Bellevue Acne Clinic

Acne cosmetica is a type of acne caused by personal cosmetic products like hair gel, shampoo, conditioner, cleanser, lotion and makeup. It usually presents as small flesh-colored bumps along the part of the body where the offensive product is used.

Certain hair products often used by African Americans are notorious for clogging pores and causing acne. This type of acne is known specifically as pomade acne, because of its association with pore-clogging hair pomades. This type of acne usually shows up along the hairline on the forehead and temple, or in the scalp. These are areas where the pomade comes into contact with facial skin.

The location of the acne sometimes gives a clue as to its cause. If you notice acne under your eyes, and you recently began using a new eye cream – the eye cream may be the cause. If you use oil-based makeup on your face – you may find acne in that area.

Alcohol-containing products can also contribute to acne cosmetica. There are many products containing alcohol that are intended for use on the skin. Alcohol is a skin irritant, and may worsen acne with prolonged contact.

Bleaching or fading creams can also contribute to acne cosmetica. Hydroquinone is a very common bleaching agent found in many creams. It is effective for bleaching skin, but can clog pores and cause acne. Fade creams available from other countries often contain a topical steroid, which causes a special kind of acne called 'steroid acne.' If you are using this type of product, beware that it may be making your acne worse.

If you suspect you have acne cosmetica, first assess your pimple. Remember, the pimples of acne cosmetica are flesh-colored and bumpy. They are not the large, red, painful papules and pustules of inflammatory acne. If you are pretty sure you have acne cosmetica, consider what products you use on the affected area. Are any of your cosmetic products new or not labeled 'non-comedogenic?' If so, that may be the problem. Reduce the offending product and your acne may clear up in a few weeks.

It's a bit ironic that products we use that are supposed to help us look better can sometimes have the opposite effect by causing acne. Always be an advocate for your skin, and only use products that you know will improve your skin and help you reach your beauty goals.

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