Is Your Skincare Routine Making Acne Worse?

Is Your Skincare Routine Making Acne Worse?

If you’ve stepped foot in a Sephora recently, odds are you’ve witnessed tweens and teens flooding the skincare aisles and filling up baskets to the brim. “I saw this one on TikTok,” a seemingly no-older-than-12-year-old girl says to a friend as they purchase bottles of serums designed to smooth their mother and grandmother’s lines. The beauty marketplace has transformed into a social haven, and teens have moved away from buying lip gloss and face wash and are now purchasing potent, anti-aging formulas that could be doing far more harm than good.

And it’s not just the under-18 crowd. Between TikTok Shop, skinfluencers, and the endless stream of celebrity beauty launches, we’re all being encouraged to add another cream, exfoliant, or treatment to our routines. And for those of us dealing with acne, that temptation can be especially strong—when you’re trying to clear persistent breakouts, it’s easy to convince yourself that every buzzy ingredient might finally be the one that finally works. But piling on too many active ingredients can backfire, irritating your skin and compromising the very barrier that helps keep your complexion balanced and healthy.

“Consumers are more educated and enthusiastic about skincare than ever before, which is awesome, but there’s also this constant pursuit of the latest and greatest ingredient or product,” says Stephanie Criscione, licensed esthetician and senior director of education and clinic at Face Reality. “Somewhere along the way, we’ve started equating more products and stronger ingredients with better results.”

Your skin barrier is responsible for retaining moisture and helping protect your complexion from external irritants. When it’s compromised, the skin can become dry, tight, red, and unusually sensitive. For people with acne-prone skin, that irritation can exacerbate breakouts, especially when the products meant to treat blemishes are also contributing to irritation.

So how do you know when your skincare routine has crossed the line from helping your acne to potentially making it worse? And if you’ve already gone a little too far with the actives, how do you repair your skin barrier while still managing breakouts? I spoke with skincare professionals about the signs of a damaged skin barrier, the acne treatments to be mindful of, and how to build a routine that supports both clearer skin and a healthy complexion.

Can you be overdoing your acne skincare routine?

Yes, one of the biggest misconceptions in skincare is that more steps are better. In reality, even well-researched ingredients have limits, and using too many at once can overwhelm your skin. This is especially important when you’re treating acne, since many of the ingredients commonly used to address breakouts can also cause irritation when they’re overused or combined incorrectly.

“Typically, this goes for certain AHAs like glycolic acid, retinoids, and benzoyl peroxide, which can all be phenomenal ingredients used to effectively treat acne,” says Samantha Susca, NYC-based licensed esthetician and founder of Refinery4. “But there is a fine line between proper usage and misuse.”

And it’s not just about how many products you’re using. The way skincare is marketed can also make it difficult to separate what your skin actually needs from what brands want you to buy. “There are certain brands that I am noticing with a ton of great marketing, but that are actually being over-marketed to certain clients who are not being taught how to use certain ingredients properly, and they’re causing more damage,” she says.

Celebrity-founded brands can add another layer to that confusion, especially when consumers assume a product alone can recreate a celebrity’s complexion. Susca says there’s a lot more that goes into maintaining that skin than what’s inside the A-lister-promoted bottle.

“Using a product that a celebrity is selling is not going to give you their skin,” she explains. “What you’re not seeing or getting in that bottle is the tens, if not hundreds, of thousands of dollars of on-call dermatologists and aestheticians work, prescriptions, lasers, peels, and more.”

This is particularly relevant for younger consumers, who may be reaching for products designed to address concerns they haven’t yet developed. Susca says she’s seeing strong ingredients like retinoids used frequently on teen and preteen skin. While acne treatments can be appropriate for younger patients who need them, a complicated routine filled with multiple active ingredients isn’t necessarily the best way to get breakouts under control. The right treatment depends on the individual’s skin and should be introduced thoughtfully, with professional guidance when needed.

How can you tell if your skin barrier is compromised?

Your skin will usually let you know when something isn’t working. “It may not show an effect on the skin barrier immediately, but after a few days, your face may start to feel tight, itchy, uncomfortable, and sometimes red,” Susca explains. “These are signs of an impaired skin barrier, which is something that can take weeks to months of repair and reregulation.”

Breakouts can also become harder to manage when your skin is irritated. A compromised barrier doesn’t automatically cause acne, but the inflammation and sensitivity that come with barrier disruption can exacerbate existing blemishes. “Even someone with acne or oily skin can become dehydrated when the barrier isn’t functioning properly,” Criscione explains. You might also notice that products you previously tolerated, including your usual acne treatments, suddenly sting or leave your skin feeling flakey or uncomfortable.

How do you repair a compromised skin barrier?

If your skin is feeling irritated, it is not the time to introduce more steps. Susca says to “remove all actives, and keep the same simple routine morning and night,” so your skin can begin to readjust.

For anyone managing acne, yes, this can feel counterintuitive. Taking a break from exfoliants or acne treatments might make you nervous about triggering more breakouts, but continuing to apply products that are irritating your skin will make the situation harder to manage.

Dr. Karan Lal, double board-certified adult, pediatric, and cosmetic dermatologist, suggests paring things back to a few essentials. “I recommend a simplified routine built around a few evidence-based ingredients,” he says. “A gentle cleanser helps remove excess oil without stripping the skin, a non-comedogenic moisturizer containing ceramides, glycerin, or other humectants will support barrier function, and sunscreen is essential, because many acne treatments increase sensitivity and post-inflammatory pigmentation can be exacerbated by UV exposure.”

How long it takes your skin to recover depends on how irritated it is. Susca notes that repairing a compromised skin barrier can take weeks to months, so don’t expect your complexion to bounce back overnight. If you’re experiencing persistent irritation, painful inflammation, or breakouts that aren’t improving, consult a dermatologist. They can help determine whether you’re dealing with acne, irritation from your products, or both, and recommend a treatment plan that addresses the underlying concerns.

Once your skin has settled after a few weeks or months, you can consider reintroducing treatments one at a time. For people using retinoids to manage acne, Dr. Lal recommends starting slowly. “Topical retinoids should be introduced gradually; you can begin with two or three nights per week and increase frequency as tolerated.”

He also recommends being strategic with other acne treatments, rather than layering multiple formulas just because each one targets a different concern. “Benzoyl peroxide can be used strategically, and lower concentrations or short-contact formulations may be useful for sensitive skin,” he explains. “Azelaic acid is another excellent option because it has anti-inflammatory, comedolytic, and pigment-reducing properties.”

What should your skincare routine look like as you age?

There’s no milestone birthday when you suddenly need a more involved routine. Your skin type, concerns, and tolerance should determine which ingredients you use. And if you’re dealing with acne, that doesn’t necessarily mean you need to keep adding stronger treatments as you get older. The goal is to find an approach that addresses breakouts while keeping your skin barrier in good shape, but if you want a simple guideline, keep reading for what our experts recommend.

Teens

Teenagers should be the age group keeping it the simplest. “Generally, teens need only to cleanse, moisturize, and apply spf in the day time,” Susca explains. “Sometimes a weekly or biweekly exfoliant may be appropriate,” specifically if they’re dealing with acne.

Criscione agrees. “In your teens, the focus is mostly on establishing healthy habits, gentle cleansing, daily sunscreen, and managing acne if it’s an issue.”

If teens are dealing with persistent breakouts, a dermatologist can help determine which acne treatments are appropriate for their specific skin’s needs. You definitely don’t need to introduce a full lineup of exfoliating acids and serums.

20s

Criscione says this decade “is really about prevention, protecting against UV damage, and introducing targeted ingredients when needed to address specific concerns.” This is where you can start to get into exfoliating formulas and protective serums.

Susca suggests building on a basic routine with an AHA, such as glycolic or lactic acid, or a BHA, like salicylic acid, along with an antioxidant serum such as vitamin C.

30s

Into your 30s, Susca says “a retinol and eye cream can be added in as well,” and recommends preventative treatments like microdermabrasion and microcurrent.

Criscione notes that hormonal changes can bring new skin concerns during this time. “By your 30s, you may start noticing differences in skin texture, pigmentation, or fine lines, so ingredients like retinoids and antioxidants can be helpful,” she says.

Acne can also continue into adulthood or appear for the first time during this decade. If you’re experiencing recurring breakouts, especially if your skin is also becoming drier or more sensitive, it’s worth revisiting your routine rather than automatically reaching for stronger exfoliants. A dermatologist can help you find acne treatments that address breakouts while accounting for your skin’s changing needs.

40s+

As your skin changes with age, hydration and barrier support may become bigger priorities. Criscione says, “In your 40s, 50s, and beyond, hormonal changes can influence hydration, barrier function, and skin elasticity, making moisture retention and barrier support increasingly important.”

And if you’re still managing acne, getting older doesn’t mean you have to give up effective treatments. “As skin becomes drier and more sensitive with age, the goal is not to eliminate effective acne treatment, it is to deliver that treatment in a way the skin can tolerate,” Dr. Lal says. “For patients in their 40s and beyond, the skin may be drier or more sensitive, so I may recommend a lower-strength retinoid, less frequent application, or a more supportive moisturizing regimen.” This may include richer night creams or barrier creams for added hydration.

Final thoughts

If you’re dealing with acne, it’s tempting to keep adding products in the hope that one more active ingredient will finally clear your skin. But overusing exfoliants, retinoids, and acne treatments can compromise your skin barrier, leaving your complexion irritated and making existing breakouts harder to manage. Plus, it’s always important to check for non-comedogenic ingredients in your products if you’re acne-prone.

Pay attention to how your skin responds to formulas, especially if new blemishes appear alongside tightness, redness, or sensitivity. The goal is to find a regimen that treats your acne while supporting your skin barrier, because clearer skin shouldn’t have to come at the expense of a healthy complexion.

Meet the experts:

Why trust Cosmopolitan?

Jasmine Hyman is the assistant beauty editor at Cosmo who covers all things skincare and has dealt with acne for the last five years. For this story, she consulted acne experts for all their insight on skin barrier damage and how your skincare routine can impact acne.

Jasmine Hyman is the Assistant Beauty Editor at Cosmopolitan, where she writes about the latest beauty trends and must-have products. Her most prized beauty possessions are a meticulous skincare routine and salon blowouts. You’ll also likely find her in bed reading a good book or endlessly scrolling TikTok (spoiler: it’s usually the latter) while listening to Harry Styles’ entire discography on repeat. Follow her on Insta to be inundated with pictures of her meals. 

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Why cold weather makes your skin look worse, according to doctors

Why cold weather makes your skin look worse, according to doctors

When you buy through links on our articles, Future and its syndication partners may earn a commission.

Credit: Future / Photographs: Zoe Economides

I can’t speak to the weather in your specific location, but from where I’m sitting, it feels like we’ve jumped straight from the pleasantly temperate tail end of summer to hot water bottle and thick socks territory.

It happens around this time every single year, and yet it always feels like a shock. But one thing that is a bit more predictable, once the weather turns, is that our skin will start looking – to put it bluntly – a fair bit worse.

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Ah yes, winter skin: Rosacea flares up, lines look deeper, rough texture, dryness and a general end-of-year grey start to set in. According to aesthetic doctors, this is called ‘winter face,’ a gloomy-sounding phenomenon that, less depressingly, might not actually be the true decline it seems. Here’s what you need to know.

Does winter actually ‘age’ our skin?

Has your skin suddenly changed as the temperature has dipped? The most important thing to know is that it’s probably temporary.

“Winter doesn’t necessarily accelerate ageing, but it can make existing signs of ageing considerably more visible,” agrees Dr Nestor Demosthenous, Aesthetic Doctor MBChB, MSc, BSC and founder of The Mayfield Clinic on behalf of Allergan Aesthetics.

As you might expect, much of this comes down to dehydration, caused by central heating, frosty temperatures and biting winds. This moisture-sapping trio doesn’t just dry your skin out and make it uncomfortable; it can also give it a dull tone and make lines look deeper, seemingly overnight.

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But, reassuringly, according to Dr Nestor, “Genuine structural ageing, involving collagen degradation, elastin damage and loss of facial volume, develops much more gradually” – so you can consider this more of a treatable blip.

What’s the true cause of ‘winter face’?

As with so much in skincare, this all comes down to your barrier – the outer layer of your skin that, in layman’s terms, works to keep good stuff in and bad stuff out.

“Healthy skin relies on an effective barrier and adequate water content within its outer layers to maintain a smooth, supple and luminous appearance,” explains Dr Nestor. And when your face is being attacked from all angles by the latest named storm, the floodgates open.

“When the skin barrier is compromised, the lipids that act as the “mortar” between our skin-cell “bricks” start to break down, creating tiny gaps that let moisture escape and irritation creep in,” agrees Dr Julie Scott, Nurse Prescriber and Clinical Director of Facial Aesthetics on behalf of Allergan Aesthetics. Thus barrier support and repair is the key to preventing – and treating – the winter face phenomenon.

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Am ultra-reliable, calming and hydrating balm from sensitive skin friendly experts La Roche Posay – most beauty editors keep a tube of this in their bags all winter.

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K-Beauty brands are well ahead of the game with barrier-support, as this is a huge skincare priority in the market. This silky, hydrating cream works to comfort a compromised barrier and hydrate.

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How can we prevent winter face?

If a compromised skin barrier is to blame for winter face, then it follows that a healthy, supported barrier can help you overcome it. And, according to our experts, a simple, gentle routine is all that’s required.

“What skin really needs at this time of year is more nourishment, gentler cleansing, richer moisturisers and consistent hydration, not aggressive treatments,” explains Dr Scott, who warns against the common pitfall of trying to fight your way back to a summer glow with extreme products and treatments.

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“In my clinic, I see the same mistakes every year: people over-exfoliate to “smooth” flakes, reach for harsh foaming cleansers, or layer strong actives in the hope of brightening dull winter skin. Unfortunately, all this further disrupts the barrier.”

Instead, look out for products containing effective yet non-irritating ingredients such as ceramides, niacinamide and peptides, which all support the skin rather than going hell for leather on exfoliation or cell turnover.

This is exactly the sort of thing we should all be cleansing with in the winter. It’s gentle, contains barrier-cushioning ceramides, is fragrance free, PH balanced and has a lovely comforting lather.

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A great choice for anyone who experiences rosacea, this combines skin-conditioning niacinamide with Centella Asiatica, an incredibly soothing ingredient that works to calm redness.

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What professional treatments can help?

If you want to take your winter skincare a step further with an in-clinic treatment, focusing on deep hydration and collagen stimulation would be a good way to go.

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“For patients looking to complement their home routine, I often suggest treatments like SKINVIVE,” suggests Dr Scott. “It works by supporting AQP3, a protein that helps transport water and glycerol within the skin, improving hydration, resilience and overall skin quality.”

Another injectable worth consideration is Galderma’s Sculptra, a biostimulator that works on a deeper level to trigger your cells to produce new collagen and elastin. This helps give the skin a plumped appearance and well-supported structure that’s more naturally resilient.

Chemical peels and ablative laser treatments can also be very effective in encouraging a more radiant tone, but should be approached with caution if you have a compromised skin barrier, as they can cause further sensitivity.

How do I know if my barrier is damaged?

If you think you have a case of ‘winter face’ and suspect your barrier may be to blame, it’s a good idea to know how to spot the signs of a damaged skin barrier, and how to differentiate it from other forms of skin unhappiness.

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“I tell my patients that dehydration, irritation and true barrier damage can look similar, but there are clear differences,” explains Dr Scott, who provided this handy guide:

  • Dehydration: “Simply feels tight and dull; the ‘bricks’ are just thirsty.

  • Irritation: Is usually product-driven: that instant sting or flush after something new, more like a reaction to a fresh coat of paint.

  • Barrier damage: This is unmistakable: lingering redness, soreness, micro-flaking and a sense that even gentle products now tingle.”

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