Welcome to Ask a Derm, a series from SELF in which board-certified dermatologists answer your pressing questions about skin, hair, and nail health. For this installment, we tapped Shasa Hu, MD, the director of the cosmetic division at the University of Miami Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery. Her specialties include skin cancer detection and treatment, concerns of aging and ethnic skin, and skin rejuvenation.
Anyone whoās dealt with acne has probably been told at least once in their life to just ālet their skin breatheāāmeaning, skip the makeup. And sure, that makes sense: A heavy, full-coverage foundation can definitely clog your pores even further, leading to more breakouts. But this popular advice hasnāt always lined up with my personal experience.
Weirdly enough, Iāve noticed that my biggest zits sometimes shrink after I regularly conceal them with makeupāand itās not just me. A bunch of acne sufferers on TikTok have also said that applying full glam daily seemed to make their skin somehowā¦better? So, we asked Shasa Hu, MD, board-certified dermatologist and associate professor at the University of Miami Miller School of Medicine, if thereās any science to support these anecdotes. The short answer? Well, kind ofā¦
To be clear, itās unlikely that the makeup itself is magically healing your acne. But it can have an indirect benefit: You probably touch your face less when you have it on. āItās like when nail biters wear polish,ā Dr. Hu explains. āEvery time you see the nail polish, itās a reminder not to ruin [your manicure].ā The same goes for your carefully applied foundationāsince you donāt want to smudge it, youāre less likely to poke, squeeze, or otherwise mess with your face.
For those of us who canāt resist feeling (or popping) their bumps, this can be a game-changer: Applying pressure to a zit with your fingers can āpush inflammation even deeper into the skin,ā Dr. Hu warns, which will only aggravate the blemish, preventing it from getting better (and also increasing your chances of being left with a lingering dark spot). So, anything that gets your hands off your face will at least allow your pimples to heal on their own.
Another factor that may explain your seemingly calmer, smoother complexion? You could be more committed to thoroughly cleansing your face when you wear makeupāsomething you may not be as diligent about on those au naturel days. According to Dr. Hu, using an oil-free cleanser can clear out dirt, dead skin cells, and whatever else is blocking your pores and causing breakouts. But FYI, youāre still supposed to wash your face every night, including when youāre only wearing skin care products like moisturizer and sunscreen. (Plus, even if you think thereās ānothingā on your face, oil and sometimes sweat naturally build up on your skin throughout the day.)
So, these theories about the zit-shrinking magic of makeup may sound promising, but Dr. Hu says you really shouldnāt rely on it to banish your bumps. One major reason is that a lot of cosmeticsāparticularly oil-based foundations, primers, and powdersāare made with comedogenic (pore-clogging) ingredients like coconut oil, vitamin E, and isopropyl myristate, as well as possibly irritating fragrances. All of these additives, Dr. Hu says, can potentially worsen existing pimples and cause new ones, too. (In fact, thereās an official term for zits specifically caused by makeup: acne cosmetica.)
Before you ask: Why yes, choosing products with acne-safe ingredients (or opting for oil-free formulas) can lower your chances of experiencing flare-ups. However, noncomedogenic makeup canāt treat the root causes of breakoutsāwhich can include hormonal imbalances, bacteria, and clogged pores. āItās more of a temporary cover-up rather than a solution,ā Dr. Hu explains, adding that acne-friendly cosmetics especially canāt do much for super inflamed, angry cystic acne that forms deep beneath the skinās surface.
The bottom line, according to Dr. Hu: The most effective way to treat existing blemishes at home is with research-backed, derm-approved acne fighters, like benzoyl peroxide and salicylic acid. But of course, if you want to camouflage your zits while they heal, itās not the end of the worldājust choose your beauty products wisely.
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