What’s the Best Treatment for Hormonal Acne in Adults?
If you’re an adult experiencing persistent breakouts around your jawline, chin or cheeks — especially before your period or during times of stress — you may be dealing with hormonal acne. At Skinhorizon Clinic in Maida Vale, we offer expert-led, skin-type specific acne treatment plans for patients across Central London, St John’s Wood and Paddington.
Struggling With Hormonal Acne in London?
Book a consultant-led acne consultation in Maida Vale with access to prescription treatments, carbon laser, microneedling and skin peels.
Call Us Book ConsultationWhat Is Hormonal Acne?
Hormonal acne is triggered by fluctuations in hormones — particularly androgens like testosterone. These fluctuations increase oil production and sensitivity within the sebaceous glands, leading to:
- Cystic, painful spots along the jawline or chin
- Flare-ups around menstruation or ovulation
- Persistent acne in adult women (20s–40s+)
- Breakouts despite “good” skincare routines
It often overlaps with other types like comedonal acne or acne excoriée, and may be worsened by stress, PCOS, peri-menopause or certain medications.
What Treatments Work Best for Hormonal Acne?
At Skinhorizon Clinic, we create a bespoke plan based on your skin, acne type, and medical history. Our most effective solutions include:
1. Oral & Topical Prescription Medication
Consultant dermatologists may prescribe:
- Topical retinoids (e.g. adapalene, tretinoin) – unclog pores and reduce inflammation
- Topical antibiotics (e.g. clindamycin) – target bacteria
- Oral antibiotics (e.g. lymecycline) – short-term anti-inflammatory support
- Hormonal therapies (e.g. co-cyprindiol, spironolactone) – balance oil-triggering hormones
- Isotretinoin – for severe, cystic or scarring acne under close monitoring
2. Carbon Laser, Microneedling & Skin Peels
For those not suitable for systemic medication or who want to accelerate skin clearance, we offer:
- Carbon Laser Peel – exfoliates, clears pores and reduces oil
- Microneedling (Dermapen) – improves scarring and reduces congestion
- Medical peels – tailored to sensitivity, acne grade, and Fitzpatrick type
3. Skin Routine & Supportive Products
Adult skin is often more sensitive and drier than teenage acne-prone skin. We guide patients toward:
- Non-comedogenic cleansers and moisturisers
- Correct use of retinoids and SPF
- Barrier repair creams to prevent irritation
- Optional patch testing for cosmetic or fragrance allergies
Why Adult Acne Needs Specialist Attention
Acne in adults is often more persistent, more likely to scar, and more emotionally distressing. Many of our patients have already tried over-the-counter treatments without results. At Skinhorizon, your care is led by a consultant dermatologist with specialist acne experience.
Book Your Personal Acne Consultation in Central London
Skinhorizon Clinic offers tailored acne plans, diagnostics and treatments for adults struggling with hormonal breakouts.
Call Us Book ConsultationFAQs: Hormonal Acne in Adults
Is hormonal acne different from teenage acne?
Yes. Adult acne is more commonly linked to hormonal fluctuations, often affects the jawline and chin, and is more resistant to conventional products.
Will I need a blood test?
In most cases, no. However, if you have signs of PCOS, irregular periods, or hair thinning, we may suggest hormonal blood testing to guide treatment.
Can I use retinoids if I have sensitive skin?
Yes, under guidance. We introduce them slowly with barrier support and may switch to gentler forms like adapalene or retinol alternatives.
Is acne linked to gut health or diet?
Emerging evidence shows links between high glycaemic index diets, dairy, and breakouts. We offer tailored dietary advice where appropriate.
Will hormonal acne ever go away completely?
With the right plan, many patients achieve long-term control or remission. Maintenance plans help prevent recurrence without over-treating the skin.
