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.
Anxiety, depression, and other stressful health or life situations don't actually cause acne, but they can definitely worsen it. Acne itself is caused by clogged skin pores. It's not clear why, but in people with acne, the skin has a hard time getting rid of dead skin cells.
"Stress acne, unlike your regular breakouts, usually occurs on the oiliest parts of your face—your forehead, nose, and chin areas," says Shereene Idriss, M.D., a cosmetic dermatologist at New York City's Union Square Laser Dermatology.
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.
Anxiety causes acne
In response to stress, our bodies produce more androgens, a type of hormone. These hormones stimulate the skin's oil glands and hair follicles, which can lead to acne. That's why when we're under constant stress, acne can be an ongoing issue.
What does hormonal acne look like? Whiteheads, blackheads, papules, pustules, cysts and nodules are all common hormonal acne symptoms. Normally, whiteheads and blackheads do not cause pain, inflammation or swelling, but if they do, then they are most likely forming into cysts and pustules.
Stress, anxiety, and fear might also worsen acne by triggering the production of cytokines, tiny proteins that stoke inflammation, including inflammation of the area around sebaceous glands, the glands that produce oil. Stress-related disruptions in healthy habits play a role, too.
While stress alone isn't the cause of acne pimples — age, hormones, acne-producing bacteria and other factors are at play — it's evident that stress can trigger breakouts and make existing acne issues worse.
An increase in stress severity was strongly correlated with an increase in acne severity, which was statistically significant (r=0.23; p<0.01). Subjects with higher stress scores, determined using the PSS, had higher acne severity when examined, and acne severity was graded using the GAGS.
Acne is caused by your skin making too much sebum (oil), which, along with dead skin cells, clogs the pores — making them the perfect place for bacteria to grow. Hormones, family history and underlying health conditions can play a role in developing acne. It can also be a side effect of taking certain medications.
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.
While androgens are essential to the development of acne, routine screening of women with acne or hirsutism usually reveals normal levels of androgens. The serum level of DHEAS, testosterone, and DHT in women with acne ranges from high to normal.
Cheek acne may be due to one or more of the following: makeup, your phone spreading bacteria, dirty pillowcases, touching your face, or hormonal changes. The good news is there are several steps you can take to prevent it or reduce the severity of your cheek acne. See a doctor to get your acne treated.
It's been shown that unhealthy sleep habits can trigger insulin resistance, increase stress, spike cortisol levels, and impact hormones that are typically associated with acne.
Acne commonly starts during puberty between the ages of 10 and 13 and tends to be worse in people with oily skin. Teenage acne usually lasts for five to 10 years, normally going away during the early 20s.
Hormonal acne can start in the teenage years and continue in to the 20's and 30's. Hormonal acne may also develop for the first time over the age of 20. Hormonal acne can also develop perimenopause and menopause.