The Best Skincare Routine For Acne: Comprehensive Guide (2023)
Discover the ultimate guide to the best skin care routine for acne in 2023. Learn expert tips, product recommendations, and proven methods to achieve clear skin.
Disclosure: Some of the links in this article may be affiliate links, which can provide compensation to me at no cost to you if you decide to purchase. These are products I’ve personally used, as well as are recommended by other skincare experts.
Are you tired of searching high and low for that elusive solution to banish acne once and for all? If you’re nodding your head in agreement, you’re not alone. As someone who has struggled with acne for years, I understand the frustration and challenges that come with trying to find the perfect skincare routine for acne to treat and prevent breakouts from occurring.
The never-ending sea of products promising miracles can make us feel overwhelmed and disheartened. We’ve all experienced the highs of temporary improvements followed by crushing disappointments when acne resurfaces with a vengeance.
In this comprehensive guide, I’m here to navigate the murky waters of acne-prone skincare together. No more confusion, no more false promises. Just effective strategies and actionable solutions (backed by research) to help you achieve the clear, radiant skin you deserve.
Let’s dive in.
What Causes Acne?
To effectively treat acne, it is important to first understand what is causing it. Here are the four main culprits of acne:
- Excessive Oil Production: Hormones play the puppet master here, controlling the amount of oil our skin produces. And when those hormones go wild, oil production can hit the roof, paving the way for pesky breakouts.
- Build-up of Dead Skin Cells: When skin cell turnover slows down, dead skin cells accumulate on the surface, clogging our pores and trapping oil within them.
- P.acnes Bacteria: This sneaky bacteria, present on all skin, feeds on our skin’s natural oils. When trapped oil becomes its buffet, it multiplies rapidly, leading to inflammation and unsightly breakouts.
- Inflammation: Our body’s natural defense mechanism kicks in when it detects an invasion of bacteria. White blood cells rush to the scene to fight the battle, resulting in redness, swelling, and the formation of pus-filled spots.
Types of Acne
Did you know that bacterial acne can be divided into two types? It’s crucial to tell them apart to ensure you’re getting the right treatment.
Hormonal acne is caused by those hormonal fluctuations during puberty, menstrual cycles, pregnancy, or menopause. You’ll usually see it on the lower face, like the jawline and chin. It shows up as these deep, painful cysts that get all inflamed. Hormonal acne tends to affect teenagers and adults, especially women.
On the other hand, bacterial acne can be split into two categories: non-inflammatory (comedonal) acne and inflammatory acne. Non-inflammatory acne is all about those pesky clogged pores, resulting in either blackheads or whiteheads. They look like these small bumps on the skin.
Now, inflammatory acne is caused by P. acnes bacteria, and it comes in different forms: papules, pustules, nodules, and cysts. Papules are these little red bumps, while pustules are similar but with visible pus. Nodules are these deep, painful lumps without any visible pus, and cysts are these big, pus-filled lesions that often leave scars.
To tell the difference between hormonal and bacterial acne, you’ve got to consider the location, type, and timing. Hormonal acne tends to stick around on the lower face, while bacterial acne can pop up anywhere. If you’re dealing with cystic, deep, and inflamed acne, chances are it’s hormonal.
On the other hand, blackheads, whiteheads, and pustules usually point to a bacterial cause. Hormonal acne may act up during menstrual cycles or hormonal changes, while bacterial acne tends to be more consistent.
If you want a proper diagnosis and the right treatment, it’s always a good idea to consult a dermatologist. They can take a look at your symptoms, medical history, and even do some skin testing.
Skin Conditions Mistaken For Acne
Sometimes, acne imposters show up, masquerading as other skin conditions. Rosacea, Perioral Dermatitis, and Milia are some of these pretenders. If you’ve tried all the usual treatments with no luck, it’s time to call in the experts (aka dermatologists) for a pro diagnosis.
Best Skincare Routine For Acne
Acne is a complicated condition that’s not easily fixed by simply washing your face or applying some topical treatments. It can be triggered by genetics, hormonal imbalances, stress, and other factors. Treating acne requires a lot of trial and error.
If you’re trying to build a skincare routine to combat acne, you’ll want to focus on a combination of treatments that help you:
- Speed up healthy cell turnover + reduce oil production
- Minimize bacteria growth (like C. agnes)
- Reduce inflammation and irritation + skin hydration
- Reduce hyperpigmentation (the dark spots that acne can leave behind)
Here is a skincare routine you can customize to banish your breakouts for good.
Morning Skincare Routine For Acne
Step 1: Cleanse Your Skin
Start your day by cleansing your face with a mild, non-comedogenic cleanser. Avoid using harsh or abrasive cleansers that can irritate the skin and cause more breakouts.
If you’re actively breaking out, use a gel-based cleanser that has salicylic acid or benzyl peroxide. Salicylic acid removes excess oils and dirt from your pores, while benzoyl peroxide fights the bacteria that causes acne.
Not sure which one to go for – benzyl peroxide or salicylic acid? Here are a few tips.
- If you’re battling clogged pores, whiteheads, or blackheads, a cleanser with 2% salicylic acid is your go-to.
- If you’re dealing with papules, pustules, or inflamed acne, a cleanser with benzoyl peroxide is the way to go.
If you’re not currently experiencing a breakout and want to focus on acne prevention, you have two options:
- Option 1: Use a gel-based cleanser use a salicylic acid exfoliant 1-2 times per week.
- Option 2: In your morning routine, use a gel-based cleanser, and in your evening routine, use a cleanser with either salicylic acid or benzoyl peroxide.
Tip: After applying the cleanser, gently massage it into your face and let it sit for about 2 minutes. This allows the salicylic acid or benzoyl peroxide to penetrate your pores. Rinse your face with warm water afterward.
Salicylic Acid
- Action: It’s a beta-hydroxy acid (BHA) that works by exfoliating the skin and penetrating into pores. Salicylic acid helps break down blackheads and whiteheads by dissolving the type of skin debris that clogs pores.
- Best For: Ideal for treating blackheads and whiteheads. It’s particularly effective for people with oily and acne-prone skin.
- Skin Compatibility: It is generally gentler than benzoyl peroxide, making it a suitable option for people with sensitive or less oily skin.
- Usage: Often found in concentrations ranging from 0.5% to 2% in over-the-counter products. It can be used daily in cleansers, toners, and spot treatments.
Benzoyl Peroxide
- Action: This ingredient works by killing acne-causing bacteria and helps dry out existing pimples and prevent new ones from forming.
- Best For: Effective for inflammatory acne, which includes red, swollen pimples (papules, pustules) and deeper, more severe acne (nodules and cysts).
- Skin Compatibility: Can be more drying and irritating than salicylic acid, especially in higher concentrations. It’s often recommended for those with more resilient or excessively oily skin.
- Usage: Available in concentrations ranging from 2.5% to 10%. Lower strengths are advised to start with to reduce the risk of skin irritation. It’s found in cleansers, creams, and spot treatments.
When to Use One Over the Other
- For Non-Inflammatory Acne (blackheads and whiteheads): Salicylic acid is usually the better choice due to its ability to exfoliate and unclog pores.
- For Inflammatory Acne: Benzoyl peroxide is more effective due to its antibacterial properties and ability to reduce inflammation.
- Skin Sensitivity: If you have sensitive skin, you might prefer salicylic acid as it’s typically less irritating.
- Combination Therapy: In some cases, both ingredients can be used together, but this should be done cautiously to avoid excessive skin irritation.
Best Cleansers For Acne Prone Skin
Cosrx Salicylic Acid Gentle Cleanser
Differin Benzoyl Peroxide Cleanser
Cosrx Low PH Cleanser
Step 2: Use a Hydrating Toner
Toning helps to balance your skin’s pH and remove any lingering impurities after cleansing. It preps your skin for the next steps in your routine.
Opt for Korean toners with soothing agents like green tea or centella, which calm inflammation and are gentle on the skin. Apply your toner using a soft cotton pad and gently pat onto the skin.
Best Toners for Acne
Anua Heartleaf 77%
Soothing Toner
Round Lab 1025
Dokdo Toner
Jumiso Waterfull
Hyaluronic Toner
Step 3: Apply Serums & Treatments
Got a breakout? Try applying Azelaic acid. This multi-tasking ingredient fights bacteria and helps fade dark spots.
If your skin’s acne is under control, you can also amp up your routine with a vitamin C serum! It’s great for tackling hyperpigmentation (e.g. dark spots left over from your pimples).
Look for a Korean vitamin C serum with Sodium Ascorbyl Phosphate. It works wonders in brightening your complexion, reducing hyperpigmentation, and shielding your skin from environmental stress. If you’re not concerned about hyperpigmentation or aging signs like fine lines and wrinkles, feel free to skip this step.
Sodium Ascorbyl Phosphate (SAP) is a derivative of Vitamin C that does two things: it helps with pigmentation and acne! Research shows that sodium ascorbyl phosphate can even out your skin tone and give a boost to collagen production. Plus, it’s got antimicrobial powers, which makes it a great option for preventing and treating acne. The research even shows that after 8 weeks of use, it can reduce inflammatory acne lesions by a 49%! And after 12 weeks, it can decrease the number of acne lesions by 61-71%.
Azelaic Acid is a multitasking ingredient that does it all! It fights off bacteria, fades dark spots, calms rosacea, and tackles mild to moderate acne. Studies show that 20% Azelaic Acid works just as well as other popular acne treatments like Tretinoin, Benzoyl Peroxide, and Erythromycin. It’s super gentle on the skin, so it’s perfect for folks with sensitive or dry skin who want to avoid Benzoyl Peroxide.
Best Vitamin C Serums
SkinCeuticals C E Ferulic (15% Vit C)
(Gold standard Vitamin C)
Paula’s Choice C15 Super Booster, 15% Vitamin C
(Great for advanced)
Goodall Green Tangerine Vitamin C Serum
(Great for sensitive skin)
DearKlairs Freshly Juiced Vitamin Drop, 5%
(Great for beginners)
Step 4: Apply Gel Cream or Water-Based Gel Moisturizer
If you don’t hydrate properly, your skin might go crazy and start producing more oil, which can make your acne situation worse. Plus, acne treatments can be harsh and irritating on your skin. Without proper hydration, your skin barrier gets damaged.
So, the key is to keep your skin hydrated by using moisturizers to lock in moisture and protect your skin barrier.
I recommend using Korean moisturizers because they are non-greasy and won’t clog your pores. Look for hydrating and repairing ingredients like hyaluronic acid, ceramides, squalene, and allantoin.
Here’s another tip: look for a moisturizer with Niacinamide. It helps control oil, reduces pores, and has anti-inflammatory effects, making it great for oily or acne-prone skin.
Best Moisturizers for Acne Prone Skin
Paula’s Choice Gel Moisturizer
(Oily + Combo Skin)
Skinfix Barrier Restoring Gel Cream
(Oily, acne prone skin)
CeraVe PM Facial Moisturizing Lotion (All skin types)
Step 5. Apply Korean Chemical Sunscreen
Sunscreen is a MUST for your skin! It works by absorbing UVB and UVA rays that can harm you. Fun fact: Did you know that sunscreen doesn’t block the rays? It actually absorbs them and releases a little heat energy.
So when you’re picking a sunscreen, remember to check for UVB protection (SPF), UVA protection, and consider the texture too. Determining UVA protection can be tricky, as various countries have come up with their own rating systems.
Here is a little cheat sheet to help you out.
- In the US, look for words “broad spectrum” on. your sunscreen to make sure its tested for UVA protection.
- In Asia, they use PA system, ranking UVA protection from PA + to PA++++.
- In Europe, to get a UVA label the sunscreen has to be around the same protection as PA+++.
For oily skin, choose a chemical sunscreen, which tend to have a lighter, more oily skin friendly texture. Korean sunscreens also are formulated for more humid climates, so these are also great options for oily skin. If you have acne-prone skin, Korean mineral sunscreens are a great option. They have a lighter texture and are less likely to clog your pores.
- Reapply your sunscreen every 2 hours. If your spend alot of time in the water, apply based on the water-resistant limit.
- Look for SPF 30-50 range.
- Make sure your getting both UVB & UBA protection – look for “broad spectrum,” “UVA” and “PA” labels.
- Use a Korean sunscreen stick to make it easy to reapply your sunscreen throughout the day.
Best Sunscreen For Acne Prone Skin
JUMISO Waterfull Sunscreen
(SPF 50+ PA++++)
Chemical sunscreen: Oily & Combo Skin
Round Lab Birch Juice Sunscreen
(SPF50+ PA++++)
Chemical sunscreen: Oily & Combo Skin
BEAUTY OF JOSEON SUNSCREEN
(SPF50+ PA++++)
Chemical sunscreen: Oily & Combo Skin
Night Time Routine For Oily Skin
At night, your skin repairs itself, so it’s a great time to use potent ingredients that target specific issues like acne or aging. Here are recommended steps for your nightly routine:
Step 1: Double Cleansing
Double cleansing ensures that all makeup, SPF, and day’s pollutants are thoroughly removed from the skin. Start with an oil-based cleanser followed by a water-based cleanser. This combination effectively removes impurities without stripping the skin.
Gently massage your Korean cleansing oil onto dry skin, then add water to emulsify before rinsing off. Follow with your gel cleanser for a deep clean.
Best Oil Cleansers
Anua Heartleaf Cleansing Toner
Heimish All Clean Balm
Ma:nyo Pure Cleansing Oil
Step 2: Toning
As in the morning, toning at night helps to balance the skin after cleansing and preps it for further treatment. Use the same toner as in the morning to maintain consistency in your skincare routine.
Step 3: Apply Targeted Treatments (For Acne and Visible Pores)
Now is the perfect time to add acne-fighting and anti-aging treatments to your skincare routine. One of my personal faves is Retinol, specifically adapalene (Differin), which targets acne and addresses concerns like fine lines and hyperpigmentation.
Adapalene (Differin) is a form of retinol that focuses on comedonal acne, preventing clogged pores and comedones. Studies have shown that topical retinoids, like Adapalene, can reduce both inflammatory and non-inflammatory acne lesions by 40-70%
To get rid of pimple redness quickly, use ice packs and apply anti-inflammatory creams like aloe vera or green tea extract or spot treat with benzoyl peroxide, tea tree oil, or sulfur.
To remove dark spots caused by pimples, look for skincare products with vitamin C, retinol, or glycolic acid. These ingredients help brighten and even out skin tone over time.
Paula’s Choice 10% Azelaic Acid + Salicylic Acid
Naturium 10% Azelaic Acid 10% with Niacinamide & Vitamin C
0.1% Adapalene (Differin)
To achieve glass skin, you can use retinol with other skincare actives. If you’re dealing with acne, using Retinol and Salicylic Acid helps unclog pores, speed up cell turnover, and improve skin texture and tone, effectively preventing future breakouts. Just use salicylic acid 1-2 times a week and on days when you’re not using your retinol to avoid irritating and damaging your skin barrier.
If you’re looking to tackle blemishes, reduce redness, and treat post-acne dark spots, try using Azelaic Acid and Retinol for a smooth and even skin tone. Apply your Azeliac Acid in the morning and retinol at night to let each ingredient do its job without any interference.
Did you know that Hyaluronic acid helps with acne by hydrating your skin to prevent over production of oil leading to more breakouts? Hyaluronic acid is also great to add to your routine especially if you’re using irritating products like retinol and vitamin c because it helps reduce irritation.
Step 4: Moisturize with A Gel Moisturizer
Finish off your night routine by applying a lightweight moisturizer that won’t clog your pores and will help balance oil production while you sleep. Use the same gel moisturizer you used during your morning routine.
Weekly Treatments For Oily Skin
Besides your regular skincare routine, there are a couple of weekly treatments that can help keep oily skin under control and give it an extra glow.
Exfoliate with an AHA/BHA
Oily skin tends to have more dead skin cell build-up, leading to clogged pores and breakouts. Gently exfoliate once or twice a week with a chemical exfoliant such as AHA or BHA to remove dead skin cells and unclog pores. Unlike physical scrubs, chemical exfoliants like AHAs and BHAs work their magic by dissolving the bonds between dead skin cells, allowing them to naturally slough off.
I recommend using a salicylic acid 1-2 times per week during your PM skincare routine. I know it might be tempting, but don’t use an exfoliator every day. This can damage your skin barrier & lead to irritation, redness, and dryness. As a result, your skin might over compensate by creating more oil/sebum.
You may have heard that you should use glycolic acid and lactic acid for your acne, but I don’t agree with that recommendation. Here’s why.
While other acids like glycolic and lactic acids do a great job of exfoliating the skin’s surface, salicylic acid goes the extra mile. It dives deep into your pores and dissolves oil and dead skin cells to unclog your pores.
If you’re cleanser included salicylic acid, then you can skip this step. However, if you used a normal cleanser, then you’ll want to exfoliate with salicylic acid 1 -2 x per week. I know it might be tempting, but do not use a leave on salicylic acid exfoliant every day. This can damage your skin barrier and cause skin dryness, redness, and sensitivity.
Salicylic cleansers are formulated to be used once or twice daily. Because they are not left on the skin for an extended period & the contact period is relatively short – you’ll get the benefits of salicylic acid without damaging your skin.
Salicylic acid exfoliants usually come in the form of toners, serums, or peels and are meant to be left on the skin for a longer time to enhance exfoliation. These products tend to have higher concentrations of salicylic acid, which can lead to increased exfoliation and skin cell turnover. As a result, they can be more potent and potentially irritating if used too frequently or inappropriately.
Pimple Patches
Pimple patches have become super popular to treat breakouts, but did you know there are two different types of patches? Hydrocolloid bandages and treatment patches.
Pimple patches are great because they prevent us from picking at our pimples, which can lead to scarring and infections. They also create a moist environment that promotes faster healing, similar to a relaxing spa day for your skin.
But that’s not all – They’re loaded with ingredients like salicylic acid and tea tree oil, delivering them directly to the problem area. It’s like a targeted attack on acne, leaving it no chance to stick around.
Now, let’s talk about the differences between the two types of patches.
- Hydrocolloid bandages are the softies, perfect for those raised pimples with visible pus. They soak up the icky stuff and flatten out the pimple. Studies even show they can reduce redness and oiliness after just a week. Talk about results!
- Acne treatment patches are your go-to for inflamed pimples with less fluid. Just remember, if it’s too wet, they might make a run for it. But the best part is, they’re practically invisible, so you can wear them like a champ all day!
Choosing the right patch is easy. If you’ve got some visible pus, go for the hydrocolloid bandages. For those inflamed pimples with less fluid, then pick an acne treatment patch.
One study found that using 3M Acne Dressings for a week on pimples reduced the severity of the pimple, redness, oiliness, and dark pigmentation, compared to using skin tapes.
Best Pimple Patches
COSRX Acne Pimple Patch
Buy Now on Amazon
Hero Pimple Patches
StarFace Pimple Patches
Clay or Activated Charcoal Masks
Kaolin and bentonite are two types of clay minerals that do an amazing job of absorbing oils, toxins, impurities, and other gunk from your skin. And guess what? They’re not just good at that! Studies have even shown that these clay minerals have antibacterial properties that can help fight off antibiotic-resistant bacteria.
On the other hand, activated charcoal also absorbs oils and toxins. While there isn’t a ton of research on its use in skincare, activated charcoal is commonly used in medical cases of poisoning because it’s really good at soaking up toxins from the body. So, the idea is that activated charcoal might also have some antibacterial properties.
Best Clay Masks
Innisfree Pore Clearing Clay Mask
Kiehl’s Clay Cleansing Masque
TATCHA The Clarifying Clay Mask
Importance of Acne Treatment Consistency
When it comes to acne treatment, there’s one golden rule: be consistent.
Ever heard of microcomedones? They may be tiny, but these sneaky little buggers play a big role in acne formation.
Picture this: minuscule pouches lurking within your pores, packed with oil, bacteria, and dead skin cells. Invisible to the naked eye, but they’re trouble waiting to happen.
Here’s the catch: up to 30% of your pores in seemingly clear skin areas could be housing these troublemakers if you have acne-prone skin. Shocking, right? And get this, even in severe cases, only about 0.25% of your facial pores are involved in visible acne.
Now, why does this matter? Because it’s a wake-up call for consistent acne treatment. Don’t slack off just because your skin looks clear. Keep those microcomedones in check to keep your skin from breaking out!
Conclusion
To sum up, understanding your skin type and creating an effective skincare regimen can take time. Trust your instincts and don’t be afraid to experiment with different products.
Everyone’s skin is unique, and what works for someone else might not work for you. Remember that even when dealing with acne-prone skin, less is definitely more.
And finally, the most important thing to remember: be patient! It will take weeks of consistency for you to see positive results.