In rare situations, acne can be influenced by what someone eats, but most people do not need to avoid entire food groups to manage their skin. A dermatologist at the Rassvet clinic explained this to readers, noting that nutrition is not a direct cause of acne for the majority of patients.
Dietary guidance suggests that there is limited evidence linking foods high in free sugars and refined carbohydrates—such as baked goods, desserts, rice, and wheat—to changes in acne severity. Some studies indicate that fast food may have a minor impact on skin for certain individuals, particularly when dairy products like skim milk are involved, because lactose adds carbohydrates. Yet this effect appears to occur in only a small subset of people, and not universally, especially among those with inflammatory or pronounced comedones.
For patients who suspect their diet worsens comedones, the dermatologist recommends a cautious approach: temporarily eliminates the listed foods for four to six weeks, then gradually reintroduces them one by one while monitoring the skin’s response. If there is no noticeable improvement during this dietary trial, it is not advisable to completely cut out these foods. Instead, maintain a balanced eating plan and focus on overall skin care and consistency in treatment. In the context of North American dietary patterns, this strategy helps individuals determine if any specific foods are contributing to breakouts without unnecessary restriction.
Beyond food changes, effective acne management often combines targeted topical therapies, medical guidance, and lifestyle considerations. Regular skincare routines that cleanse without over-washing, along with sunscreen use and avoiding harsh irritants, support clearer skin. When dietary trials are inconclusive, consulting a dermatologist can help tailor a plan that aligns with personal health goals, activity levels, and daily routines while addressing the acne concerns most affecting the skin. This balanced approach ensures changes are practical, sustainable, and grounded in current medical understanding.