to acne. Cystic acne, for instance, is notorious for lingering beneath the skin and causing recurring breakouts. “This typically occurs when a pore becomes clogged with sebum and dead skin cells, leading to inflammation and dilation,” explains Dr. Katie Beleznay, a dermatologist based in Vancouver. “The same spot can fluctuate in size depending on factors like your skin’s oil production levels.”
A hidden cyst isn’t the only culprit behind recurring pimples. According to Boston dermatologist Dr. Susan Huang, acne tends to flare up in areas where oil production is highest—such as the face, chest, and back. Women, in particular, often experience breakouts along the chin and jawline due to hormonal changes that increase oil production in these sensitive areas.
It’s also worth examining habits that might introduce dirt and oil to your skin. “For example, wearing a bike helmet can clog the pores on your forehead, leading to breakouts in that area,” explains Dr. Huang.
Both dermatologists suggest using salicylic acid and benzoyl peroxide treatments, which are widely available at drugstores. However, for severe acne or deep cysts, professional medical intervention may be necessary. (Here’s a good rundown of what to expect when treating severe acne.)
That wraps up today’s discussion, but feel free to send your unusual health questions to [email protected] or submit them anonymously at bethskw.sarahah.com.
