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You probably thought pimples were a high school thing like late passes and SAT words. Not—over 30 million Americans struggle with adult-onset acne, and even those who got off scot-free as teens aren't exempt. Unfortunately, women break out more than men, thanks to a perfect storm of genes, stress, and fluctuating hormones that triggers oil production. Trouble spots this time around tend to be the jawline, neck, and chest, says David Bank, MD, a dermatologist in Mount Kisco, New York.