Does Eating Honey Help Acne or Make It Worse?

Acne vulgaris is a common skin condition that begins when hair follicles become clogged with excess oil and dead skin cells. This blockage creates an environment where Cutibacterium acnes, a naturally occurring bacteria, can multiply, triggering an inflammatory response that manifests as red, swollen blemishes. Honey is often considered a natural remedy due to its long history of traditional use in wound care and known biological properties. This article clarifies the scientific evidence surrounding the consumption and topical use of honey for managing acne, addressing whether this natural sweetener supports skin health or contributes to breakouts.

Understanding Dietary Triggers for Acne

Diet plays a role in influencing the severity of acne by affecting hormone levels and inflammation throughout the body. Two established dietary factors linked to acne aggravation are high Glycemic Index (GI) foods and dairy products. High-GI foods, such as refined carbohydrates and sugary items, cause a rapid spike in blood sugar levels, triggering the release of insulin. This insulin surge elevates Insulin-like Growth Factor-1 (IGF-1), which stimulates sebaceous glands to produce more oil (sebum), leading to clogged pores and inflammation. Dairy consumption, particularly milk, has also been linked to acne due to its effect on insulin and IGF-1, promoting the hormonal environment that drives breakouts.

Eating Honey and Systemic Skin Effects

Honey contains beneficial compounds, such as antioxidants and polyphenols, which could theoretically offer systemic anti-inflammatory benefits by neutralizing free radicals and reducing oxidative stress. However, when honey is consumed internally, its primary biological effect relates to its composition as a sugar source. Composed mainly of simple sugars fructose and glucose, honey has a medium to high Glycemic Index (GI) score, similar to other concentrated sweeteners. Consuming honey, especially in large quantities, initiates the same rapid blood sugar and insulin response as other high-GI foods. For individuals sensitive to dietary triggers, this insulin spike can lead to increased sebum production and inflammation, potentially worsening acne.

Using Honey Topically to Treat Blemishes

The most established therapeutic use of honey for acne is through direct, topical application. Honey possesses natural antimicrobial properties effective against bacteria in clogged pores, primarily through the enzymatic release of hydrogen peroxide when diluted with the skin’s natural moisture. Honey is also mildly acidic, with a low pH that inhibits the growth of acne-causing bacteria. Furthermore, honey acts as a humectant, drawing moisture into the skin, which aids in wound healing and reduces post-acne blemishes. Applied directly to inflamed areas, anti-inflammatory components soothe redness and swelling, providing a localized calming effect.

Choosing the Right Type of Honey

For topical application, using raw or unprocessed honey is important because pasteurization and filtration destroy the beneficial enzymes that give honey its medicinal properties. Raw honey retains its natural concentration of antibacterial and anti-inflammatory compounds. Manuka honey is often preferred for acne care due to its unique and potent antibacterial agent, methylglyoxal (MGO). MGO provides a stable antimicrobial effect independent of the hydrogen peroxide mechanism, making Manuka generally more effective against skin bacteria. When considering honey for internal use, moderation is advisable to minimize the impact of its high GI on the body’s inflammatory and hormonal pathways.