Why Acne Worsens During Hormonal Changes and How to Treat It Without Scarring

Written by Dr. Caroline Vaughn

Acne is a common concern for teens and adults alike, and it often seems to worsen during times of hormonal change. Many patients in Katy and Memorial, TX, come to us at Village Dermatology to understand why this happens and to explore effective treatment options that reduce the risk of scarring. Here, we’ll break down the impact of hormones on acne and discuss treatment options to help manage breakouts and prevent long-term skin damage.

Why Does Acne Worsen with Hormonal Changes?

Hormones play a significant role in the development of acne, often triggering or intensifying breakouts. During puberty, pregnancy, menstrual cycles, and even periods of high stress, the body experiences fluctuations in androgen hormones. Androgens, such as testosterone, stimulate oil (sebaceous) glands in the skin, leading to increased sebum production. Excess sebum, combined with dead skin cells and bacteria, clogs pores and can result in inflammation and breakouts.

Some patients experience what’s known as hormonal acne, typically affecting areas like the jawline, chin, and cheeks. This type of acne can be persistent and challenging to manage. Hormonal changes can also disrupt the skin's natural balance, making it more susceptible to inflammation and acne-causing bacteria, which leads to deeper, more painful breakouts.

For more insights on acne triggers, including how dietary habits may also contribute, visit our diet and acne page.

Can Acne Be Treated Without Scarring?

Absolutely, with the right treatments, many patients can manage their acne effectively and reduce the chances of scarring. Our approach at Village Dermatology includes both preventive and active treatments designed to minimize the long-term effects of acne. Here are some effective options:

1. Topical Treatments
   Topical solutions such as retinoids, benzoyl peroxide, and salicylic acid are the first line of defense. These treatments work by exfoliating the skin, reducing oil production, and clearing clogged pores. Consistent use can improve skin texture, control breakouts, and reduce the risk of scarring.

2. Oral Medications
   For patients with moderate to severe acne, oral medications, including antibiotics or hormonal treatments (such as birth control pills or spironolactone), can help regulate hormonal imbalances that trigger acne. This approach targets acne at its root, making it an effective option for hormonal acne sufferers.

3. Advanced In-Office Treatments
   For persistent acne or post-acne scars, in-office treatments can be highly effective. Options like chemical peels, laser therapy, and light therapy work to resurface the skin, treat active breakouts, and improve overall skin tone and texture. Treatments such as chemical peels also help prevent acne from developing into deeper lesions, which minimizes scarring. For details, visit our acne treatment page.

4. Early Scar Treatment
   Acne scars form when breakouts cause damage to the underlying skin tissue, and once scars form, they can be challenging to treat. Addressing acne early with these treatments can prevent acne from escalating to a stage that causes scarring. For those with existing scars, we offer several scar reduction treatments to help smooth and restore the skin’s appearance. Learn more about our solutions on our acne scars page.

How We Help Patients in Katy and Memorial, TX

Preventing and treating acne without scarring is possible, and it begins with a personalized approach. At Village Dermatology, we’re committed to helping patients navigate their unique skin needs by providing expert care tailored to individual skin types, lifestyle, and treatment goals. Dr. Caroline Vaughn and our dedicated team will assess your skin, discuss your concerns, and recommend the most effective treatment plan to help you achieve clear, healthy skin.

If you’re ready to take control of your acne, visit our Katy or Memorial locations for a consultation. For more information on how to become a patient and start your skincare journey, click here to schedule an appointment.