What is maskne?

The term maskne was coined at the start of the COVID-19 pandemic. It is a catch-all phrase to describe acne mechanica – a form of acne caused by friction and associated with wearing a PPE mask. 

Acne mechanica occurs when airless environments cause P Acne bacteria to proliferate, friction to break down the barrier function of the skin and trap humidity resulting in increased sebum that further activates inflammation in nearby skin cells.  

Those affected by the condition often struggle with acute and angry acne breakouts appearing on areas of the face that are usually covered by a mask, such as the cheeks, nose, chin and jawline.

How is maskne best treated? 

To best treat maskne and take steps to prevent an outbreak, Dr Yusra recommends making certain lifestyle changes, as well as adapting beauty regimes. Here are her ten top tips for fighting maskne:  

  • Cleansers 

Dr Yusra says “it is really important to ensure that you cleanse your face in the morning and double cleanse in the evening. I love the Obagi foaming gel for this as it removes all make up, grime and deep cleanses pores.” She also recommends pore therapy – a prescription item that contains 2% salicylic acid to reduce inflammation on the surface of the skin and break up excess oil. This will help to reduce angry maskne with pustule spots, quickly.  

  • Hypochlorous acid 

This can be bought over the counter as Clinisept or you can purchase Thoclor, a stabilised and pure form of hypochlorous acid. Dr Yusra recommends using it every day after washing your face in the morning and evening, spraying it onto the affected area and leaving it to dry. Hypochlorous acid acts as an anti-inflammatory and has similar effects to an alpha hydroxy acid, exfoliating the upper layer of the skin gently to reduce congestion. It also has disinfecting properties, killing the bacteria that cause acne, acting as a mild exfoliant and helping to reduce inflammation. 

  • Benzoyl Peroxide 

Benzoyl Peroxide or BPO degrades and releases oxygen to kill P acnes. It can be bought over the counter, or the more effective forms are available on prescription. In accordance with the National Institute of Clinical Evidence, this is the first-line measure for the treatment of acne and works well on moderate outbreaks that are angry, red and painful to reduce inflammation. However, it needs to be used in moderation as overuse can lead to dryness and irritation and so it is best to moisturise well after use. As BPO can lead to post-inflammatory pigmentation; it is important to also layer on SPF if the area is exposed to the sun. Dr Yusra recommends Obagi Clenziderm therapeutic lotion due to its fast acting properties which is available on prescription only. 

  • HydraFacial

HydraFacial is a six step medical grade facial which helps to resurface the skin. Dr Yusra says: “HydraFacial has specific acne protocols to reduce inflammation and acne breakouts. It uses hydrodermabrasion, a salicylic acid skin peel and glycolic acid skin peel and one treatment per week, for six weeks, with progressive medical resurfacing and an increasing percentage of peels will help to control and improve acne quickly.”

  • Exfoliants

Removing harsh and abrasive exfoliants from a beauty regime can also make a difference.  Dr Yusra says: “Do not exfoliate with any harsh abrasive exfoliants because they can cause more problems than good by creating microtears in the skin, damaging the skin barrier function.” Harsh exfoliants could include those that have ingredients such as apricot kernels or crystals. Instead choose a liquid exfoliant like glycolic, lactic or phytic acid to gently remove dead skin, respecting and maintaining the integrity of the skin”. 

  • Oil based makeup

“Stay away from any oil-based makeups” is another of Dr Yusra’s tips for preventing any further breakouts, this is because they are comedogenic and will cause congestion. Oil is a barrier and can trap and encourage bacterial proliferation and break outs. 

  • Makeup brushes

Always ensure that brushes used to apply makeup are clean- make up brushes can harbour more bacteria than a toilet so, clean between use to prevent bacterial spread. 

  • Mineral SPF

According to Dr Yusra, not all SPFs are created equal and many products are actually chemical SPFs that are reliant on a chemical reaction to provide adequate protection. In her experience, many patients with acne will find their skin doesn’t agree with chemical spfs and recommends to use these a mineral SPF instead. This is because chemical SPFs can clog the pores and cause breakouts. Dr Yusra recommends using a zinc oxide based SPF because zinc is very healing on the surface of the skin. Dr Yusra always opts for a mineral SPF herself, with her preferred products being either Obagi SPF50 matte or Colorscience mineral face shield.

  • Clean masks

A clean mask is crucial for keeping the maskne at bay. Good mask hygiene involves making sure that your mask is clean and changing it every time it becomes wet.  Says Dr Yusra “You can also spray Thochlor inside the mask to kill bacteria that stagnates on it during the day. Also consider the type of mask you wear – cotton is more breathable and therefore gentler on your skin”

  • Specialist consultation

For those with persistent acne, Dr Yusra recommends a consultation with a skin specialist. As a result of the pandemic many clinics are now holding virtual consultation so getting sorted with the right blend of products for each individual case can now happen pretty quickly. The Dr Yusra Clinic has wellness practices in both London and Liverpool that cover skincare and skin specialists who offer virtual consults, and products can be shipped worldwide – contact us for more information. 

Dr Yusra Al-Mukhtar

Dr Yusra Al-Mukhtar

Dr Yusra is a distinguished dental surgeon and a skilled medical aesthetic clinician with a wealth of experience in maxillofacial head and neck surgery and skin cancer surgery. She holds an impressive academic background, having graduated with first-class honours in Medical Science and Healthcare Management from Imperial College London and earned Honours and Distinction as a dental surgeon from King’s College London. Dr Yusra is a Level 7 Trainer in medical aesthetics, in line with Ofqual guidelines, and is renowned for her expertise in providing natural-looking non-surgical facelifts and a range of aesthetic treatments. Her commitment to patient well-being and safety is unwavering, making her a trusted practitioner in the field.

More from Dr Yusra Al-Mukhtar

More Face Articles

Your journey starts here

Alicia Redgrave
Alicia Redgrave
2023-09-21
I visited Dr Yusra’s clinic for non surgical rhinoplasty. I was so impressed with the whole experience from start to finish. Dr Yusra and her team were extremely professional, listening to my concerns and what I hoped to achieve from the procedure. I’d like to give a special mention to Lucy who looked after me pre and post treatment, she was so friendly, knowledgeable and made me feel completely at ease. I look forward to my next visit.
lucy Gibson
lucy Gibson
2023-09-19
Best clinic ever
J Hassan
J Hassan
2023-09-15
September 2023: I’ve been going to Dr Yusra’s clinic for the last nine months and can honestly say the change in my skin is so apparent that people on Teams calls at work tell me I’m glowing. Dr Lauren has been doing my skin treatments since May with Co2 laser (following secret pro with Olivia) and 3 rounds of subcision with skin boosters. Dr Lauren takes time to explain the science behind the treatments before we do them so I have a realistic idea of the healing and results process. Dr Yusra is also always on hand for any queries too and as soon as you enter the Liverpool clinic, you’re given such a warm and friendly greeting by the team. Despite it being far from me, it is without a doubt worth the drive to get high quality results. Update: I've had two sessions of SecretPro with Olivia and can see a huge difference in my skin so far. Olivia is so professional, patient and took the time to go through the process before and after treatment to ensure I was comfortable. Couldn't recommend Olivia and the team at Dr Yusra's enough! Having been to Dr Yusra’s clinic before, I’ve always found them to have a high standard of care. I’ve recently been in contact with Olivia to help me with the next stage of my skin journey and have been so happy with the helpful advice and assistance she’s given me. I decided to start treatment at Dr Yusra’s clinic because the treatments being offered are different to those I’ve seen elsewhere with really impressive results on other patients. I trust I’m in good hands and excited to continue this journey to finally sorting out my skin!!
Pavendip Kaur
Pavendip Kaur
2023-09-15
Really happy with the treatment I received. Thankyou
Emma Hoy
Emma Hoy
2023-09-13
I had 3 areas of Botox as well as masseter Botox with Dr Emily and she is so lovely, listens to any queries you have (even if you think it’s a silly question) and puts you at ease through your procedure. I have a lot of pain in my jaw when eating and grinding my teeth in my sleep, Dr Emily was able to talk me through the procedure for helping this and since having masseter Botox I haven’t had pain while eating and there’s no pain when I wake up. Would definite recommend the clinic and Dr Emily.
shiraz baqi
shiraz baqi
2023-09-12
I went to see Dr. Emily for a non-surgical nose job, and I couldn't be happier with how everything turned out. Dr. Emily was super caring and understanding, and she made me feel totally comfortable. The results are amazing, and I already feel so much more confident. I'd definitely recommend Dr. Emily – she's really awesome at what she does!
ayesha a
ayesha a
2023-09-01
Me and my sister have recently had 2 treatments with the lovely Holly who is one of the skin therapists at the clinic, and we loved getting our treatments by her!! she was fantastic and stayed so professional and caring through out the treatments.. and quickly put us at ease as we were abit nervous to begin with! All I can say is you're in good hands here and I cannot recommend Dr Yusra’s clinic enough! all the staff members are so kind and accommodating cant wait to come back for more treatments x
Saman
Saman
2023-08-15
I have had treatments from Dr Yusra and team over the past few years and despite having to travel quite a distance for this clinic it is 10000% worth the journey. They are careful and expert in the treatments they deliver, and I always feel in safe hands. I would like to thank Dr Emily especially, I have not visited a different clinician or clinic since first seeing her for my treatments and I am always very happy with the results. As well as being talented she is just lovely and a pleasure to visit.
Matt Byrne
Matt Byrne
2023-08-12
Dr Yusra and the Gang and the best in the biz. High flyers, they are wildcats who know exactly what to do, whatever you need whether it’s skincare, dental or just needing a confidence boost. They’re the best in the biz.
Kiran
Kiran
2023-08-08
I have been with Dr Yusra for 3 years, and Ive never looked back, with some small tweaks she allowed me to feel confident again. If anyone is hesitant or looking for the perfect aesthetician I couldn’t recommend this clinic enough! Thank you!