Fifty-Two and Still Oily?

I'm fifty-two and still really oily with clogged pores and acne. What can I do?

It doesn’t seem fair, does it? My patients always say they can’t believe they have wrinkles and acne!

I can’t give you a specific plan without seeing you, but for someone your age with oily skin, I would generally say to use more drying products, like Neutrogena Acne Wash, oil blotting papers, and Retin-A gel. Microdermabrasion once a month helps un-clog pores and dry a little. Prescription oral medication such as spironolactone which lowers male hormones (androgens) a little, may help as well. Seeing a good dermatologist would be helpful for you.

Sometimes, longstanding oily skin and acne lead to enlarged pores and large oil glands that look bumpy (sebaceous hyperplasia). Laser treatments such as the Fraxel Restore, or Lumenis Active Fx may be helpful. See a good cosmetic dermatologist. On the plus side, oily skin really doesn’t seem to wrinkle as much as dry skin.

Here’s a link to some acne and oil control products that I have tested.  They’re a bit more expensive than the drugstore products, but good.

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skincare advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!