Acne Management: A Journey from Adolescence to Adulthood

Traditionally, acne was considered a temporary side effect of the hormonal storm during puberty. But modern dermatological data prove that cases of “Adult Acne” (Adult Acne) in individuals over 25 years of age have increased dramatically.

Dr.
Alaattin Özer
Dermatology

Publication Date:

14/1/2026 7:26 PM

Acne Management: A Journey from Adolescence to Adulthood

Is Acne Just a Puberty Problem? Why Adult Acne Is Increasing

Traditionally, acne was considered a temporary side effect of the hormonal storm during puberty. But modern dermatology data prove that cases of “Adult Acne” (Adult Acne) in individuals over 25 years of age have increased dramatically. Adolescent acne usually proceeds with black dots in the T-zone (forehead-nose); adult acne manifests itself in the lower area of the face (U-Zone), on the chin line, painful and cystic structure.

5 Hidden Causes of Adult Acne:

  • Hormonal and Metabolic Signals: Systemic processes such as polycystic ovary syndrome or insulin resistance impair sebum quality by triggering androgen production.
  • The Stress Axis of the Modern Age: Chronic stress triggers the secretion of cortisol from the adrenal glands. Cortisol binds to receptors in the sebaceous glands, initiating inflammation.
  • Cosmetic Misconceptions (Acne Cosmetica): Physical clogging of pores by foundations and sunscreens with “dense” ingredients that are not suitable for skin type.
  • Nutrition and Glycemic Load: Provoking inflammation of processed sugar and dairy products.
  • Barrier Damage: Uncontrolled acid peeling attempts at home disrupt the microbiota of the skin, causing the proliferation of pathogenic bacteria.


Botulinum Toxin (Botox) Applications

What exactly does Botox do? Does It Eliminate Wrinkles?

Botox is not a “filler”. It does not physically fill the wrinkle from the inside; it temporarily modulates (relaxes) the nerve conduction of the muscle that causes the wrinkle. When the muscle does not move, the skin on it stops “breaking” and the body heals the line in that area with its own repair mechanism.

Areas of Application and Functional Therapy:

  • Mimic Botox (Forehead, Between Eyebrows, Eye Circumference): Removes tired look without spoiling the natural expression.
  • Masseter Botox (Teeth Tightening/V-Line): It is not only aesthetic thinning, but a medical necessity that stops jaw joint pains (Bruxism).
  • Nefertiti Lift: Loosen the neck bands, moving the chin line up.
  • Migraine Botox: It is an FDA-approved protocol to reduce chronic migraine attacks and solve the problem of excessive sweating (Hyperhidrosis).
facial muscles for botox injections resmi


Filling Applications and Volume Restoration

What Does the Filler Fill? How to Plan the Right Filling?

The aging process is not just skin sagging; it is the melting of the skull bones and the deep fat pads sliding down by gravity. The filling, this is disappearing skeletal support and volume It is a touch of architecture that puts it in its place.

  • Lip Filler: Restores not only volume, but also lip anatomy (philtrum, contour).
  • Nasolabial and Marionette: It smoothes deep grooves on the face that make up the expression “sad and tired”.
  • Jawline and Jaw Tip: Provides profile balance (Golden Ratio) and mechanically reduces the appearance of the tick.
  • Why is it obvious in some? If the filler is injected randomly, and not into the anatomical “triangulation” points, the artificial stops. The correct filling is the practice that is not noticeable from the outside, but returns the person to the “vigorous” state of 5-10 years ago.


Biostimulation and Regenerative Applications

Cellular Regeneration: Giving the Skin a “Repair” Order

This category aims to run the skin's own collagen factories, rather than adding substances to the skin from the outside.

  • Exosome Assisted Applications: It is the end point of regenerative medicine; it provides tissue repair with “smart packages” that enable intercellular communication.
  • Collagen Stimulants (caHA, PLLA pcl pdlla pla): They are biostimulants that trigger the body to produce its own collagen.
  • Youth Vaccines (Salmon dna, Paris glow, mesotherapies): It refreshes the skin's “moisture memory” and repairs DNA damage.
  • PRP: Accelerates tissue healing with growth factors in the patient's own blood.


Energy-Based Device Applications

Texture Configuration with Light and Heat Technology
  • Gold Needle RF (Scarlet): It delivers radiofrequency energy deep into the dermis with microneedles, providing non-surgical skin stretching and scar (scar) treatment.
  • Q-Switch Laser: It works pigment-oriented; it is used in tattoo removal, carbon peeling and resistant stain treatments.
  • Laser Assisted Skin Resurfacing: They are systems that improve tissue texture for fine lines and tone inequalities.


Blemish Treatment, Allergy and Clinical Dermatology

Is It A Skin Stain, Or Is It An Allergic Reaction?

Not every blemish on the skin is caused by the sun. Incorrect diagnosis can further darken the stain.

  • Allergic and Inflammatory Spots: They are the scars left by the skin after an eczema or allergy to protect itself. If the area has previously itched, then its origin is allergic.
  • Clinical Follow-up (Eczema, Fungus, Psoriasis, Moles): More than aesthetic, it is a medical necessity. specifically Ben (Nevus) Trackingis vital for catching skin cancer early with digital dermatoscopy.


Hair Health and Regeneration

Is Hair Loss Normal, Or Is It A Sign Of Disease?

Shedding 100 strands per day is normal, but it is a medical alarm if the strands are thinning or the shedding lasts longer than 2 months. Men are genetic (prickle-oriented) and women often have iron deficiency, thyroid, or stress-induced flare-ups (Telogen Effluvium). In clinical treatments, special injections are administered that revitalize the hair follicle.


Regional Aesthetics and Body Practices

Body aesthetics is not just the process of losing weight, but managing tissue quality and contour.

  • Mesotherapy and Lipolytic Injections: Medicinal solutions that dissolve resistant fatty areas (food, navel).
  • Cellulite and Tightening (G5, Lymph Drainage): Mechanical systems that eliminate the appearance of “orange peel” by accelerating circulation.
  • Hand and Neck Rejuvenation: Moisture and volume supplements specific to those areas where signs of aging are most pronounced.

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