Breakouts aren’t just a teen problem nowadays, as women over 35 are increasingly affected by spots and blemishes. Using the wrong treatment often exacerbates the problem.

Acne can send sufferers shooting off to the nearest chemist for any product that might help clear the wretched spots. But consultant dermatologist Dr. Adam Friedmann says ‘topical steroids often make break outs more severe and over-the-counter remedies may have little discernible effect on the acne’.

This very common condition includes blackheads, whiteheads, cysts, papules, pustules and nodules – none of them pretty. The underlying cause is a combination of overactive oil glands, bacterial infection and hormonal changes; genetics can play a part too.

The blemishes appear when surplus oil called sebum, which travels up the hair follicles to the surface of the skin, creates a build up with dead skin cells and bacteria. That blocks the pores and hey presto! There’s a blemish.

One of the problems is that there are six main types of spot with varying treatment options for each. ‘Getting the right medication for each type is key to managing the condition and achieving clearer skin,’ says Dr. Friedmann.

That’s why Stratum Dermatology Clinics, a nationwide range of clinics where Dr Friedmann is one of the experts, now offers a free online acne assessment. It’s simple: you fill in a questionnaire, a specialist reviews your condition and then recommends the best course of treatment for you. And yes, the assessment really is free. And no, you don’t have an obligation to progress to the treatment (although of course they recommend it).

Here’s the link: we do suggest you read through it all carefully first.

Meanwhile, Dr Friedmann has put together a useful set of tips to help clear up acne:

1. If you have acne on your face, use an anti-bacterial facial wash with salicylic acid. [Try Derma E Acne Deep Pore Cleansing Wash /£15 for 175ml. Don’t over-wash the skin as this can irritate it causing dryness, redness and flaking.

2. Opt for oil-free moisturisers, sunscreen and make-up to avoid clogging pores and cleanse thoroughly at night. If you use a face cloth, make sure it’s hot-washed daily.

3. Tie hair back from your face and avoid cutting a fringe in order to help stop your face getting oily.

4. If your chest and back are affected, use a cream wash and avoid soaps and other irritants such as wipes, fragranced products and bubble bath.

5. For ‘bacne’, avoid synthetic materials and opt for loose cotton or other natural fabrics.

6. Don't pick at spots or you run the risk of scarring and secondary bacterial infections.

7. Sweat may cause acne flare-ups, especially if you wear tight exercise garments. Always shower after the gym and wash workout clothes daily. 

8. Clean your phone daily with an anti-bacterial wipe to avoid transferring bacteria to your face.

9. Incorporate calm into your day (and night); stress can cause roller-coaster hormones, increasing oil production and a flare up of acne. Practise yoga and/or meditation; go for a walk outside; find your favourite ways of switching off.

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