Salicylic acid and glycolic acid products can potentially benefit hormonal acne patients, as well. "Salicylic acid can help reduce inflammation and pimple size and glycolic acid will exfoliate the skin's surface, which helps keep pores clear," Dr. Hartman says.
Use Salicylic Acid
Alongside benzoyl peroxide, you should make salicylic acid an essential part of your skincare routine to keep hormonal acne under control. This active ingredient is great at unclogging the pores and reducing inflammation.
Dr. Geddes-Bruce's top tips for hormonal acne include always cleansing your face before bed, keeping a consistent, tailored skincare regimen, and avoiding picking. If you're still having trouble with hormonal breakouts, you can also consider a trial of avoiding dairy and high glycemic foods.
Salicylic acid penetrates your skin and works to dissolve the dead skin cells clogging your pores. It can take several weeks of use for you to see its full effect. Check with your dermatologist if you aren't seeing results after 6 weeks .
Skin purging occurs because of some ingredients that accelerate your body's natural process of getting rid of dead skin cells. Products that contain certain components—including lactic acid, salicylic acid, glycolic acid, and retinoids—are likely the culprits of your acne breakout.
"If salicylic acid is an ingredient in your cleanser, it is fine to use it every day." However, if you are using an exfoliant that has salicylic acid in the formula, Dr. Hu advises only using the product three times per week, to avoid over-exfoliating the skin and drying it out.
What causes hormonal acne? Hormonal acne is acne that occurs when a person's hormone level fluctuates. Fluctuations of estrogen, progesterone and testosterone can cause zits and pimples to pop up. Typically, these fluctuations happen mostly during menstruation cycles, pregnancy and menopause.
Most pimples take 1-2 weeks to go away on their own. Some can take up to 6 weeks. Although they can't be cured overnight, they can be treated with many different methods that have been proven to work such prescription acne treatment like tretinoin and topical antibiotics.
For moderate to severe acne, your doctor may recommend a prescription-strength retinoid along with an antibiotic like tetracycline, minocycline, erythromycin or doxycycline to help clear the bacteria that cause acne to worsen.
Hormonal acne can be frustrating to deal with, but it's usually treatable. Many products can help reduce the frequency and severity of breakouts, ranging from over-the-counter cleansers and face washes to prescription medications and topical creams.
Following a nutrient-dense diet, cutting out dairy, and limiting added sugars are evidence-based practices that may improve acne symptoms. Taking certain supplements like vitamin D and green tea extract, getting enough sleep, quitting smoking, and reducing stress are other healthy ways to fight this disease.
Symptoms of hormonal acne
Acne may appear as comedones, which are of two types — whiteheads and blackheads. Blackheads (open comedones) open at the surface of the skin, and they appear black after sebum interacts with the air. Whiteheads (closed comedones) are closed beneath the skin surface and appear white on top.
Most adult female acne is persistent, continuing on from puberty after the age of 24 years, but between 20 and 40 percent of cases start after puberty. It is not clear why this is so, but some life changes can cause a flare-up.
You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.
AHAs and BHAs, such as glycolic, salicylic, and lactic acids should never be used with Vitamin C. Vitamin C is an acid, too, and is unstable, so the pH balance will be thrown off by layering these ingredients together and might as well be useless.
For cystic acne removal, start with a high concentration of salicylic acid cleanser – around 1 to 2% – depending on how sensitive your skin is. The high concentration of salicylic acid, a beta hydroxy acid (BHAs) will help shrink cystic pimples by removing excess oil, sloughing off dead skin cells, and drying them out.
Signs that treatment is effective
Wart medications, such as salicylic acid, gradually peel away layers of a wart until it reaches the same level as the skin. People may notice the wart becoming flatter over time.
Research on the chemical differences between these two acne-fighting agents has shown that salicylic acid opens the pores and has a bit of a sloughing, exfoliating effect. However, benzoyl peroxide is superior for treating acne because it has an anti-microbial effect and a better antioxidant effect.
Unfortunately, hormonal acne can still show up much later in your life (and just in time to crash that wedding you were invited to). In fact, hormonal acne is most common in adult women between the ages of 20 and 40.
When Youll See Results: When you use a product with salicylic acid, there are some immediate improvements, because it helps dry out pimples, Dr. Zeichner says. But getting the full blemish-busting effects takes about 12 weeks of regular use.
Acne treatments — especially those that contain active ingredients like benzoyl peroxide and salicylic acid — are drying and a bit harsh on your skin. If you use too many treatments at the same time, your skin may become irritated, and you may actually suffer more breakouts as a result.
Why it might not be working: There are multiple types and causes of acne — and if your acne is severe, salicylic acid might not be strong enough for you. “Cystic acne will need something stronger than salicylic acid,” says Dr. Debra Jaliman, a dermatologist based in New York City.
Cortisone
If you need a cyst gone fast, or if your cystic pimple won't go away, you can visit a healthcare professional for an injection of a diluted cortisone medication called Kenalog. They'll inject the medication directly into the cyst, shrinking it on the spot.