10 tips for clearing acne in skin of color

The term “skin of color” refers to diverse skin types and complexions. It includes people of African, Asian, Latino, Mediterranean, Middle Eastern, and Native American descent.

People who have skin of color share some common skin care concerns. Near the top of this list is how to get rid of acne and the dark spots that often appear when acne clears.

The secret to seeing clearer skin lies in knowing what really works (and what doesn’t) when it comes to treating darker skin types. Below you’ll find 10 tips that science shows can lead to clearer skin.

  1. Treat both the acne and the dark spots. Many people seek a dermatologist's help for the dark spots, which can last much longer than the acne. It's important to treat the acne, too. When you get rid of the acne, you eliminate what's causing the dark spots.

  2. If you already have dark spots, dermatologists recommend treating both the acne and the dark spots at the same time.
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  3. Prevent dark spots and scars by treating acne early. Studies show that treating acne when it's just beginning can prevent acne from getting worse. If acne worsens, becoming moderate to severe before treatment begins, people with skin of color have a higher risk of developing:
  • Spots and patches of darker skin
  • Keloids, a type of raised scar

  1. Use acne products that work well in skin of color. Not every acne product works well in skin of color. If you’re looking for products to treat mild acne, dermatologist recommend using products that contain one or more of these ingredients:

    A retinoid and benzoyl peroxide: This means buying two different products, but this combination works well in skin of color. The retinoid helps to unclog pores and reduce inflammation. It can clear pimples, blackheads, and whiteheads. A retinoid can also prevent new breakouts.

    Benzoyl peroxoide can remove the bacteria that causes acne. If you're worried about it causing light spots on your skin, don't be. That’s a myth. It won't. It will, however, bleach clothing, sheets, pillow cases, and towels.

    To prevent benzoyl peroxide from irritating your skin, start with a product that contains 2.5% benzoyl peroxide. Products that contain more can cause dryness and flaking, which can worsen acne. If the 2.5% product irritates your skin, try using it every other day.

    If you pick, pop, or squeeze acne, you increase your risk of getting a scar.
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    Salicylic acid: This active ingredient helps unclog pores and prevent new acne breakouts.

    Retinol: This can unclog pores and fade dark spots.

    You’ll find benzoyl peroxide, salicylic acid, or retinol in acne products that you can buy without a prescription.

    The U.S. Food and Drug Administration (FDA) has approved one retinoid, adapalene gel 0.1% (brand name Differin gel), for sale without a prescription. It is scheduled to be available in January 2017.

  2. Make some changes if acne only appears on your forehead and temples. If acne only appears in these areas, your hair oil may be the cause. This is so common that there's actually a name for it — pomade acne.

    You may be able to clear this acne by making some changes. Options that dermatologists recommend to their acne patients include:
  • Switch hair care products, using one that contains water or glycerin instead of oil.
  • Use the hair oil only in the middle of your scalp and ends of your hair.

If you continue to get breakouts, another option is to stop using these hair care products.

  1.  Use skin care products that won't clog your pores. Like hair oil, your skin care products could be causing your breakouts. If you apply a product that contains oil like cocoa butter or shea butter to your face, back, or chest, it can clog your pores. Clogged pores can lead to acne.

    To prevent skin care products from causing acne, use only products that are labeled “non-comedogenic” or “won’t clog pores.”

  2. There’s absolutely no scientific evidence that cocoa butter can even out your skin tone, but it can cause acne.
    acne-in-skin-of-color.jpg

  3. Stop using heavy, oily makeups to cover dark marks. While many women find this an effective way to hide blemishes, they often don’t realize that it’s also causing new blemishes.

    It’s okay to wear makeup if you choose mineral makeup or one that says “non-comedogenic.” Mineral makeup can do a great job of hiding dark spots.

  4. Be gentle with your skin. Do you scrub your face to help get rid of acne blemishes? Are you convinced that popping a pimple or using strong soaps will lead to clearer skin? Hard as it is to believe, the truth is these things actually worsen acne.

    Science shows that what really works to clear acne is gentle skin care. When caring for skin with breakouts, you want to:
  • Use a mild cleanser that won't clog your pores. (The label may say "won't clog pores" or "non-comedogenic.")
  • Apply the cleanser gently with your fingertips, and use only your fingertips to wash and rinse your face.
  • Gently pat your skin dry with a clean towel.

  1. Wash caps and hats frequently. Wearing a baseball cap or anything else on your head without washing (or dry cleaning) it allows sweat, dirt, and oil to accumulate. This can cause acne to flare.

  2. See a dermatologist before using any type of chemical peel, microdermabrasion, or laser therapy to treat your acne. If you have darkly pigmented skin, even the at-home versions of these acne treatments can cause side effects like permanent dark marks and light spots.

    In the right hands, however, these treatments can be effective for treating acne in skin of color.

    If you’re thinking about one of these treatments, you should see a doctor who specializes in treating the skin, such as a dermatologist. The dermatologist should frequently use this treatment in people who have skin of color. Be sure to ask how many people with skin of color the doctor has treated.

  3. Seek a dermatologist’s help. With a dermatologist’s help, virtually every case of acne and most dark spots can be successfully treated. Some people need prescription-strength medicine. Others need a specific combination of treatments. A dermatologist can examine your skin and create a treatment plan tailored to your needs.

What are you waiting for? Try one of these tips today. After all, the science shows these really work.

Additional related resources

How to fade dark spots in skin of color


Images
Images 1 and 3 used with permission of Journal of the American Academy of Dermatology. J Am Acad Dermatol. 2002;46(2):S103.

References
Alexis AF. “Acne vulgaris in skin of color: Understanding nuances and optimizing treatment outcomes.” J Drugs Dermatol. 2014;13(6):s61-5.

Callender VD, Alexis AF, et al. “Racial differences in clinical characteristics, perceptions and behaviors, and psychosocial impact of adult female acne. J Clin Aesthet Dermatol. 2014;7(7):19-31.

Silverberg NB. “A brief primer on acne therapy for adolescents with skin of color.” Cutis. 2013;92(1):20-6.

Taylor SC and Summers P. “Acne” In Kelly AP, Taylor SC, et al. Dermatology for Skin of Color. The McGraw Hill Companies, China, 2009. 269-74.

Taylor SC, Cook-Bolden F, “Acne in skin of color.” J Am Acad Dermatol. 2002;46(2 Suppl Understanding):S98-106.

U.S. Food and Drug Administration. “FDA approves Differin Gel 0.1% for over-the-counter use to treat acne.” FDA news release issued July 8, 2016. Last accessed September 28, 2016.