A sad truth: for many of us, it feels like life gets busier and more stressful each day. And, as if we needed another thing to stress about, all those anxieties show up on our skin. A stress breakout is a type of hormonal acne that flares up during—you guessed it—periods of high stress. Addressing stress-related bouts of acne is more complex than just trying to “stress less.” To counteract both the physical symptoms and the other long-term health effects of a high-stress life, you have to make both external and internal changes.

Featured image from our interview with Marie Kouadio Amouzame by Belathée Photography.

Image by Michelle Nash

Experts on What’s Causing Your Stress Breakout

“Stress comes in a full spectrum,” says Patricia Walker, founder of Farm to Skin and a holistic beauty advocate. “At one end, stress in small doses can help motivate us to meet challenges at work, school, or home. At the other end, it can make us feel overwhelmed, discouraged, and trigger health concerns. Such symptoms can be an inability to sleep, headaches, elevated heart rate, digestive issues, hair loss, skin conditions including acne, redness, rosacea, and itching.”

To get the lowdown on all things stress and its impact on your skin, I also chatted with Colleen Rothschild, whose beauty insights have been honed by her 20+ years of experience in the beauty industry and culminated in the founding of Colleen Rothschild Beauty. Dr. Loretta Ciraldo MD FAAD, a Miami-based board-certified dermatologist with over 40 years experience and founder of Dr. Loretta skincare also shared her invaluable insights.

“Too many of us use a 10x magnifier to look at ourselves. This alone can give you more stress,” says Dr. Loretta. “You are definitely not as bad as those high-mag mirrors make all of us look.”

Turns out, by adopting a holistic approach and switching up your skincare routine when you spot a stress breakout, you can stop acne and prevent future flare-ups. Read on to discover what stress is doing to your skin and how you can fix it—for good.

Image by Michelle Nash

How Stress Breakouts Show Up on Your Skin

“Stress can show up on the skin in various ways,” says Rothschild.

  • Blemishes. Stress can trigger an increase in oil production, which can clog pores and lead to acne breakouts.
  • Dryness or dehydration. Stress can impair the skin’s natural barrier function, leading to increased water loss and dryness or dehydration of the skin.
  • Redness and irritation. Stress can cause inflammation in the skin, leading to redness, irritation, and sensitivity.
  • Wrinkles and fine lines. Chronic stress can accelerate the aging process by leading to premature wrinkles and fine lines.
  • Dark circles and puffiness. Stress can disrupt sleep patterns, leading to dark circles and puffiness under the eyes.

How Stress Affects Our Skin

According to Walker, “When we experience stress, our bodies release a flood of stress hormones, including adrenaline and cortisol. An increase in these hormone levels triggers an increase in oil production, which can lead to breakouts. Further, when we are under stress, we have a tendency to eat poorly and drink more alcohol. Both of which lead to dehydrated, inflamed skin.”

Stress also triggers flares of most if not all skin disorders, from psoriasis to eczema to acne.

“Our skin has cortisol receptors that then go on to trigger an increase in skin blood vessel dilation, resulting in skin redness and worsening of conditions like rosacea as well as an increase in collagen breakdown, leading to the deepening of lines and wrinkles,” says Dr. Loretta.

Image by Michelle Nash

What are the long-term effects of stress on your skin?

“Stress can also impair the skin’s natural barrier function, leading to dehydration and increased sensitivity,” says Rothschild.

Most surprising—and anxiety-inducing, ironically—is its impact on premature aging. “Chronic stress can accelerate the aging process by breaking down collagen and elastin in the skin, leading to wrinkles and sagging” Rothschild adds. “Stress can also affect the skin’s microbiome, the community of bacteria and other microorganisms that live on the skin, which can lead to a range of issues.”

Image by Belathée Photography

How to Prevent a Stress Breakout

“Before we can restore balance to our nervous system, it is important to both recognize when we are feeling overwhelmed and develop an awareness of our stress symptoms. It is important to go beyond recognizing the feeling of stress and actually take the time to understand what the root cause of the stress is,” says Walker.

“It would be almost impossible to completely remove stress from our lives, but we can learn to recognize what triggers it, how our bodies react to it and control how much it affects us. Understanding what makes you feel at ease can help mediate the amount of stress that you feel. Then find time to intentionally add those activities to your daily routine—even if it’s just a few minutes a day!”

To specifically prevent stress pimples, Rothschild adds, “Practice good skincare habits such as using gentle products and protecting the skin from UV damage with sunscreen and staying hydrated by drinking plenty of water.”

Image by Michelle Nash

How to Get Rid of Stress Breakouts

From Dr. Loretta: “The best approach to lessen the effects of stress on your skin is to determine what visible effect the increased stress is having on your skin and to address the unwanted changes with appropriate skincare. The most successful approach is to address these issues in a more skin-friendly, less aggressive approach, whether they are aging changes or acne, or even hyperpigmentation since increased cortisol can produce excess skin melanin.”

Rothschild recommends the following to soothe and nourish stressed skin:

  • gentle cleansers
  • hydrating moisturizers
  • targeted treatments such as antioxidants and anti-inflammatory ingredients
Image by Michelle Nash

How to Adjust Your Skincare Routine for Stress

“Take stock of your whole skincare regime,” says Dr. Loretta. Stress might mean taking a step back from stronger ingredients.

She elaborates: “It may be that you have been so stressed out that you are getting more aggressive with your use of exfoliants or retinoids to try to look better, faster. But stress can also make our skin more sensitive, so it is important to dial down on aggressive products, either in the frequency of application or the concentration of the product. So if you are going to start to do at-home peels for hyperpigmentation, acne, or lines and wrinkles, definitely only follow product directions. If you experience a sting or redness, use the product only one-half the amount of time recommended—e.g., every fourth night instead of every other night.”

But remember: consistency is key, Dr. Loretta warns. (And not just for your appearance.) A simple, but dedicated skincare practice can be a moment of the day when you detach from your worries, allowing you to focus on the ritual of self-care.

“Try to have a good morning and evening routine if you don’t already have one. Sometimes being stressed means that we neglect our own self-care. Try to think of your regimens as ‘me time’ and as something positive you are taking the time to do for yourself. This can be helpful to lessen the unwanted changes you’re experiencing from increased stress.”

And, of course, get some sleep!

What ingredients target stress breakouts?

“Unrefined plant oils that contain high amounts of linoleic acid can help regulate skin oil production naturally and restore a healthy balance,” notes Walker. “Avoid synthetic fragrance, preservatives, and other harsh ingredients which can all cause further inflammation.”

Rothschild recommends topical treatments such as serums, masks, and creams containing ingredients like the following to hydrate and soothe the skin:

  • niacinamide
  • vitamin C
  • hyaluronic acid
  • blue agave
  • poppy seed oil
  • matcha tea
Image by Michelle Nash

The Best Wellness Products to Help Stress Less

Every product is curated with care by our editors. If you buy something through our links, we may earn a small commission at no cost to you.

Moon Dust SuperYou

Two capsules a day to keep the stress away—improving energy, mood, and focus. The clinical-strength formula helps reduce cortisol by 24% for proactive and reactive stress support while Ayurvedic adaptogens help alleviate the emotional, mental, hormonal, and physical manifestations of stress.

The Nue Co. Magnesium Ease

Magnesium is having its moment right now for its ability to reduce stress, aid relaxation, and reduce muscle tension. This spray offers instant calm. It delivers 45mg of magnesium in just three sprays paired with lavender and arnica oils to help you physically and mentally relax while boosting brain function and absorbing better than other ingestible magnesium options.

OSEA Vagus Nerve Pillow Mist

The Vagus Nerve Pillow Mist is where science meets wellness. Spritz your bedsheets and pillow with this serene mist to activate your vagus nerve. Stimulate the body’s relaxation response and regulate stress.

HUM Big Chill Supplement

This daily stress supplement contains an adaptogenic formula with Rhodiola rosea root extract to help the body manage stress by balancing your adrenal system.

WTHN Daily Calm

This blend of adaptogenic herbs targets stress and concerns of fogginess, low energy, irritability, worry, balanced mood, and relaxation. Organic ashwagandha addresses mental stress and sleep issues, while organic tulsi (holy basil) fights the physical manifestations of stress, and organic Mimosa tree promotes hormonal balance.

WTHN Acupressure Mat

For immersive relaxation, try an acupressure mat. This mat employs the traditional principles of acupressure with gentle stimulators that activate points across the body to foster deep relaxation.

Image by Michelle Nash

The Best Skincare Products to Prevent Stress Breakouts

CeraVe Face Renewing SA Cleanser

This daily renewal ritual is like hitting the reset button on stressed skin. Gentle but powerful, this salicylic acid cleanser sweeps the stress-related excess sebum out of your pores while hyaluronic acid, niacinamide, and ceramides soften and smooth your skin.

Tower28 SOS Rescue Spray

This soothing remedy is anti-inflammatory and antibacterial, helping defend your skin from harmful bacteria, reducing redness, and soothing irritation. Hypochlorous acid, an ingredient you’ll soon be seeing everywhere, helps nourish stressed-out skin and support the skin barrier.

Farm to Skin Calming Essence

“Calming Essence is a blend of the most soothing, healing hydrosols out there to immediately calm inflammation while delivering whole plant hydration,” says Walker. “It’s gentle enough to be used throughout the day but potent enough to ease inflammation. Its herbaceous scent delicately balances skin to help clear your complexion.”

Paula’s Choice 2% BHA Liquid Exfoliant

Stress acne is often accompanied by greasy skin and pimples across the chin and jawline. This salicylic acid-based formula unclogs pores, smooths wrinkles, and evens skin tone to address and prevent breakouts. Unlike more harsh exfoliators, this one is gentle enough for stressed skin.

Krave Beauty Great Barrier Relief

Repairing damage to your skin barrier with ultra-nourishing ingredients. Hero ingredient tamanu oil soothes irritation and calms redness without greasiness with backup from niacinamide and ceramides.

Versed Just Chill Serum

This clarifying serum is designed to help your skin chill out. Its main ingredient, niacinamide, helps calm inflammation, decongest pores, and soothe redness—balancing your skin’s freakouts.

Facile Destress Calming Serum

This serum is described as a chill pill for stressed skin. Barrier-repairing lipids and anti-inflammatory ingredients bring life back to tired and overworked skin. Adaptoges build collagen while niacinamide and vitamin C defend against oxidative stress.

Dr. Jart+ Cicapair™ Tiger Grass Serum

Anyone with easily irritated skin will tell you, this serum is magic. Tiger Grass is an herbal wound-healing remedy that diminishes the appearance of redness while supporting the skin barrier to keep irritation at bay. It’s bolstered by niacinamide and glycerin to replenish moisture.

Dr. Loretta Intense Replenishing Serum

This dewy priming serum goes on so smooth to quench thirsty, stressed-out skin and bring it back to life. Formulated with antioxidants, this serum plumps, smooths, and protects your skin. Reduce the appearance of fine lines and dark spots with replenishing glycolipids and calming vitamins E and F.

Neutrogena Hydro Boost Hydrating Water Gel Face Moisturizer

Quench stressed skin with water-based gel moisturizer. Hyaluronic acid hydrates skin while absorbing quickly without clogging pores.

Vintner’s Daughter Travel Set

There’s a reason why, despite its price tag, everyone raves about this duo. If you’re simplifying your skincare routine to address stress breakouts, the Active Botanical Serum and Active Treatment Essence combine to give your skin all the hydration, moisturization, and nutrients it needs.

Peach & Lily Matcha Pudding Antioxidant Cream

This creamy moisturizer delivers deep hydration with nourishing antioxidants from its main ingredient, matcha. It also features niacinamide and anti-aging ingredients to address the long-term effects of stress and help target fine lines and wrinkles.

Klur Stellar Restoration Retinol Serum

Retinol and retinoids help address stress acne under the surface of the skin by flushing out dead skin cells and accelerating cell turnover. This overnight serum targets stressed, inflamed, acne-prone skin to provide relief for congestion and reactive hormonal acne. It’s fortified with multi-corrective and potent vitamins A, C, and B.

Colleen Rothschild Triple Defense Sunscreen Broad-Spectrum SPF 40

Sunscreen is an important protective measure and stressed-out skin is more sensitive to environmental effects. It also provides lightweight hydration while protecting against the daily aggressors of UVA/UVB rays, pollution, and blue light with advanced skin-loving antioxidants.

First Aid Beauty Ultra Repair Mask

Oatmeal is the mother of all soothing ingredients, especially for inflamed skin. This deeply hydrating mask calms and nourishes distressed skin

Bliss What A Melon Watermelon Mask

Rescue your skin overnight with this reviving and de-stressing mask. It creates a nutrient-rich veil to bring tired, stressed-out skin back to life. It improves the moisture barrier to help prevent dehydration and water loss. Magnesium, copper, and zinc balance skin and protect it from free radicals while rice bran extract is known to help fight irritation and redness.

Hero Cosmetics Mighty Patch Invisible+

Stick these pimple patches on your stress acne for instant, invisible relief. Hydrocolloid, a gentle fluid-absorbing gel, absorbs bacteria and naturally extracts pimples without hurting your skin.

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