Long-term pimples on an adult face can be caused by a number of factors. Here are some possible causes:
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Hormonal changes: Hormonal fluctuations can cause acne in both men and women. For women, hormonal changes associated with menstruation, pregnancy, and menopause can all contribute to acne. For men, fluctuations in testosterone levels can also contribute to acne.
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Genetics: Acne can be hereditary, so if your parents or siblings have acne, you may be more likely to experience it as well.
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Poor skincare: Using harsh or irritating skincare products, not washing your face regularly, or failing to remove makeup can all contribute to acne.
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Diet: A diet that is high in processed foods, sugar, and dairy products may contribute to acne.
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Stress: Chronic stress can lead to acne by increasing inflammation and disrupting hormonal balance.
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Medications: Certain medications, such as corticosteroids, anticonvulsants, and lithium, can cause acne as a side effect.
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Environmental factors: Exposure to pollutants, such as air pollution and cigarette smoke, can contribute to acne.
If you are experiencing long-term pimples on your face, it's important to see a dermatologist or a healthcare provider for an evaluation. They can help determine the underlying cause of your acne and recommend appropriate treatment options, which may include topical or oral medications, lifestyle changes, or professional treatments like chemical peels or light therapy.