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41, female, topical spironolactone for adult hormonal cystic acne on jawline?

Beachbnny
Im 41 female, have struggled on and off with jawline hormonal cystic acne and it is very upsetting. Is topical spironolactone effective? I dont like the idea of systemically taking this med orally. I have tried many other treatments. use retin a currently with little benefit, took accutane about 15 years ago with some temporary improvements. I have scarring and continue to breakout , I dont know what else to do, any suggestions please help

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Sergio Martinez Lecompte, MD profile photo
Dr. Sergio Martinez Lecompte, MD
Answered on Sep 23, 2024
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Dr. Sergio Martinez Lecompte, MD
Board Certified Plastic Surgeon
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Laura A. Katz, MD profile photo
Dr. Laura A. Katz, MD
Answered on Jun 1, 2024
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