Benzoyl peroxide, adapalene and salicylic acid for puberty breakouts

Best acne treatment for teens

Teens do best with a gentle cleanser, an oil free moisturizer and sunscreen, plus one active at a time; deep, painful pimples or scars mean it is time for a dermatologist.

  • Benzoyl Peroxide
  • Salicylic Acid (BHA)
  • Topical Retinoids (Adapalene 0.1%)
  • 6 to 8 weeks

Last reviewed

Over-the-Counter (OTC) Active Ingredients

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Best acne treatment for teens, by breakout type
Breakout typeBenzoyl PeroxideSalicylic Acid (BHA)Topical Retinoids (Adapalene 0.1%)
Blackheads and whiteheadsCan helpGood fitwash or lotion, 0.5 to 2%Good fitstops new clogs forming
Red pimplesGood fitkills acne bacteriaCan helpGood fitpairs well with benzoyl peroxide
Pimples on chest and backGood fitas a wash; it bleaches fabricCan helpas a body washCan help
Deep, painful lumpsSee a doctor or dermatologistthese need prescription treatment
Benzoyl Peroxide
Comes as a wash, bar, lotion, cream or gel. Start once a day to see how your skin reacts. Results take 4 to 6 weeks. Keep it away from hair and colored fabric, since it can bleach them.
Salicylic Acid (BHA)
Sold in pharmacy washes and lotions at 0.5 to 2%. Use it as the label says; more is not better and can dry your skin out.
Topical Retinoids (Adapalene 0.1%)
A thin film once a day at bedtime, over the whole area, not just one spot. Acne can look worse in the first weeks, and the full effect takes 8 to 12 weeks. Slight warmth or stinging is normal.

Label ages: adapalene is for ages 12 and up. Benzoyl peroxide under age 12: ask a doctor first. A gel combining adapalene 0.1% and benzoyl peroxide 2.5% went over the counter in May 2026 for ages 12 and up.

Daily Routine Example

Morning

  1. Wash with a gentle cleanser and warm water.
  2. Apply benzoyl peroxide or salicylic acid.
  3. Finish with an oil free moisturizer and sunscreen.

Evening

  1. Wash again, and take off all makeup.
  2. Spread a thin layer of adapalene over the whole area.
  3. Use moisturizer if your skin feels dry.
Gentle Cleansers
Mild soap or a soapless wash, once or twice a day and after sports. Harsh scrubbing can make acne worse.
Moisturizer & Sunscreen
Pick products labeled noncomedogenic so they won't clog pores. Adapalene makes skin more sensitive to sun.
Pimples
Hands off. Popping or picking causes more inflammation and can leave permanent scars.

Find out which breakout type you have and what to start with

  • Severity graded on the dermatologist 0 to 4 scale
  • Your likely top cause
  • A personal morning and evening routine
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Sample report
Severity score
Example: grade 1 of 4
Likely top cause
Example: clogged pores
Routine
Example: morning and evening steps

Why teens get acne

Teen acne is acne that starts with the hormone changes of puberty. It means it is common and normal: acne affects up to 85% of people aged 12 to 24. The cause of teen acne is extra oil: puberty hormones push the oil glands to make more sebum, and pores clog with oil and dead skin cells. Bacteria trapped inside then cause red, swollen pimples.

A clogged pore that closes and bulges out is a whitehead; one that stays open with a darker top is a blackhead. If the pore wall breaks open under the skin, you get a red pimple, and a clog that opens very deep can turn into a painful nodule. If your parents had acne as teens, you are more likely to get it too. For most people it goes away almost completely by the end of the teen years. Not sure which kind you have? Check your breakout type from a photo.

What to skip

  • Scrubbing hard with a washcloth. Acne can't be scrubbed away, and it irritates the skin.
  • Kitchen and bathroom cabinet fixes. Stick with tested pharmacy actives.
  • Using more than the label says. Skin dries out and can look worse.
  • Stacking several new products at once. Start one active, then wait.
  • Tanning. A tan only hides acne for a while.
  • Hair sprays and gels near your face, and makeup that isn't labeled noncomedogenic. Both can clog pores.

Safety first

Try a new product on one or two small areas for three days before using it on your whole face. Mild dryness, peeling or tingling can happen. Stop and get emergency help if you get hives, throat tightness, trouble breathing, or swelling of the eyes, face, lips or tongue.

When to See a Doctor

6 to 8 weeks
That is how long treatment usually takes to show. Still no change after a few months of steady use? Book a visit.
Deep, painful lumps
Nodules and cysts need treatment from a doctor.
Scars or low mood
Acne that leaves scars or is getting you down deserves help now.

A doctor may prescribe stronger creams, antibiotics, or isotretinoin for severe acne. Some girls find that birth control pills help, and some get breakouts a few days before their period.

For parents

Acne is so common in the teen years that it counts as a normal part of puberty, but it can still hurt self-esteem. Help your teen keep one simple routine going for at least six to eight weeks before judging it. Book a doctor's visit for deep lumps, scars, or acne that is affecting their mood. Check label ages on pharmacy products, and ask a doctor before using benzoyl peroxide on a child under 12.

Related guides

For the step by step morning and evening order, use the teen routine above. For signs that it is time to get help, go to when to see a doctor.

Questions teens and parents ask

What can my 12 year old use for acne?

At 12, the pharmacy basics are open: a gentle cleanser, moisturizer, sunscreen and one active. Adapalene gel is labeled for ages 12 and up, and so is the gel that pairs adapalene with benzoyl peroxide. Under 12, talk to a doctor before using benzoyl peroxide.

How can a 14-year-old get rid of acne?

Wash gently twice a day, pick one active that matches the breakout type in the table, and stick with it for 6 to 8 weeks. Don't pop anything. Wash after sports too, and keep hair products away from your face. If nothing changes after a few months, or the spots are deep and sore, see a doctor.

What do dermatologists recommend for teen acne?

The 2024 US acne guideline, which covers ages 9 and up, gives strong recommendations to benzoyl peroxide and topical retinoids such as adapalene. For tougher acne, a doctor may add prescription creams, antibiotics or, for severe acne, isotretinoin.

What are some natural acne treatments for a 15-year-old?

No natural fix has strong proof. Some people notice a certain food makes their breakouts worse, and cutting back on it is a fair test. Sun doesn't help: a tan only hides acne for a while, and some people break out more from the oil their skin makes after sun.

What is the best salicylic acid spot treatment for acne?

Look at the strength, not the brand. Pharmacy acne products can contain salicylic acid from 0.5 to 2%. Follow the label and don't use more than it says, or your skin can dry out and look worse.

Sources

  1. Acne, for teens (KidsHealth)
  2. Adapalene (MedlinePlus)
  3. Benzoyl peroxide topical (MedlinePlus)
  4. Prescription to nonprescription switch list (FDA)
  5. Acne active ingredients, 21 CFR 333.310
  6. Acne (MedlinePlus)
  7. Hormonal acne therapies in pediatrics, 2026 (PubMed)
  8. Guidelines of care for the management of acne vulgaris, 2024 (PubMed)

Last reviewed

This page is general information, not a diagnosis. See a dermatologist if you have deep, painful lumps, scars, or acne that has not improved after a few months of steady treatment.