Best treatment for painful hormonal acne on neck? (Photo)

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hormonal acne is very common in females in their 20s and 30s. It predominantly affects lower cheeks, chin, jaw lines and neck. You may want to discuss with your OB about switching your oral contraceptive to an anti-androgenic one such as one containing drospirenone (ex. Yaz, Yasmin). Furthermore, addition of a diuretic medication called spironolactone at doses of 50 to 100 mg daily may significantly reduce hormonal breakouts and it is a great option for long term control of hormonal acne. Consult with a board-certified dermatologist. Good luck!