Stress won't give you acne if you're not already predisposed to it, but it can make acne worse by causing levels of certain hormones to temporarily increase. “When your fight-or-flight response is activated, the body releases stress hormones, such as cortisol and androgens,” Dr. Minni explained.
Anxiety, depression, and stress can cause acne breakouts in people who have underlying acne. Again, science doesn't yet fully understand all the reasons why this happens. Here's what the evidence says so far: Stress can increase oil production and possibly hormones (like glucocorticoids), both of which can worsen acne.
People can develop forehead acne and pimples when tiny glands below the surface of the skin become blocked. Hormonal changes, stress, medication use, and other factors can cause it. Acne does not pose any serious health risks, but people may think that it appears unattractive, and it can cause discomfort.
Given the increase in oil production, she says your skin will usually look greasier and slightly more inflamed. Zeichner adds that stress acne can also look like a combination of blackheads, whiteheads, red bumps, and pus pimples.
Stress pimples will usually pop up in the oiliest areas of the face, like the forehead, nose and chin. Your T-zone might look greasier and more congested too. Doctors say that if you're getting clusters of pimples all at once, stress can be a factor—hormonal pimples happen one at a time.
Lamb said it might be more challenging to get the acne under control because of the frequent flare-ups that happen over time. But if the breakout is from more of an acute stressor, like the death or illness of a family member, Dr. Lamb estimated that the acne could take about four to six weeks to clear up.
What causes cystic acne? Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin's middle layer (the dermis).
Stress rashes often appear as raised red bumps called hives. They can affect any part of the body, but often a stress rash is on the face, neck, chest or arms. Hives may range from tiny dots to large welts and may form in clusters. They may be itchy or cause a burning or tingling sensation.
Examples include white bread, corn flakes, puffed rice, potato chips, white potatoes or fries, doughnuts or other pastries, sugary drinks such as milkshakes, and white rice. Findings from small studies suggest that following a low-glycemic diet may reduce the amount of acne you have.
Fluctuations of estrogen, progesterone and testosterone can cause zits and pimples to pop up. Typically, these fluctuations happen mostly during menstruation cycles, pregnancy and menopause. During these times of increased hormones, the body produces more sebum, an oily, waxy substance.
Excess sebum production can cause acne. Extra oil production can mean that breakouts may occur more often in these areas than other parts of the face. One study looked at 914 people with acne. The researchers found a link between sebum production and the amount of acne in the T-zone, which covers the forehead and nose.
The best topical treatments to treat stress acne
Salicylic acid can unclog pores, benzoyl peroxide is anti-inflammatory and antibacterial, and retinol increases skin cell turnover rate. That doesn't mean that you should use all three at once, however.
Get active. Virtually any form of physical activity can act as a stress reliever. Even if you're not an athlete or you're out of shape, exercise can still be a good stress reliever. Physical activity can pump up your feel-good endorphins and other natural neural chemicals that enhance your sense of well-being.
During puberty, hormonal acne often appears in the T-zone. This includes your forehead, nose, and chin. Hormonal adult acne typically forms on the lower part of your face. This includes the bottom of your cheeks and around your jawline.
From comedones to nodular acne, several different types of acne can develop on your forehead: Comedonal acne. This is a mild, non-inflammatory form of acne. Comedonal acne can be either open or closed.
Hormonal changes, including those caused by menopause, menstruation, pregnancy, and certain medical conditions like polycystic ovarian syndrome (PCOS), can be triggers for cystic acne.
Inadequate sleep raises your cortisol levels. This hormone triggers inflammation, which breaks down the proteins that keep your skin smooth and glowing. Inflammation can also make your skin more prone to acne and more sensitive to allergic reactions.
Stress can't directly cause acne. However, studies have shown that if you already have acne, stress does make it worse. Researchers have found that wounds, including acne, are much slower in healing when a person is under stress.
Facial masks are en vogue now. Acne masks that contain any of the following may help with forehead acne: salicylic acid, glycolic acid, benzoyl peroxide, niacinamide, oatmeal, sulfur, and/or clay. All of these ingredients work on acne a little differently to help clear the skin.
You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.