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So, while every product is independently selected, if you buy something through our links, we may get a small share of the revenue. Acne is becoming increasingly more common in adults , with up to 15 percent of women affected—and dry or oily skin can also have similar effects on your skin. So what causes acne, exactly? Alison Tam , DO, a dermatologist in Las Vegas, says hormonal changes like perimenopause or menopause , or the use of hormones like testosterone, can cause adult acne. Derms swear by a few ingredients, the first being salicylic acid which is also recommended for shampoos for dandruff and dry scalps.