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Breakouts concentrated on the cheeks often relate to hormonal fluctuations, friction and pressure on the skin, reaction to hair/skin products, or dietary triggers. Mild cases can be managed at home with gentle cleansing, non-comedogenic moisturizers, and spot treatments. More severe cheek acne requires prescription medications or professional procedures to clear. Lifestyle measures like a healthy diet, hydration, pillowcase hygiene, and stress management also help prevent cheek pimples.

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Cystic acne is characterized by large, red, painful pimples that occur deep in the skin layer. This severe form of acne is triggered by hormonal fluctuations, genetics, chronic inflammation, high stress, medications, smoking, and diet. Preventing cystic breakouts involves balancing hormones, avoiding triggers, gentle cleansing, acne-fighting ingredients, and seeking prescription treatment for resistant cystic acne.

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Even if you've enjoyed clear skin for years, fluctuating hormones, medications, poor diet, stress, and other factors can suddenly lead to painful acne breakouts as an adult. Identifying and addressing the causes, while implementing a proper skincare routine with ingredients like retinoids and benzoyl peroxide, helps clear unexpected adult acne. More severe sudden breakouts may require prescription medications, so see a dermatologist if over-the-counter remedies are ineffective after 2-3 months.

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Hormonal and stress acne arise from different factors but often intersect. Hormonal acne follows a monthly pattern along the lower face while stress acne flares randomly all over during stressful times. Seeing a dermatologist can help determine whether hormones, stress, or both are the main culprits behind your breakouts. They can then provide prescription treatments to target the root causes along with lifestyle changes to control acne long-term.

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While alcohol alone does not cause acne, drinking can exacerbate breakouts for acne-prone individuals. Factors like inflammation, hormone fluctuations, dehydration, and poor sleep from alcohol consumption may worsen acne. Limiting intake and choosing clear liquors like vodka and gin over beer and sugary drinks can help prevent alcohol-related acne flares. But a holistic approach is needed to properly treat acne.

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While extensive research shows no universal link between diet and acne, severe calorie restriction can potentially worsen breakouts in susceptible individuals. This may be attributed to nutritional deficiencies, inflammation, hormonal imbalance, increased cortisol and insulin resistance from under-eating. However, moderate caloric deficits without crash dieting do not appear to affect acne for most people. Those prone to acne should ensure adequate intake of protein, healthy fats and micronutrients when restricting calories.

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