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Hormonal Acne 101: Understanding the Causes, Treatments, and Hope for Clearer Skin

Hormonal acne is more than just a cosmetic concern. It’s a deeply personal and often frustrating skin condition that can affect people well beyond their teenage years. At Réforme Dermatology & Aesthetics, we believe in empowering our patients with science-backed knowledge and personalized care to help them regain confidence and control over their skin.

Read on to learn more about hormonal acne and the treatment options available at Réforme Dermatology & Aesthetics, let by double board-certified dermatologist Dr. Gabriella Vasile.

What Is Hormonal Acne?

Hormonal acne is a form of acne triggered by fluctuations in hormone levels, particularly androgens like testosterone. These hormones stimulate the sebaceous (oil) glands in the skin, leading to increased oil production. When excess oil combines with dead skin cells and bacteria, it can clog pores and create the perfect environment for inflammation and breakouts.

Unlike more forms of acne, hormonal acne often appears in a predictable pattern along the jawline, chin, and lower cheeks. It may worsen around menstruation, during pregnancy, or in response to stress, and it can persist well into adulthood.

Who Gets Hormonal Acne?

While hormonal acne is most commonly associated with puberty, it frequently affects adults—especially women in their 20s, 30s, and even 40s. Conditions like polycystic ovary syndrome (PCOS), perimenopause, and chronic stress can all contribute to hormonal imbalances that trigger breakouts.

Men can also experience hormonal acne, particularly if they have naturally higher levels of androgens or are undergoing hormonal treatments.

Some signs you might be dealing with hormonal include:

  • Breakouts along the jawline and chin
  • Cystic, painful pimples that don’t come to a head
  • Flare-ups that coincide with your menstrual cycle
  • Persistent acne despite a consistent skincare routine

If these signs are familiar, schedule your consultation with Dr. Gabriella Vasile to discover effective treatment methods right for you.

How We Treat Hormonal Acne in Charleston, SC

At Réforme Dermatology & Aesthetics, we take a comprehensive, personalized approach to treating hormonal acne. We begin with a thorough assessment of your skin to understand your unique skin type, lifestyle, and hormonal profile. From there, we will create a multifaceted treatment plan tailored for your needs.

Topical Treatments

We often start with medical-grade skincare products that contain ingredients like:

  • Retinoids to promote cell turnover and prevent clogged pores
  • Benzoyl peroxide to reduce acne-causing bacteria
  • Salicylic acid to exfoliate and clear pores

Dr. Vasile will carefully select and customize your regimen to ensure it’s both effective and gentle on your skin.

Oral Medications

For moderate to severe hormonal acne, oral medications may be necessary. These can include:

  • Oral contraceptives to regulate hormone levels in women
  • Spironolactone, a medication that blocks androgen receptors
  • Antibiotics for short-term inflammation control

Dr. Vasile will work closely with you to monitor progress and adjust treatment as needed.

Chemical Peels

Chemical peels are a powerful tool in our acne-fighting arsenal. Our team will work with you to customize a treatment to create a controlled exfoliation to remove dead skin cells, unclog pores, and reduce inflammation. Over time, peels can also help fade post-acne marks and improve skin texture.

Lifestyle and Hormonal Evaluation

Because hormonal acne is often linked to internal imbalances, our team may recommend lab testing or collaboration with your primary care provider or endocrinologist. We also provide guidance on nutrition, stress management, and sleep, all of which are factors that can significantly impact your skin’s health.

Personalized Care Matters: Why Choose Dr. Vasile for Hormonal Acne Treatment

No two cases of hormonal acne are exactly alike. That’s why we don’t believe in one-size-fits-all solutions. At Réforme Dermatology & Aesthetics, double board-certified dermatologist Dr. Gabriella Vasile combines advanced dermatological science with a compassionate, individualized approach.

During your appointment with Dr. Vasile, you’ll have the opportunity to discuss your skincare routine, including the products you use, your diet, and your habits, and explore your general health. Dr. Vasile will offer expert advice on acne treatments and products that will help you achieve and maintain healthy, beautiful skin. Whether you’re dealing with occasional breakouts or chronic cystic acne, we’re here to help you uncover the root cause and find lasting relief.

Real Results, Real Confidence

Our patients often tell us that treating their acne has been life-changing, not just for their skin but also for their self-esteem. Clear skin can mean more confidence at work, in social settings, and in your everyday life. At Réforme Dermatology & Aesthetics, we’re honored to be part of that transformation.

Schedule Your Consultation Today

If you suspect your acne may be hormonal, don’t wait to seek help. Schedule your consultation with our team at Réforme Dermatology & Aesthetics by calling us at (843) 974-1230 or completing our online contact form. Together, we’ll develop a treatment plan that’s as unique as you are because you deserve beautiful skin that reflects your inner vitality.