Episode 45: Gym Acne Explained — Why Your Workouts Are Breaking You Out

Working out is great for your body… but it might be wrecking your skin.

In this episode, Dr. Dustin Portela and PA Austin Lee break down a common but overlooked issue they see in clinic every day: acne caused by workouts, also known as acne mechanica. From sweat, friction, and tight clothing to gym equipment, supplements, and even hygiene habits, they explain why healthy routines can sometimes trigger stubborn breakouts.

They walk through real-world scenarios, including athletes dealing with chin strap acne, gym-goers breaking out on their back from benches, and people getting irritation from compression clothing. The conversation also dives into less obvious triggers like whey protein, testosterone and anabolic steroids, B12 injections, biotin supplements, and pre-workout formulas that can all contribute to inflammation and acne.

Dustin and Austin also call out common mistakes, like over-washing with harsh gym soaps, wearing makeup during workouts, or waiting too long to shower after sweating. From there, they get practical with what actually helps: cleaning equipment, using barriers like towels, avoiding face touching, choosing the right cleansers, and building a simple post-workout routine that protects your skin.

They also cover when it's time to stop guessing and see a professional, especially if acne is painful, persistent, or starting to scar.

If you're putting in the work at the gym but your skin isn't keeping up, this episode will help you understand why and what to do about it.

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Dr. Portela
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Austin Lee
TikTok: @austinleepac
Instagram: @austinleepac