Managing Adult Female Acne – A Hormonal & Aesthetic Approach in Katy & Houston, TX

Jun 4

By: Dr. Caroline Vaughn

Introduction

At Village Dermatology, we understand that acne isn’t just a teenage concern. Many women in their 30s and 40s struggle with persistent breakouts driven by hormonal shifts, stress, and skincare routines. In this case, we highlight the experience of a 39-year-old woman from the Houston area who presented with chronic adult acne—primarily on her chin and jawline—and how we developed a personalized treatment plan to address both active acne and long-term skin health.

Patient Profile & Symptoms

Patient: 39-year-old female
Primary Concern: Moderate acne on the lower face
Duration: Several years
Symptoms: Blackheads, whiteheads, and inflammatory pimples
Skin Type: Oily and dry combination skin
Previous Treatment: None effective; online prescriptions not helpful

Diagnosis: Hormonal Acne

Her acne pattern—localized to the chin and jawline, with onset in her mid-20s—suggested a hormonal component. A thorough physical exam using a dermatoscope confirmed comedonal and inflammatory acne lesions on the cheeks and chin.

Customized Treatment Plan

Our goal was to treat both active breakouts and post-inflammatory hyperpigmentation. We developed a three-pronged regimen that includes:

💊 1. Oral Spironolactone (50mg twice daily)

Helps regulate hormone-induced oil production
Side effects discussed: breast tenderness, menstrual changes, rare electrolyte imbalance
Lab monitoring for potassium and kidney function if needed

🌙 2. Topical Tretinoin 0.025% Cream

Used at bedtime, gradually increased in frequency
Addresses clogged pores and improves pigmentation and skin texture
Patient advised on side effects and slow introduction to minimize irritation

💉 3. Optional Microneedling with PRP

Discussed as a procedure to boost collagen, minimize scarring, and improve overall texture
Non-invasive, aesthetic option offered to accelerate results

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Skincare & Lifestyle Education

We provided detailed counseling on:

Gentle cleansers: CeraVe, Cetaphil, La Roche Posay
Non-comedogenic moisturizers & SPF 30+
Daily AM/PM routine tailored for acne-prone, sensitive skin
Realistic expectations: 60–80% improvement expected in 2–3 months

Sun protection, product layering, and gradual adaptation to tretinoin were emphasized, and the patient was given written handouts and visual instructions for use.

Why This Matters in Katy & Houston

Women in their 30s and 40s often face unique skincare challenges. Whether due to hormonal fluctuations, stress, or incorrect products, adult female acne can affect both appearance and self-esteem. At Village Dermatology, we offer a clinical and cosmetic hybrid approach—combining evidence-based prescriptions with aesthetic treatments tailored to your skin goals.

Follow-Up Plan

We will reassess in 6 weeks with a full-body skin exam and adjust treatment based on acne improvement, medication tolerance, and interest in aesthetic procedures.

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