Acne+Products

Though we usually associate acne with the more annoying parts of our teenage years, the issue has become increasingly more common in adults. And it’s an even bigger issue among women: Up to 22% of women in the U.S. suffer from adult acne compared to just 3% of men, according to a 2014 study in The Journal of Clinical and Aesthetic Dermatology.

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Depending on the severity of your condition, controlling acne can be difficult — but it’s not impossible. We spoke to board-certified dermatologists about the skin-care ingredients that can help clear up your skin by fighting acne, inflammation and dark spots. We also compiled some of their recommendations for the best products to shop for acne-prone skin.

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The dermatologists we spoke to recommended looking for products with acne-fighting ingredients like salicylic acid, benzoyl peroxide, adapalene and azelaic acid for acne-prone skin (more on that below). Below, we highlighted a mix of face washes, moisturizers, sunscreens, spot treatments and face masks that feature these ingredients as well as other expert-recommended acne-fighting ingredients like niacinamide and zinc oxide. Experts recommended each of the following brands and products.

Dr. Eileen Deignan, a board-certified dermatologist and chief of dermatology at Emerson Hospital, recommended this salicylic acid cleanser from expert-favorite brand Neutrogena to clean out pores and calm acne. It features LHA, which is recommended by Dr. Emmy Graber, a board-certified dermatologist and president of The Dermatology Institute of Boston, as a more gentle acne solution. It's suitable for most skin types since it's free of oils, fragrances and parabens, according to the brand.

CeraVe — a popular brand among our experts — is Deignan’s pick for a lower-strength benzoyl peroxide wash. It features a 4% benzoyl peroxide concentration to help clear acne, hyaluronic acid to help retain the skin's natural moisture and niacinamide for a natural anti-inflammatory effect, according to Deignan.

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This fragrance-free acne face wash from expert-favorite brand La Roche-Posay contains a 2% concentration of salicylic acid. Dr. Tracy Evans, a board-certified dermatologist and medical director of Pacific Skin and Cosmetic Dermatology, said the brand combined the ingredient with LHA to “balance the cleanser” and make it gentler on the skin. It also contains glycerin, which Stevenson told us is a type of AHA that hydrates and helps soothe the skin.

Because of its drying element, Evans said this face wash can be a good option for people with oily skin — for more sensitive skin types, she recommended the brand’s Toleriane Hydrating Gentle Cleanser since it’s less stripping, has niacinamide and “provides hydration along with cleansing the skin.”

Graber recommended this product from Neutrogena, which contains 3.5% benzoyl peroxide. It can be used as a daily cleanser or weekly mask to kill bacteria and prevent future breakouts, according to the brand.

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The EltaMD UV Clear Sunscreen is a favorite of Deignan’s since it’s free of heavy moisturizers that could clog pores and contains the natural anti-inflammatory ingredient niacinamide. EltaMD's mineral-based sunscreen offers SPF 46 and includes zinc oxide, which experts previously told us provides protection against the sun's UVA and UVB rays while soothing the skin. For those with dark spots or discoloration, our experts also recommended EltaMD’s tinted version of this product as one of their favorite tinted sunscreens.

This face mask from Mario Badescu contains sulfur, “the oldest known ingredient to help with skin inflammation, ” according to Graber. The combination of sulfur and zinc oxide in this mask draws out impurities and gets rid of excess oil, while calamine and cucumber can cool the skin and ensure you don’t feel irritated afterward, Mario Badescu says. You can apply it either two or three times a week — it can also be used as a spot treatment on stubborn breakouts, according to the brand.

This highly rated liquid leave-on exfoliant from Paula’s Choice contains 2% salicylic acid to help remove dead skin cells and unclog pores. It also has green tea, which the brand says can help soothe irritated skin and improve visible signs of aging.

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Dr. Caren Campbell, a California-based board-certified dermatologist, recommended this OTC retinoid in our guide to retinol. Experts told us that retinoids promote skin cell turnover and cure inflammation to deep clean pores and prevent new pimples from forming. After you cleanse, tone and moisturize, apply a thin layer of the gel treatment to the affected areas of the skin, the brand says.

Another adapalene gel recommended by Campbell, La Roche-Posay’s Effaclar Adapalene Gel also contains 0.1% adapalene to unclog pores and fight blackheads and whiteheads, the brand says. La Roche-Posay’s gel is also slightly gentler and more moisturizing than the Differin gel, according to people who have used both.

Graber said she usually recommends The Ordinary Azelaic Acid Serum to her patients since it can help improve both blemishes and dark spots. The serum, which contains 10% azelaic acid to help brighten your complexion, is cruelty-free, vegan and gentle enough to use up to twice a day, according to the brand.

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“Products that offer hydration and are oil-free can be very helpful for acne, such as a CeraVe everyday moisturizer, ” said Evans. This oil-free nighttime moisturizer from the brand features niacinamide, hyaluronic acid and other ceramides to provide essential moisture throughout the night, according to the brand. You can also get the brand’s AM Facial Moisturizing Lotion, which has SPF 30.

Dr. Lindsey Bordone, a board-certified dermatologist and assistant professor of dermatology at ​Columbia University Medical Center, told us Cetaphil is a trustworthy brand for those dealing with acne. This face and body moisturizer from the brand features a non-greasy, paraben-free formula with no added fragrance to avoid irritation for sensitive skin types, according to the brand. Cetaphil says the moisturizer can provide up to 24 hours of hydration, and it comes in four sizes ranging from 4 ounces to 20 ounces.

Board-certified dermatologist Dr. Erum Ilyas previously recommended this face moisturizer from La Roche-Posay due to its soothing and hydrating properties. The brand says the moisturizer offers 48-hour hydration and can be used on the face, neck and hands.

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The dermatologists we spoke to highlighted four key ingredients to help fight acne: salicylic acid, benzoyl peroxide, adapalene and azelaic acid. These are available as prescriptions for more stubborn acne, but there are plenty of over-the-counter products that offer these ingredients at a lower dosage.

Other acne-fighting ingredients found in OTC products include alpha hydroxy acids (AHA) and beta hydroxy acids (BHA). These compounds can “help with clogged pores like blackheads and can cause the top layer of dead skin cells to shed, ” according to Dr. Mary Stevenson, a board-certified dermatologist and associate professor at NYU Langone Health’s Department of Dermatology. However, experts agreed you should consult your dermatologist to see what works best for your skin and won’t cause irritation (or worsen your acne).

Salicylic acid is a BHA, which means it's a chemical exfoliator. The compound “helps shed the top, dead layers of our skin and can help with inflammation, ” said Stevenson. These products, typically in the form of a cream, wash or lotion, “unclog pores that are the cause of some acne lesions and help to remove excess oils, ” according to Deignan. Since it can have a drying effect, especially on sensitive skin, you should only use salicylic acid products every other day or a couple of times a week at first until your skin gets accustomed to it, Evans said.

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Lipohydroxy acid (LHA) is a derivative of salicylic acid that works very similarly in terms of unclogging pores and exfoliating the skin. However, LHA is more gentle and less irritating, according to Graber.

Benzoyl peroxide helps inhibit the growth of the bacteria Propionibacterium acnes (P. acnes) on the skin, which is what typically causes the inflammation and lesions seen in acne. This ingredient can be especially useful for inflammatory acne, Evans noted.

A lot of benzoyl peroxide products contain 10% of the ingredient, Graber said, but she noted that higher strengths have never been proven to be better for acne. “Higher strengths only irritate the skin more, so you should look for a lower strength” especially if you're just starting out, she advised. Evans also noted that the ingredient shouldn’t be used by people with sensitive skin or dermatological diseases like eczema or rosacea. Keep in mind that benzoyl peroxide can also bleach your clothes and towels.

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Adapalene is a type of retinoid used to treat mild to moderate acne and blackheads. Adapalene is available in 0.1% and 0.3% strengths and it’s the first OTC retinoid treatment approved for acne — it works to regulate the turnover of cells lining the pores to reduce clogging, according to Deignan. Evans warned that adapalene can be very drying for the skin and should be used with an oil-free moisturizer and gentle cleanser.

Much like salicylic acid and adapalene, azelaic acid works to unclog pores. It's more mild compared to salicylic acid and adapalene, so it may be a more suitable option if you have sensitive skin, according to