--- title: "Adult Acne in Men: Causes & What Actually Helps | Flycatcher" description: Still getting acne in your 30s or 40s? Learn what causes adult acne in men, how TRT, shaving and workouts may contribute, what actually helps, and when professional treatment makes sense. image: https://www.flycatcher.men/hubfs/Treatments/facial-cheeks-cleanse-wideshot-aurora-2.jpg --- Toggle Menu - [Schedule a Consultation](https://flycatcher.zenoti.com/webstoreNew/services?serviceid=601a8e6e-dd6b-47f3-adc1-5211676f879a) - [Schedule Treatment](https://flycatcher.zenoti.com/webstoreNew/services) - [About](https://www.flycatcher.men/about) - [Solutions](https://www.flycatcher.men/solutions) Solutions Sub-Menu - [Hair Restoration](https://www.flycatcher.men/solutions/hair-loss-restoration-specialist-men-austin-tx) - [Laser Hair Removal](https://www.flycatcher.men/solutions/laser-hair-removal-for-men) - [For Fine Lines & Wrinkles](https://www.flycatcher.men/solutions/fine-lines-wrinkles-treatment-for-men) - [Cosmetic Injectables](https://www.flycatcher.men/solutions/cosmetic-injectables-dermal-fillers-for-men) - [Skin Tightening](https://www.flycatcher.men/solutions/sagging-face-skin-tightening-treatments-men) - [Tattoo Reduction & Removal](https://www.flycatcher.men/solutions/laser-tattoo-removal-reduction) - [For Stretch Marks & Scars](https://www.flycatcher.men/solutions/stretch-marks-scars-treatment-for-men) - [For Acne and Acne Scarring](https://www.flycatcher.men/solutions/acne-scarring-treatments-for-men) - [For Sun Damaged Skin](https://www.flycatcher.men/solutions/sun-damage-treatments) - [For Dry & Flaky Skin](https://www.flycatcher.men/solutions/treatment-for-dry-flaky-skin-in-men) - [For Enlarged Pores & Oily Skin](https://www.flycatcher.men/solutions/enlarged-pores-treatments) [![Flycatcher medspa and aesthetics for men](https://www.flycatcher.men/hubfs/Flycatcher%20Branding/Flycatcher-wordmark.svg)](https://www.flycatcher.men/) [![Flycatcher medspa and aesthetics for men](https://www.flycatcher.men/hubfs/Flycatcher%20Branding/Flycatcher-logomark-white.svg)](https://www.flycatcher.men/) Book Now - [Schedule a Consultation](https://flycatcher.zenoti.com/webstoreNew/services?serviceid=601a8e6e-dd6b-47f3-adc1-5211676f879a) - [Schedule Treatment](https://flycatcher.zenoti.com/webstoreNew/services) ![Cleansing a man's face preparing for a facial](https://www.flycatcher.men/hubfs/Treatments/facial-cheeks-cleanse-wideshot-aurora-2.jpg) Men’s Skin Health & Skincare Oct 6, 2026 Flycatcher Team # Adult Acne in Men: Why You’re Still Breaking Out in Your 30s and 40s You’re 38. Or 44. Maybe pushing 50. You’ve got a mortgage, a career, a decent pair of shoes—and somehow you’re still waking up with pimples. That can feel ridiculous. Acne is supposed to be something you leave behind years ago. Except skin doesn’t work that way. Adults can continue getting acne well into their 30s, 40s, and even 50s. In men, figuring out what is driving those breakouts can be especially tricky because oily skin, shaving, facial and body hair, workouts, sweat, friction, certain products, medications, and sometimes testosterone therapy can all enter the picture. [\[1\]](https://www.aad.org/public/diseases/acne/really-acne/adult-acne) There’s another complication: **not every red bump on a man’s face, neck, chest, or back is actually acne.** Sometimes it is acne vulgaris. Sometimes it is folliculitis. Sometimes shaving has caused pseudofolliculitis barbae—better known as razor bumps. Sometimes an ingrown hair is the problem. And sometimes a guy is dealing with more than one of these at the same time. That distinction matters because piling another acne product onto the wrong problem is not necessarily going to fix it. So if you’re still breaking out as an adult, the useful question isn’t simply, *What’s the strongest acne treatment I can buy?* **It’s: What am I actually dealing with, what might be keeping it going, and what is worth doing about it?** ## Why Am I Still Getting Acne in My 30s or 40s? Adult acne is not fundamentally a different disease from the acne you could develop when you were younger. Acne develops when hair follicles become clogged with sebum—the oil your skin naturally produces—and dead skin cells. Bacteria and inflammation then contribute to the familiar mix of blackheads, whiteheads, pimples, and sometimes deeper lesions. [\[2\]](https://www.niams.nih.gov/health-topics/acne) Getting older does not automatically shut any of that machinery down. For men, androgen hormones are especially relevant because they influence sebaceous glands and sebum production. But that does not mean every adult man with acne has a hormone disorder. Acne is multifactorial, which means several things may be contributing at once. [\[3\]](https://pubmed.ncbi.nlm.nih.gov/28274349/) A man who suddenly starts breaking out at 41 might need to think beyond his cleanser. Has his shaving routine changed? Is he wearing a helmet four days a week? Did he start testosterone therapy? A new supplement? A heavier beard oil? Is he sitting in sweaty workout clothes for an hour after the gym? Sometimes the answer is one thing. More often, it is a combination. ## Is Adult Acne in Men Really “Hormonal”? Yes—and no. Androgens such as testosterone and dihydrotestosterone influence sebaceous gland activity, and acne is considered an androgen-responsive skin condition. [\[3\]](https://pubmed.ncbi.nlm.nih.gov/28274349/) But saying **“your acne is hormonal”** can make the explanation sound more specific than it really is. A man does not need abnormally high testosterone for androgens to play a role in acne. Individual skin can respond differently to the same hormonal environment. In fact, most people with acne do not simply have an obvious excess of circulating androgens. [\[4\]](https://pubmed.ncbi.nlm.nih.gov/20107754/) That means two men with similar hormone levels can have very different skin. So yes, hormones matter. But for most men, it is more useful to think of them as **one part of the acne equation** rather than the automatic explanation for every breakout. ## Can Testosterone or TRT Make Acne Worse? It can. Testosterone replacement therapy increases androgen exposure, and acne is a recognized skin-related side effect in some men receiving TRT. A 2026 review of studies involving adult men on testosterone replacement found acne was the most frequently reported dermatologic adverse effect, with reported rates ranging from 0.6% to 9.1% across the included studies. [\[5\]](https://pubmed.ncbi.nlm.nih.gov/41182303/) That does **not** mean TRT inevitably causes acne. Some men develop none at all. Others notice oilier skin or new breakouts after beginning treatment or changing their regimen. The same review found that acne rates varied by formulation and individual susceptibility, while also noting that reporting across studies was inconsistent. [\[5\]](https://pubmed.ncbi.nlm.nih.gov/41182303/) The practical takeaway is simpler: **If acne appeared or noticeably worsened after starting testosterone, that timing is worth discussing with the clinician managing your TRT.** It does not mean testosterone is “bad,” and it does not mean you should stop prescribed treatment on your own. It simply gives your clinician another useful piece of the puzzle. ## Before You Treat It, Make Sure Those Bumps Are Actually Acne This is where adult men can lose a lot of time. Red bumps around the beard, neck, chest, shoulders, back, or buttocks can look similar in the bathroom mirror but come from different processes. ### Acne vulgaris Classic acne can include blackheads, whiteheads, inflamed red bumps, pustules, and deeper nodules. The presence of **comedones—blackheads and whiteheads—is a useful clue that true acne is part of the picture.** [\[2\]](https://www.niams.nih.gov/health-topics/acne) ### Folliculitis Folliculitis is inflammation of the hair follicles. It can create clusters of red or pus-filled bumps that look very much like acne. Shaving, friction, tight clothing, heat, and moisture can all contribute to follicular irritation, while some forms of folliculitis are associated with bacteria, yeast, or other causes. [\[6\]](https://www.aad.org/public/diseases/a-z/folliculitis) ### Pseudofolliculitis barbae Pseudofolliculitis barbae is the medical name for what most guys call **razor bumps**. It happens when a shaved hair—particularly a coarse or curly one—curves back into the skin and triggers inflammation. It commonly affects the beard and neck. [\[7\]](https://www.aad.org/public/everyday-care/skin-care-basics/hair/razor-bump-remedies) ### Ingrown hairs An ingrown hair occurs when a hair grows back into or becomes trapped under the skin instead of growing normally outward. One ingrown hair may cause one angry bump. Repeated ingrown hairs after shaving can contribute to pseudofolliculitis. And yes, **you can have razor bumps and acne in the same beard area at the same time.** If you have spent six months putting acne products on something that is not actually acne, the problem may not be that you have not found a strong enough acne product. **Additional Reading:** [How to Deal With Those Butt Breakouts (i.e. Folliculitis)](https://www.flycatcher.men/blog/treating-butt-folliculitis-acne-in-men) ## Why Men Often Break Out Around the Beard, Neck, Chest, and Back ### Beard and neck The beard area has several things going on at once: hair follicles, sebum, regular shaving, potential ingrown hairs, shaving products, beard oils, and friction from collars. So a breakout along the neck may be acne, shaving irritation, pseudofolliculitis, folliculitis—or a combination. That is one reason repeatedly treating every neck bump with a stronger acne product can become counterproductive. ### Chest and back The upper chest, shoulders, and back contain plenty of sebaceous glands, which makes them common sites for acne. Then lifestyle piles on. A fitted workout shirt. Cycling jersey. Backpack straps. Shoulder pads. Golf shirts soaked through in an Austin August. Pressure, heat, moisture, and friction can all aggravate acne-prone skin or hair follicles. [\[2\]](https://www.niams.nih.gov/health-topics/acne) If your breakouts are concentrated across your shoulders and back, our guide to [back acne in men](https://www.flycatcher.men/blog/treating-back-acne-in-men) goes deeper into that problem. **Additional Reading:** [Clearer Skin Means More Confidence: Tackling Back Acne Like A Pro](https://www.flycatcher.men/blog/treating-back-acne-in-men) ## Does Working Out Cause Acne? ![Man bench pressing in his home gym](https://www.flycatcher.men/hs-fs/hubfs/ChatGPT-bench-press.png?width=900&height=507&name=ChatGPT-bench-press.png) Exercise itself does not cause acne. What happens around exercise can contribute to breakouts or follicular irritation. Sweat combines with oil and whatever is already sitting on the skin. Tight clothing or equipment adds friction and occlusion. Heat and moisture can also make follicles easier to irritate. [\[6\]](https://www.aad.org/public/diseases/a-z/folliculitis) Think: - Cycling helmet - Baseball cap - Compression shirt - Backpack - Sweaty shirt left on during the drive home For men in Central Texas, you do not have to look very hard for opportunities to combine heat, sweat, and friction. That does not mean you need to stop working out. It means **what you do before and after the workout can matter.** ## Could Your Skincare Routine Be Making Things Worse? Absolutely. Men with oily or acne-prone skin often make one understandable mistake: they declare war. Strong cleanser. Scrub. Acne toner. Spot treatment. Exfoliating pads. Whatever product promises to “deep clean” the skin. Then the face feels tight and irritated, so they scrub harder because obviously the problem is still there. More is not automatically better. Scrubbing too hard can worsen acne-prone skin, and heavy or pore-clogging products can contribute to breakouts. The American Academy of Dermatology recommends looking for products labeled non-comedogenic, non-acnegenic, oil-free, or “won’t clog pores” when acne is a concern. [\[1\]](https://www.aad.org/public/diseases/acne/really-acne/adult-acne) The better strategy is usually much less exciting: **use a few evidence-based ingredients consistently and give them time to work.** For a broader foundation, see our [men’s at-home skincare routine guide](https://www.flycatcher.men/blog/mens-at-home-skincare-routine-regimen). ## What Acne Ingredients Actually Have Evidence Behind Them? ![The essential products for a man's skincare routine](https://www.flycatcher.men/hs-fs/hubfs/mens-skincare-routine-essential-products.jpg?width=400&height=533&name=mens-skincare-routine-essential-products.jpg) You do not need a bathroom counter that looks like a chemistry lab. The American Academy of Dermatology’s current acne guideline recommends several topical therapies, including benzoyl peroxide, topical retinoids, and salicylic acid. [\[8\]](https://www.aad.org/member/clinical-quality/guidelines/acne) ### Salicylic acid Salicylic acid helps break down blackheads and whiteheads and reduce the buildup of cells inside follicles. It can be particularly useful when oiliness and clogged pores are part of the problem. [\[9\]](https://www.niams.nih.gov/health-topics/acne/diagnosis-treatment-and-steps-to-take) ### Benzoyl peroxide Benzoyl peroxide is a well-established acne ingredient that helps reduce acne-associated bacteria and is commonly used for inflammatory acne. [\[8\]](https://www.aad.org/member/clinical-quality/guidelines/acne) One practical warning: it can bleach towels and pillowcases remarkably well. ### Topical retinoids Topical retinoids such as adapalene help keep follicles from becoming clogged and can reduce inflammation. They are among the best-supported topical acne treatments in current dermatology guidelines. [\[8\]](https://www.aad.org/member/clinical-quality/guidelines/acne) ### Non-comedogenic moisturizer Oily skin still needs a functioning skin barrier. A lightweight non-comedogenic moisturizer can make an acne-focused routine easier to tolerate, particularly if you are using ingredients that tend to dry or irritate the skin. ### Sunscreen Sunscreen matters too—especially if old breakouts leave red or brown marks behind. Look for a broad-spectrum, non-comedogenic sunscreen you will actually wear. The perfect sunscreen sitting unopened in your cabinet has an effectiveness of approximately zero. ## Does Diet Cause Adult Acne? Diet is one of those acne subjects where people tend to race from **“food has nothing to do with acne”** to **“stop eating dairy and sugar and you’ll be cured.”** The evidence supports neither extreme. A systematic review of 34 studies found that higher-glycemic diets were associated with acne development and severity, with randomized trials supporting a modest effect. The evidence around dairy was more mixed and appeared to vary by population. [\[10\]](https://pubmed.ncbi.nlm.nih.gov/35373155/) So diet may matter. But there is not one universal “acne diet.” ### What about whey protein? This one is particularly relevant for men who lift. There are published case reports describing acne developing or worsening in male athletes and bodybuilders after beginning whey-protein supplementation. That is interesting, but it is not the same thing as proving that whey causes acne in everyone who uses it. [\[11\]](https://pubmed.ncbi.nlm.nih.gov/23257731/) If you developed new chest, shoulder, or back acne shortly after adding whey protein, though, the timing is worth noticing. ## Can Supplements or Medications Trigger Breakouts? They can. Some medications are associated with acne or acne-like eruptions. We have already covered testosterone, but other androgenic or anabolic substances can be relevant as well. Vitamin B12 has also been associated with acneiform eruptions in published case reports, although this appears to be uncommon. [\[12\]](https://pubmed.ncbi.nlm.nih.gov/28594082/) This is another reason sudden adult breakouts deserve a little detective work. Ask yourself: **What changed around the time my skin changed?** - A medication? - TRT or another androgen exposure? - A supplement? - A protein powder? - A new beard, hair, or skincare product? Do not independently discontinue a prescribed medication because you suspect it is affecting your skin. Bring the timeline to the clinician who prescribed it. ## Does Stress Really Make Acne Worse? It can. Research supports an association between psychological stress and acne flares, although stress is difficult to study cleanly because stressful periods can also change sleep, diet, workouts, alcohol intake, and skincare habits. [\[13\]](https://pubmed.ncbi.nlm.nih.gov/28871928/) So we would not tell a man, **“Your acne is caused by stress.”** That is usually much too simplistic. A more useful way to put it: stress may aggravate acne in some people, and if your skin reliably gets worse during high-stress periods, that pattern is worth recognizing. ## When Are Drugstore Products Enough? If you are dealing with relatively mild acne—some blackheads, whiteheads, or occasional inflammatory bumps—a consistent OTC routine may be a reasonable place to start. The key word is **consistent**. Switching products every four days makes it nearly impossible to know whether anything is helping. Consider [scheduling a consultation with Flycatcher](https://flycatcher.zenoti.com/webstorenew) if you have: - Persistent breakouts despite a reasonable OTC routine - Acne across the chest, shoulders, or back - Breakouts that seem tied to shaving, sweating, or certain products - Bumps you are not sure are actually acne - Lingering redness, pigmentation, or acne scars - Skin that feels irritated or worse after trying multiple acne products We can look at what is happening with your skin, review your routine, and help determine whether an aesthetic treatment may make sense—or whether the pattern is better evaluated by a dermatologist or other medical provider. Deep, painful nodules, rapidly worsening acne, significant scarring, or acne that may require prescription medication are good reasons to involve a dermatologist. The point is not to keep escalating products indefinitely when the problem needs a different level of care. ## Where Do Professional Skin Treatments Fit? ![Skin analysis of male client at Flycatcher](https://www.flycatcher.men/hs-fs/hubfs/Treatments/consultation-glimpse-aurora-4.jpg?width=900&height=600&name=consultation-glimpse-aurora-4.jpg) This is where acne treatment gets confusing because **active acne, leftover discoloration, and actual acne scars are three different jobs.** A useful way to think about the sequence is: 1. **Control the breakouts.** 2. **Address the marks they leave behind.** 3. **Remodel established scars if necessary.** Not everyone needs all three. ### Professional treatments for active acne For some men, professional treatments can complement a good at-home routine. **Chemical peels** can be especially useful for oily, congested, or acne-prone skin because they exfoliate dead skin cells and help clear clogged pores. Salicylic acid and glycolic acid peels are both commonly used in acne care, and clinical research supports chemical peeling as a treatment option for mild-to-moderate acne. [\[14\]](https://pubmed.ncbi.nlm.nih.gov/29705755/) At Flycatcher, [chemical peels for acne](https://www.flycatcher.men/blog/managing-acne-in-men-with-chemical-peels) are one option within a broader skin-care plan rather than something we apply to every breakout the same way. [Professional facials and extractions](https://www.flycatcher.men/blog/best-mens-facial-treatments-in-austin) may also be useful when clogged pores and congestion are part of the problem. The important distinction is that **in-office treatments should match what is actually happening in the skin.** A man dealing primarily with clogged pores may need a different approach from someone with deep inflammatory acne, shaving-related bumps, or folliculitis. You can also see Flycatcher’s broader [acne and acne-scarring treatment options for men](https://www.flycatcher.men/solutions/acne-scarring-treatments-for-men) here. ## The Red or Brown Spot Left Behind May Not Be a Scar One of the most useful distinctions you can learn about acne is this: **A mark is not necessarily a scar.** After an inflamed breakout heals, you may be left with flat red, pink, purple, brown, or gray discoloration. Persistent redness after inflammation is often called **post-inflammatory erythema**. Brown or gray discoloration is usually **post-inflammatory hyperpigmentation**. Neither is the same thing as an indented or raised structural scar. This matters because they are treated differently. Depending on skin tone, the type of discoloration, and other factors, skincare, chemical peels, or light-based treatments such as IPL may be considered for lingering color. That conversation is different from acne-scar remodeling. ## What About Actual Acne Scars? ![SkinPen treatment on acne scars](https://www.flycatcher.men/hs-fs/hubfs/Treatments/skinpen-cheeks-aurora-2.jpg?width=900&height=599&name=skinpen-cheeks-aurora-2.jpg) True acne scars involve structural changes to the skin. The most common facial acne scars are atrophic scars, meaning there has been a loss of tissue that leaves depressions or uneven texture. Once active inflammatory acne is under better control, treatments that stimulate collagen remodeling may become useful. [SkinPen microneedling](https://www.flycatcher.men/blog/men-reduce-signs-of-aging-skinpen-microneedling) has evidence supporting improvement in atrophic acne scars. A systematic review of randomized controlled trials found microneedling to be an effective and generally well-tolerated option for atrophic scarring. [\[15\]](https://pubmed.ncbi.nlm.nih.gov/33538106/) [RF microneedling with Morpheus8](https://www.flycatcher.men/blog/rf-microneedling-morpheus8-for-men) adds radiofrequency energy to the microneedling process and can be used for deeper collagen remodeling in selected patients. A 2025 systematic review found fractional RF microneedling likely effective as a monotherapy for acne scarring, while noting that additional randomized trials would help refine treatment parameters. [\[16\]](https://pubmed.ncbi.nlm.nih.gov/39781098/) The important part is the order. **If new inflammatory acne is still regularly creating new scars, chasing the old scars without adequately controlling the active disease can feel like running in place.** **Additional Reading:** [Best Treatments for Acne Scars in Men: SkinPen, Morpheus8 & Lasers](https://www.flycatcher.men/blog/best-treatments-acne-scars-men) ## The Goal Isn’t Stronger Treatment. It’s the Right Treatment. If you are still breaking out at 35, 42, or 48, you do not need to shrug and accept it as something your skin just does. But you also do not necessarily need another bottle promising to obliterate your pores. Start by getting the problem right. Is it acne? Folliculitis? Razor bumps? Ingrown hairs? A mixture? Then look at what may be contributing: skin biology, shaving, products, sweat and friction, medications, testosterone, supplements, diet, or stress. And finally, separate **active breakouts** from what those breakouts leave behind. That one distinction can prevent a lot of wasted effort. ## Not Sure What Kind of Breakout You’re Dealing With? Adult acne is easier to address when you understand whether you may be dealing with active acne, folliculitis, shaving-related irritation, lingering discoloration, acne scarring—or some combination. At Flycatcher, we can take a look at what is happening with your skin, review the products and routines you are currently using, and help determine which in-office treatments may be appropriate. If what we are seeing belongs with a dermatologist or another medical provider, we will tell you that too. Flycatcher is located at **18225 State Highway 71, Suite B200, Austin, TX 78738**, about three miles west of The Hill Country Galleria in Bee Cave. We serve men from Bee Cave, Lakeway, Spicewood, and the greater Austin area. **[Schedule your consultation with Flycatcher](https://flycatcher.zenoti.com/webstorenew)** or call/text us at [**(737) 239-0112**](tel:+17372390112). **References** 1\. American Academy of Dermatology Association. [*Adult acne: Why it happens and what you can do for it.*](https://www.aad.org/public/diseases/acne/really-acne/adult-acne) 2\. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [*Acne.*](https://www.niams.nih.gov/health-topics/acne) 3\. Ju Q, Tao T, Hu T, et al. [*Sex hormones and acne.*](https://pubmed.ncbi.nlm.nih.gov/28274349/) Clin Dermatol. 2017;35(2):130-137. 4\. Zouboulis CC. [*Acne vulgaris: The role of hormones.*](https://pubmed.ncbi.nlm.nih.gov/20107754/) Hautarzt. 2010. 5\. Abou Chawareb E, Campos L, Savio L, et al. [*Dermatological adverse effects of testosterone replacement therapy: a scoping review of the literature.*](https://pubmed.ncbi.nlm.nih.gov/41182303/) Sex Med Rev. 2026;14(1):qeaf061. 6\. American Academy of Dermatology Association. [*Acne-like breakouts could be folliculitis.*](https://www.aad.org/public/diseases/a-z/folliculitis) 7\. American Academy of Dermatology Association. [*Razor bump remedies for men with darker skin tones.*](https://www.aad.org/public/everyday-care/skin-care-basics/hair/razor-bump-remedies) 8\. American Academy of Dermatology Association. [*Acne clinical guideline.*](https://www.aad.org/member/clinical-quality/guidelines/acne) 9\. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [*Acne: Diagnosis, Treatment, and Steps to Take.*](https://www.niams.nih.gov/health-topics/acne/diagnosis-treatment-and-steps-to-take) 10\. Meixiong J, Ricco C, Vasavda C, Ho BK. [*Diet and acne: A systematic review.*](https://pubmed.ncbi.nlm.nih.gov/35373155/) JAAD Int. 2022. 11\. Simonart T. [*Acne and whey protein supplementation among bodybuilders.*](https://pubmed.ncbi.nlm.nih.gov/23257731/) Dermatology. 2012;225(3):256-258. 12\. Veraldi S, Benardon S, Diani M, Barbareschi M. [*Acneiform eruptions caused by vitamin B12: A report of five cases and review of the literature.*](https://pubmed.ncbi.nlm.nih.gov/28594082/) J Cosmet Dermatol. 2018;17(1):112-115. 13\. Jović A, Marinović B, Kostović K, Čeović R, Basta-Juzbašić A, Bukvić Mokos Z. [*The Impact of Psychological Stress on Acne.*](https://pubmed.ncbi.nlm.nih.gov/28871928/) Acta Dermatovenerol Croat. 2017. 14\. Chen X, Wang S, Yang M, Li L. [*Chemical peels for acne vulgaris: a systematic review of randomised controlled trials.*](https://pubmed.ncbi.nlm.nih.gov/29705755/) BMJ Open. 2018;8:e019607. 15\. Sitohang IBS, Sirait SAP, Suryanegara J. [*Microneedling in the treatment of atrophic scars: A systematic review of randomised controlled trials.*](https://pubmed.ncbi.nlm.nih.gov/33538106/) Int Wound J. 2021;18(5):577-585. 16\. Niaz G, Ajeebi Y, Alshamrani HM, Khalmurad M, Lee K. [*Fractional Radiofrequency Microneedling as a Monotherapy in Acne Scar Management: A Systematic Review of Current Evidence.*](https://pubmed.ncbi.nlm.nih.gov/39781098/) Clin Cosmet Investig Dermatol. 2025;18:19-29. ![](https://www.flycatcher.men/hubfs/Flycatcher%20Branding/Flycatcher-logomark-red.svg) Share ## Other Posts ### Subscribe Here! 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