Best Way to Treat Hormonal Acne? Doctor Answers, Tips
Acne Scars Treatment: Q&A
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Best Way to Treat Hormonal Acne?

I have been diagnosed with hormonal acne but it has subsided for the most part. My skin is clear but I have left over dark spots on my chin area; what's the best way to treat and/or prevent hormonal acne and residue of dark spots?

5 Doctor Answers | Asked by Medford859 in Medford
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Hormonal acne

If the acne is hormonal, based on a clinical assessment (history taking, location of acne) and/or blood work, then the birth control pill is something to consider, or another pill called spironolactone. To deal with the marks that remain, prescription vitamin A products can be particularly helpful as well as various prescription fading creams. Chemical peels & microdermabrasion are a more aggressive treatment, often with faster results, but more expense. Laser resurfacing is another... more
+2

Chemical peels offer the best resolution to the dark spots of acne

Chemical peels offer the best resolution to the dark spots of acne. While other treatments such as lasers and home creams can work peel have been doing the job for 2000 years!
+1

Dark Spots from Acne

Topical treatments can help. Serial microdermabrasion and chemical peels can also play a part. Intense pulse light treatments can be useful as well.

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+1

Combination treatment is best for control and prevention

Acne is a complex problem--if a hormonal component seems to be playing a role in a female patient, I consider treatment with spironolactone, an oral medication that has hormone normalizing effects on the skin.  This will help to control and prevent further acne breakouts.  This can be combined with various topical measures to help fade the brown pigmentation including topical retinoids (Atralin is a favorite of mine), Finacea gel, or salicylic acid peels.  Light therapy... more
+1

Hormones for the acne, retinoids for the discoloration

You have two problems: 1. you have hormonal acne, often associated with polycystic ovarian syndrome and 2. you have post-inflammatory hyperpigmentation. Treatments for PCO and the acne include Yaz and Spironolactone. Adding Tazorac or Retin A not only prevent recurring acne, but also help with the discoloration without bleaching your normal skin. Silkpeel and chemical peels are great options to fade dark spots more quickly.
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Comments (1)

ayates83 7 Nov 2012

I wanted to share my experience with hormonal acne. For a year a broke out around my chin where it left scarring. I went to derm and they didn't really help. My friend mentioned it could be caused from dairy. I consumed lots of dairy products for years but i was also taking birth control during that time which made me not break out. After quitting birth control is when my severe break outs happened and it was also because of the amount of dairy in my diet. I stopped consuming so much and am not on birth control anymore and have no more break outs. Good luck!

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