Why You’re Breaking Out in Your 40s: The Grown-Up Acne Guide with Dr. Sam Bunting
I’ve had so many friends reaching out lately saying the same thing: "I’m in my 40s... why am I suddenly getting spots?!" and it feels like some sick joke to be dealing with fine lines and breakouts at the same time. To get some answers, I sat down with the incredible Dr. Sam Bunting, a dermatologist who has spent the last 15 years helping women navigate the complexities of adult acne and troublesome ‘grown up’ skin.
In this episode, Sam and I discuss:
- The "U-Zone" vs. The "T-Zone": Why adult breakouts happen around the jawline and chin (aka the "Triangle of Doom") rather than the forehead.
- Is it Acne or just a "Breakout"?: Sam explains why the label doesn't matter as much as the mechanism behind the clogged pore.
- The 4-Step Morning Routine: We strip away the "skincare fluff" and get back to the basics: Cleanse, Activate, Hydrate, and Protect.
- The Big Three Ingredients: How to use Salicylic Acid, Azelaic Acid, and Retinoids without destroying your skin barrier.
I also shared how quitting alcohol changed my skin, and Sam gave us some brilliant advice on "emptying the stress tank" to keep our hormones - and our skin - clear and calm.
If you want to find more about Sam, book in for a consult or try products from her skincare brand, you can find her here:
- Official Website & Shop: DrSamBunting.com
- The Clinic: Dr. Sam Bunting + Associates
- Instagram: @drsambunting
- YouTube: Dr. Sam Bunting
Resources Mentioned in this Episode
Sam highlighted these as the non-negotiables for clearing adult breakouts while supporting the skin barrier:
- Azelaic Acid
- Salicylic Acid
- Retinoids
Book Recommendation: Atomic Habits by James Clear. Sam mentioned this as the blueprint for building the discipline needed for a consistent skincare routine.
Also don't forget to follow me on:
Instagram: @thebeautyed
Substack: @donnathebeautyed
And this show on Instagram: @smilinggivesyouwrinkles
See you next week!
Information
- Show
- FrequencyUpdated Weekly
- PublishedJanuary 22, 2026 at 4:15 AM UTC
- Length23 min
- Season1
- Episode42
- RatingClean
