49 yr old female with serious skin problems due to using hydrocortison cream on my breakouts. Would a hydrofacial benefit me?

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

It's likely that you have developed papulopustular rosacea.  The doxycycline is very helpful.

My first question is: are you taking replacement hormones? If not, then that is something that is necessary if you wish to gain control of your skin. Not all hormone preparations are the same. I would recommend finding a doctor who prescribes only bio-identical hormones after proper testing. There are many rumors circulating about hormone replacement therapy, but please be aware that most are simply rumors and not based upon the truth. Not only will hormone balancing help your skin, but it will also help with protecting your heart and brain. Osteoporosis is another problem that will be prevented with optimal hormone replacement. That is the first thing I would recommend, but in the meantime, yes, a series of Hydrafacials would be beneficial, but will not address the root cause of your problem. 
Dr. Knott