Acne is more than skin deep. This is the overarching message of a new study that looked at the mental and psychological toll that acne can take on adult women.

“Some felt that their acne made them appear less professional or qualified at work, and many described that having fewer peers with acne in adulthood magnified the impact of acne on their mental health, leading to feelings of social isolation,” said study author Dr. John Barbieri, a dermatologist at Brigham and Women’s Hospital in Boston.

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