Has anyone had any good results treating Hormonal Acne ? The kind mostly around the chin area, it is mostly  nodules under the skin, flat and red, not really ever coming to a head or able to extract anything? I'm not sure what exactly to tell the women and how to treat it. Some have said that being on there birth control had made it worse and some have said it has made it better so confusing Help!!! :)

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I would really like to hear more about this same thing.  hope you get some replies.  I've switched birth control almost a year ago and now consistently break out around the chin area.  i have normal to dry skin so treating with full acne products just dries me out so much.  I just picked up the image line and i'm really hoping to hear more about how to use it with woman treating aging and acne. 

Cherly, go to the group Acne Specialists on here, you'll learn lots.  Treating any acne requires the right products with the correct regimine.  BP and some type of peeling agent such as mandelic, salicylic, vit. a, etc.  Check out Face Reaity in California.  Laura actually started the group and they have a program and products available.  Also, buy Dr. James Fulton's book Acne Rx and read it over and over.

Since I have been doing regular peels I haven't had this issue.

Try the Skin Script 20% Lactic with Kojic...my Post inflammatory Hyperpigmentation (just a couple spots) looks much better too.

Proper oil/water balance on the skin is necessary for home care...some of these girls use products that are drying and stripping....I always recommend using the Skin Script Hydrating serum liberally under moisturizer.

My last bout I used Skin Script Blemish Control Cleanser - my daughters...it is only 2% salicylic and glycolic and it helped me clear but was surprisingly NOT drying on my over 50 skin. It smells so good!

That's great to know Cindy!  I am sampling some of the skin script products now, so i'll have to give those a try!  And probably read my Acne rx again.

Thanks Cindy I love the Lactic acid with the Kojic Super hydrating as well. So I would think if the client is dry this would help. also maybe switch it up and alternate with the glycolic peels every other time so she will not get even drier. thanks I will keep up on the research.

I think that would work even better!

The Glycolic Cleanser would also be an option...I don't usually have them use every day, but maybe if they are having a break-out they should use everyday until it clears then switch back to every 2-3 days.

Hi Cindy, I know i'm late on this but I'm just now reading this....Question for you with the use of peels. You said you do regular peels on yourself ( I do too) I was wondering how regular do you do them ? once a week ? bi-weekly or monthly ? I was just curious, because I have been giving myself peels (the skinscript glycolic alone or with the pomegranate enzyme) weekly for about 3-4 wks at a time and then none for 3-4 wks  to control my acne breakouts. I've wondered if it was overkill ? sometimes my skin drys , but then I use the hydrating serum with the aloe moisturizer generously. Your thoughts are appreciated .

Sandra - Lisa could probably answer your questions better.

(I don't have an acne clientele.) But from what little I DO know, it sounds as if you have a good handle on switching it up to keep your skin clear. Do you think the "dryness" you see is just some residual "micro-peeling"?  If it really is dryness maybe switch up with the lactic peel for some extra hydration every so often. The hydrating serum will def. help!

I pretty much just do a monthly peel with enzyme treatments or Radiancy treatments in between. I am currently trying out the TCA peel to get a better feel for that one.

I couldn't have said it better!  Thanks Cindy.  Every person is unique in how often they need a treatment and the intensity of the treatment.  Modify your homecare as you perform treatments (e.g., extra hydrating serum and moisturizer after a peel or enzyme).

I have this type of acne myself do to my thyroid. I have been doing skinscripts peels i did a glycolic last week and a lactic this week. It is bringing everything up to the surface so i can extract and now my skin is feeling smoother and looking better. I also use the skin scripts hydrating and vit c serum and all daily care product from skin scripts. I think i am going to alternate these to peels 3 to 4you more weeksthan and then finish with the tca peel.

Awesome Summerr !!!! That is great and thanks for sharing. Keep us all informed of the progress. This is exactly what we need to hear. 

This is great information!  I do rely on the acne experts when it comes to hormonal acne (the acne specialist blog is the place to be).  I'm glad to hear that the glycolic/lactic peels are working.  My Blemish Spot treatment has received RAVE reviews on some hormonal acne as well.  One esthetician called and request the spot treatment in a larger size because she uses it all over her chin/jaw area and she reports it is keeping the cystic acne away.

Here's my research on hormonal acne.  I am referencing Florence Barrett-Hill and Peter Pugliese:

Puberty acne is hormonal acne and due to excess androgen hormones; need androgen inhibitors like azaleic acid and/or birth control pills.  Other ndrogen  inhibitors are evening primrose and genstein

 

Hormonal acne:  Reductase Isoenzyme Type 1 is relevant to adult hormonal acne.  The family of androgens are responsible for those masculine qualities; acne, hair loss and hirsutism (excess facial hair).  When androgens outweigh estrogen, problems arise.  Increases sebum production by the sebaceous gland arises.  Use androgen inhibitors that can inhibit 5a-reductase without blocking the androgen receptor is the ideal approach.  It has been found that neither topical acne preparations nor oral antibiotics influence sebum production that has been stimulated by Type 1 5a-reductase.  Androgen inhibitors that are known are the prescription only medications like Androcur and Aldactone, Diane 35, etc.; some are used as contraceptive or treatment for superfluous hair.  While many women improve acne on birth control pills, some worsen.  It is the small family of drugs that contain Cyproterone acetate that seems to have a positive effective on hormonal acne.  We recommend our clients onto a specialist who can prescribe these androgen inhibitors; for us, the esthetician, we come in at the enzyme/peel level with topical preparation that inhibits the enzyme 5a-reductase.  3 topical therapies will inhibit 5a reductase isoenzyme type 1 are Azelaic acid, vitamin B6 and zinc.  FBH, ASA, p. 145-147

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