Teens + Hormonal Acne: Real Help, No Shame
We get it. Acne sucks. For many teens, it’s not just an annoying pimple or two—it’s persistent, painful, and seems to have a mind of its own. When it comes to cystic acne (just one of the many types of acne caused by hormonal dysregulation), a zit patch or a single over-the-counter product won’t cut it. This isn’t a phase; it's a real skin condition that needs real solutions, not shame or quick fixes.
For teens navigating the physical and emotional impact of acne, and for the parents who feel helpless, we want to help shed some light on the issue and provide some actionable strategies.
The science behind acne
So, why does acne seem to be so much worse during the teen years? It all comes down to hormones and behavior changes.
Androgens: During puberty, the body produces more androgens, a type of hormone that includes testosterone. These hormones signal the sebaceous glands to produce more oil (sebum).
These hormones are new for teens, so learning to manage hormonal changes- and what that means for the skin- is important.
Clogged pores: Excess oil, combined with dead skin cells and bacteria, clogs hair follicles and pores.
Yes- this means washing your face but also using moisturizer.
Inflammation: This clogging leads to swelling and inflammation deep under the skin, resulting in painful cysts.
Stress: The hormonal shifts of puberty can be exacerbated by stress, which can trigger additional breakouts.
A great relaxation technique is Guided Meditation. Check it out!
Building a gentle, effective skincare routine
The first step is a consistent and gentle skincare regimen.
Cleanse (morning and night): Wash with a mild, unscented cleanser that won’t strip the skin or cause irritation. Look for cleansers with ingredients like salicylic acid or benzoyl peroxide for over-the-counter options.
Try CeraVe’s Blemish Control Cleanser- which contains a 2% salicylic acid formulation!
Moisturize: Keep your skin hydrated with a lightweight, non-comedogenic moisturizer. Non-comedogenic means it won't clog your pores.
SPF (always!): Sun exposure can worsen inflammation and increase the risk of scarring. Protect your skin every day with a broad-spectrum, oil-free sunscreen with at least SPF 30.
As I always say- the best sunblock is the sunblock you use!
Don’t scrub: Harsh facial scrubs and aggressive exfoliation can further irritate and inflame acne-prone skin.
If you want exfoliation, see an skin care professional for a chemical peel or exfoliating facial.
Hands off: Picking and squeezing pimples can lead to scarring and more breakouts, so do your best to avoid touching your face.
Lifestyle changes that help
Skincare is only one part of the equation. Small lifestyle shifts can have a big impact.
Reduce stress: Stress is a major acne trigger. Encourage your teen to find healthy coping mechanisms, such as exercise, hobbies, or talking to a counselor.
Prioritize sleep: Getting a regular, adequate amount of sleep helps your body manage hormones and stress.
Stay hydrated: Drinking plenty of water is essential for healthy skin.
Watch your diet: While diet doesn’t cause acne, some studies show a link between high-glycemic foods and acne flare-ups. Encourage a balanced diet rich in fruits, vegetables, and whole grains.
Here is simple list of low-glycemic foods you can try!
When to see a skin specialist
If over-the-counter products aren't making a difference, it's time to see a professional. A skin specialist can provide medical-grade solutions tailored to your teen's skin. This is especially important for cystic acne, which can lead to permanent scarring if left untreated.
Recommend treatments may include:
Prescription retinoids: Stronger than the adapalene found over-the-counter, these help unclog pores.
Oral medications: In some cases, a dermatologist may prescribe oral antibiotics or hormonal treatments.
Isotretinoin: For severe, persistent cystic acne, a dermatologist might discuss this powerful oral medication, which can offer long-term relief.
The end of the tunnel
Acne can be a long, frustrating journey, but with the right information and a solid support system, it is manageable. Remember, it gets better. For parents, taking your teen's feelings seriously and finding professional help can make all the difference. And for teens, know that you are not alone, and there is real, effective help available.
