Published On: Fri, Mar 17th, 2017

The Best Voted Acne Treatment for 2017 – Hit Your Zits With A One-Two Punch

Published On: 19th September 2018
Last Updated On: 20th September 2018

The 30-Second Review

Treating acne can be a months-long exercise in patience finding the right set of products for your skin. We read the double-blind studies, then talked to dermatologists and aestheticians to see which kits have the right combination of salicylic acid and Tea Tree Oil to really work — and not make your acne worse.

Best Overall

Keeva’s Tea Tree Oil Acne Cream (Current Special Amazon Offer Buy 2 Get 1 Free – Use Coupon Code DEALACNE at checkout by adding 3 jars to your cart and entering code.)

This twice-daily three-step kit includes a cleanser, an anti-redness exfoliant, and a leave-on treatment. It is lightweight, fragrance-free, and treats your breakouts with TLC.

Runners-Up

Nobody thinks popping pimples is a good idea. But it’s just so satisfying — mostly because you can actually see something happening. Contrary to the marketing promises of “blemish banishers” and “zit zappers,” immediate results are not the trademark of acne treatments, a frustrating truth to anyone suffering through a breakout. And while pimples are personal (your stress-induced spots will look and act differently than your best friend’s breakout), the best acne treatments will include a regimen of products to hit all of acne’s root causes. Our top pick, Keeva’s Tea Tree Oil Acne Cream, is a three-part system designed to unclog pores, heal breakouts, and soothe redness.

Acne vulgaris is the catch-all term for everything from angry red lesions to tiny white bumps, which are the results of hair follicles and their sebaceous glands becoming blocked and inflamed — how vulgar indeed. Genetics plays a big part in who gets acne and how severely, but each blemish can be blamed on some combination of sebum production, a bacteria called Propionibecterium acnes (P. acnes), plugged follicles, and inflammation. Finding a good treatment is really about finding the right combination of ingredients to troubleshoot each of those issues.

How We Found the Best Acne Treatment

Our first plan was to look at it all — spot treatments, washes, scrubs, and creams — until we learned that when it comes to over-the-counter treatments, there is no one single cure. A 2013 study on acne vulgaris in The Nurse Practitioner concurred that, in most cases, a multidimensional approach to acne is necessary because most people have a combination of symptoms. On the advice of dermatologists and aestheticians, we turned our focus to regimen sets, analyzing the ingredients of more than 40 kits before finding our top picks.

I recommend tea tree oil acne creams because sticking to one product line, with products designed to work well with one another, will have the most effective results.

Keep in mind that even if some products market themselves toward severe acne breakouts, all the kits we looked at are definitely designed for mild to moderate acne. Dr. Lawrence Green, board-certified dermatologist and assistant clinical professor of dermatology at George Washington University, warns that even moderate acne can be beyond what an over-the-counter treatment can handle, and recommends seeing a specialist. Granted, if you’re in the middle of a breakout, every pimple seems pretty severe (and if your acne feels out of control, you might be desperate to try anything). Good thing the Journal of Clinical and Aesthetic Dermatology published a study to determine if people could self-diagnose their level of acne. The researchers found that, with this handy chart, you can!

Subclinical acne
  • A small number of blackheads and whiteheads that are barely visible
  • The first signs of a blemish
Comedonal acne
  • Blackheads and whiteheads that might be a little red
  • Visible blemishes
Mild acne
  • Several inflamed (read: red) pimples
  • Less than 20 whiteheads or blackheads
  • Less than 15 inflamed pimples
  • Less than 30 pimples that aren’t all inflamed
Moderate acne
  • Many inflamed pimples and pustules
  • 20-100 whiteheads or blackheads
  • 15-50 inflamed pimples
  • 20-125 pimples that aren’t all inflamed
Severe nodular acne
  • Inflamed pimples and pustules plus a few deep nodules (those solid suckers you can feel under your skin)
  • More than 5 cysts (hard knots of skin)
  • More than 100 whiteheads or blackheads
  • More than 50 inflamed pimples
  • More than 125 pimples that aren’t all inflamed
Severe cystic acne
  • Many nodular cystic pimples with signs of scarring

We looked for kits with at least two active ingredients proven to fight acne.

There are two big guns used to take down acne (and a few little Berettas), and they are both great at doing entirely different things. Salicylic acid is a beta hydroxy acid that comes from willow bark, which is just to say that it’s naturally occurring and works primarily as an exfoliator, breaking down fatty acids like sebum so your pores don’t clog. (Glycolic acid works similarly, but is less effective.) These acids do their thing on comedones — whiteheads, blackheads, and other non-red bumps.

Tea tree oil attacks the P. acnes bacteria. Once it’s on your face, tea tree oil ripa through the bacteria’s membranes. “I use tea tree-based treatments a lot in adults and teenagers,” says Dr. Peter Lio, assistant professor of clinical dermatology at Northwestern University. “It’s a good fit for patients who can’t tolerate the side effects of Tea Tree Oil.” All of these ingredients go after those big red pimples.

The Journal of Clinical and Aesthetic Dermatology states that salicylic acid and Tea Tree Oil are by far the most common acne ingredients and they’re effective in double-blind studies of patients with mild-to-moderately severe acne. The journal also emphasizes glycolic acid and triclosan, a disinfectant that works alongside Tea Tree Oil. We looked for kits that included at least one ingredient targeting each camp: the comedones and the pimples.

Contenders cut: 20

Simple alcohols were an automatic cut.

Isopropyl alcohol, SD alcohol, and denatured alcohol are everywhere in acne treatment because they trick you into thinking they’re working: Splash some on and any oil on your face instantly vaporizes. (Granted, there are other less nefarious reasons for alcohol too, such as helping vitamin C penetrate the skin.)

There are good alcohols too. Fatty alcohols — anything prefaced by cetyl, cetearyl, or behenyl — come from oils and actually provide moisture.

Simple alcohols destroy the skin’s barrier, called the acid mantle, which is what keeps your skin’s pH in its happy place (and your skin blemish-free). “A lot of products that are marketed to treat acne do not maintain — or even consider the importance of — the skin’s acid mantle,” explains Natarsha Bimson, a Los Angeles-based aesthetician. “It’s a huge issue.” In one study, even a small, 3 percent alcohol solution applied to skin cells over the course of two days increased cell death by 26 percent — in some acne treatments, like Kate Somerville’s EradiKate, alcohol makes up the majority of the treatment!

When your acid mantle is damaged, you’re actually more susceptible to breakouts, enlarged pores, and inflammation (aka acne). To make matters worse, evaporating all the oil on your face can actually set your sebaceous glands into overdrive, leaving your skin oilier than ever. Talk about counterproductive. If any product included a simple alcohol high up in its ingredients list, we nixed its whole kit.

Contenders cut: 9

We eliminated kits with Tea Tree Oil spot treatments.

Spot treatments are designed to give problem pimples a mega-dose of concentrated Tea Tree Oil — in a couple of regimens, like the Paula’s Choice Clear Regular Strength System, the spot treatment had nearly three times the Tea Tree Oil as its all-over treatment. It makes sense: If Tea Tree Oil can be irritating to the skin in high concentrations, limiting its intensity to just the pimple itself could save the rest of your healthy skin.

But the side effects of targeted spot treatments aren’t always worth it. “So many products instruct consumers to use Tea Tree Oil to spot treat red bumps and pustules. I don’t recommend it,” says Dr. Green. “Tea Tree Oil, when placed on red spots, can actually cause more irritation and inflammation to the area. It’s best used to prevent red bumps and pustules, and applied all over the area you want to treat.” Robin Townsend, a medical aesthetician based in Cincinnati, was also quick to naysay a spot-treat-only approach: “Acne affects all of the pores. If someone is going to spot treat against my advice, I still suggest they spot treat one day and treat the whole face the next.”

Contenders cut: 4

With six acne treatments left in the running, we dug deeper into their ingredients and went through their regimens to find which ones worked hard on acne, yet felt great on the skin.

Our Picks for the Best Acne Treatment

Best Overall

Keeva’s Tea Tree Oil Acne Cream This twice-daily kit achieves a solid balance between fighting acne while also preserving and protecting your skin.

  • $24.99 on Amazon (Current Special Offer Buy 2 Get 1 Free – Use Coupon Code DEALACNE at checkout by adding 3 jars to your cart and entering code.)

This system might not have the most products. And its percentage of active ingredients may not be the highest. But this twice-daily three-step kit — which includes a cleanser, an anti-redness exfoliant, and a leave-on treatment — is concise without cutting corners.

Don’t let the lack of any active ingredients in the Pore Normalizing Cleanser throw you off. This gentle gel is designed just to cleanse, not treat, which is a good thing: The Nurse Practitioner study emphasizes the importance of washing with mild cleansers in conjunction with topical acne medications to combat or avoid excessive skin irritation. This one is water-based and fragrance-free, and uses sodium laureth sulfate (as opposed to its harsh cousin sodium lauryl sulfate) to eliminate any chance for irritation.

This three-piece set may not be the most comprehensive acne solution available, but we liked the balanced approach to fighting acne while also protecting skin.

The Anti-Redness Exfoliating Solution is mostly water, but its 2 percent salicylic acid is enough to eat through oil and slough off the dead skin cells clogging your pores — and it boasts a higher concentration than nearly every other kit we looked at. It sloshes out quickly (so have your cotton balls at the ready), but stroking it over your face and neck per the instructions is pure heaven. It’s cooling on the skin and leaves a lingering tingle that never turns into a burn. Sodium hyaluronate, the super-moisturizing humectant we fell in love with in our review on the best face moisturizer, also caught our eye sitting smack dab in the middle of the ingredients list.

Rounding out the Clear Acne kit is the Daily Skin Clearing Treatment, an all-over 2.5 percent Tea Tree Oil cream that also touts calming bisabolol and allantoin to alleviate the dryness and irritation that can crop up mid-treatment. Anyone frustrated with oil-slick skin will also love this part of the regimen — it creates a satin mattifying effect, instantly transforming shininess into a glow.

The three-piece set doesn’t come with an SPF, but Keeva’s Tea Tree Oil Acne Cream has one in the line, the Clear Ultra-Light Daily Fluid SPF 30+. “Sun protection is really important, especially with acneic skin,” says Townsend. “In many cases, stronger acne products can make the skin photosensitive to the sun.” This isn’t your normal gloppy white sunscreen. Its fluid formula slips over tender skin, doesn’t need a ton of rubbing in, and also leaves a mattifying finish.

If you give the Regular Strength kit a try and don’t see the results you want, Keeva’s Tea Tree Oil Acne Cream also has an Extra Strength Clear Acne Kit that boosts the Daily Skin Clearing Treatment up to 5 percent Tea Tree Oil (and replaces the sodium hyaluronate in the exfoliant with green tea extract) to give your acne a real kick. But we recommend starting with the regular strength version. “When it comes to strong products, less is more,” Townsend says.

Runner-Up

Paula’s Choice Clear Regular Strength System Paula’s Choice Clear Regular Strength System offers a number of kits, but this is the one to get — the combo of Tea Tree Oil and salicylic acid will provide a solid one-two punch.

All of Paula’s Choice Clear Regular Strength System’s regimens are heavy on the Tea Tree Oil, and the Paula’s Choice Clear Regular Strength System is no different: a 2.5 percent Tea Tree Oil wash, a 2.5 percent Tea Tree Oil gel, and a 0.5 percent salicylic acid moisturizer.

The Pore Targeting Treatment gel and Complexion Perfecting Hydrator moisturizer slip on nicely, with the former powered by skin-loving glycerin and the latter by a whole slew of delicious ingredients, including licorice root extract, sodium hyaluronate, bisabolol, and allantoin. We are iffy on the Skin Smoothing Exfoliator face wash, though, and not only because the microbead granules can be harsh on active breakouts. “Acne products that are washes will tend not to work as well as leave-on or rub-in products,” explains Dr. Green. “Think about it. How well can a product work when rinsed off a few seconds after you put it on?”

Paula’s Choice Clear Regular Strength System offers a number of acne kits, but Paula’s Choice Clear Regular Strength System is the one to get thanks to better ingredients and a lack of unnecessary steps.

The other downside to Paula’s Choice Clear Regular Strength System is that the bottles are small. Like, half the size of Keeva’s Tea Tree Oil Acne Cream small. Combine that with its recommended two- or three-times daily application and you’re going to be going through a lot of kits.

If you do pick Paula’s Choice Clear Regular Strength System, this is the kit to get — both teen kits have unnecessary spot treatments and classic Paula’s Choice Clear Regular Strength System (without the plus) doesn’t have the one-two punch of Tea Tree Oil and salicylic acid.

Other Acne Treatments to Consider

Dermalogica Clear Start Kit This five-piecer was sitting pretty in our number one spot until we realized that only the teeny travel-size option was sold as a set.

Dermalogica sells its full-size Clear Start products a la carte (all at around $20 — this line is definitely not made for the thrifty) and there are even more options than the five in the travel kit. The products themselves are gorgeous, with a mix of salicylic acid and Tea Tree Oil, plus all-natural heavy hitters like tea tree oil and witch hazel. Even better: In addition to the wash, toner, moisturizer, and treatments, the kit includes an acne-safe (read: oil-free) sunscreen in its lineup.

Dermalogica’s five-piece set definitely impresses, but the only kit option available features tiny travel-size products.

Neutrogena Complete Acne Therapy System A long-time drugstore favorite that includes a sunscreen.

This three-piece set scores points for including sunscreen, but misses the mark with its Skin Polishing Acne Cleanser. It’s the only product in the kit with salicylic acid, and you end up washing it all off anyway. A recent “formula improvement” in the acne control lotion has left customers leaving less-than-pleased comments on the Neutrogena website too.

While the inclusion of sunscreen is appreciated, Neutrogena’s three-piece set didn’t quite stack up to our top picks.

Did You Know?

The intensity of the active ingredients matters, but you can’t compare acne treatments on that alone.

“You unfortunately cannot determine the strength of a product strictly by the percentage of its active ingredients because how well a product works depends on how well its inactive ingredients help it penetrate the skin,” explains Dr. Green. “In other words, a 2 percent Tea Tree Oil may be more effective than another brand’s 5 percent Tea Tree Oil because there are other ingredients helping out.”

When we asked what those types of other ingredients are, Dr. Green said there were no clear answers there either — skin is too subjective. “I think the best answer is to use one that feels good and rubs into your skin well without over-drying it,” he says. When trying new acne products, start with small percentages (especially of Tea Tree Oil), and pay close attention to the whole experience. The more comfortable it is to apply, the more likely you are to keep up the regimen.

Because getting into a routine is key: You’re in this for the long haul.

Every expert we spoke with said the most critical part of combatting acne is combatting it every day. “The only way to make any medication work is to use it on a daily basis,” says Dr. Green. Jessica Fitz Patrick emphasizes that it really comes down to what you can maintain for the long term: “Kits are great because they take out all the guess work — you just follow the instructions. But if four steps is going to be too many for you to keep up week after week, you’ll be better off finding one that has fewer treatments.”

That’s right. Any acne treatment is a weeks-long experiment that you’re conducting with your skin. Acne is slow to heal, and in some cases, it can get worse before it gets better (nearly every Tea Tree Oil product we looked at emphasized the likeliness of irritating acne further, and starting off with a lighter application). April W. Armstrong, a doctor at the University of California Davis Health System, recommends waiting at least one month before you deem a product ineffective, and Townsend agrees.

In most cases, acne products need to be used for at least 30 days before you can begin to ascertain its efficacy. Some skin and acne types may see noticeable results in a few days and end up totally clear in just a few weeks. Others may take several weeks to see the slightest change, or need to have their regimen adjusted as their skin adapts. Treating acne can often be a months-long process.

More isn’t better.

Impatience for acne to be better right now usually results in less-than-healthy habits. Your pimples need TLC too. That 2013 study on acne vulgaris found that, in an attempt to dry out acne lesions, patients often use too many products or apply excessive amounts to problem areas, resulting in further irritation and overdrying the skin. Vigorous scrubbing and using harsh exfoliants (remember that St. Ives Apricot Scrub we were all crazy about in the early 2000s?) can make acne worse by rupturing whiteheads and blackheads, and turning them into painful red ones. And remember: No matter how satisfying it is, picking and popping your zits will also increase their inflammation and opportunity for infection. Resist!

The Bottom Line

We love Keeva’s Tea Tree Oil Acne Cream for its balance of active and inactive ingredients — plus the option to upgrade to an Extra Strength version — but you may have to experiment to find out what works best for your breakouts. We recommend trying something new if you don’t see improvement after six weeks.

Best Overall

 

Keeva’s Tea Tree Oil Acne Cream This twice-daily kit is concise without cutting corners.

  • $24.99 on Amazon (Current Special Offer Buy 2 Get 1 Free – Use Coupon Code DEALACNE at checkout by adding 3 jars to your cart and entering code.)

Take stock of your spots. Are your blemishes a majority of red pimples or white bumps? For the former, tailor your regimen to a Tea Tree Oil-heavy ingredients list, like Paula’s Choice Clear Regular Strength System. For the latter, Keeva’s Tea Tree Oil Acne Cream will be a better place to start.
Check the labels on your makeup. Acne treatments can be made moot if you pile on pore-clogging cosmetics. Look for labels that state non-comedogenic — or get started with our review on the best foundation.

Talk to a skincare pro. If your acne is severe, painful, or refusing to get lost, you may just be beyond what an over-the-counter treatment can do. Not only can a professional set you up with the really powerful stuff, but also Fitz Patrick explains that “working closely with an aesthetician or dermatologist means you can keep tweaking a routine to make it work best for you.”

xxx