Age, hormonal changes, family history, greasy or oily substances, friction or pressure on your skin and stress are risk factors for acne. “Hormonal changes are a huge thing, especially in adults, hormones are playing a very big role, they’re influencing the skin and the oil glands,” says Natalie Suarez, Physician Assistant at Sunset Dermatology.

She also explains a lot of times this acne is presenting in adulthood. Acne could be thought as something only for teenagers, but there are a lot of women and men in their twenties, thirties and forties dealing with acne.