The number people over 30 needing acne treatments has climbed to the extent that a report published in Journal of the American Academy of Dermatology recommends raising the age for insurance coverage of the acne drug tretinoin to at least 40. The authors of the report, Drs. Steven Feldman and Alan Fleischer, dermatologists at Wake Forest University Baptist Medical Center, add that many insurance companies refuse to pay for tretinoin prescriptions for patients older than 25.

Even if your insurance company leaves you to fend for yourself, you still have options for freeing yourself from acne and wrinkles. At first, coping with acne and wrinkles may seem like a cosmetic catch 22. Do you dry your skin with acne cleansers containing benzoyl peroxide and salicylic acid, and worsen your wrinkles? Or, do you smear on the moisturizer to smooth the wrinkles, but cope with the zits brought on by the extra oil?

Before you get frantic, ask yourself a series of questions. Adult acne may be the result of hormonal flunctuations triggers by diet, stress or your environment.

1. Are you regular?

About 70% of your immune system is located in your intestines. If this area is blocked with waste, your immuno-defenses are down. So, instead of waste leaving your body via the rectum, it chooses to leave through the skin. Waste leaving the skin can cause an infection that presents itself as acne.

2. Are you tense?

Tension likewise reduces the vigor of the immune system. Take a few deep breaths throughout the day to calm your body. Take a long walk in the fresh air to wind down.

3. Are you eating all the nutrients you need?

Cases of acne have been improved with consuming foods containing zinc, essential fatty acids, vitamin A and a host of other nutrients. All of these vital nutrients are available in leafy green vegetables, fruits and olive oil.

4. Are you constantly thinking about a personal issue that you have not addressed?

Not resolving personal issues creates conflict and tension in the body. Again, these issues most be addressed to avoid undue stress within the body.

5. Are you exercising everyday?

Exercise reduces stress and gives you an opportunity to subconsciously contemplate challenges that you may be facing. Physical activity also keeps your muscles and intestines toned, which keeps encourages regularity.

6. Are you changing your pillowcase frequently?

Using a dirty pillowcase aggravates an acne condition. Your face naturally secretes oils during the night. These oils are sticky. So if you pillowcase if dirty, you are allowing your face to collect extra waste during the night, which could further clog your pores.

7. Have you moved recently or are you changing your job/career?

New demands or feelings of lose can sometimes accompany change. Transfer these emotions into something constructive by writing in a journal or envisioning how these changes are going to benefit you. Find comfort in these changes and opportunities for new beginnings.

8. (Women) Do you also experience excessive facial hair growth and erratic periods?

Conditions such as acne, excessive facial hair, and erratic periods could indicate an androgen disorder or other underlying hormonal imbalances. Your doctor can provide you with a series of endocrine tests to ascertain your hormone levels and what corrective actions you should take. Ricardo Azziz, M.D, who serves as Chair of the Department of Obstetrics and Director of the Center for Androgen-Related Disorders at Cedars-Sinai Medical Center, estimates that 80 percent of women with excessive androgen levels suffer from an endocrine disorder called polycystic ovary syndrome (PCOS). Dr. Azziz adds that women with PCOS often have insulin resistance and are at increased risk for developing Type II diabetes, hypertension and heart disease.