What makes menopausal acne particularly frustrating is that the skin is often dry and reactive at the same time. Instead of small surface breakouts, it’s often deeper, more inflamed and concentrated around the chin, jawline and lower cheeks. Many clients describe the spots as painful, slow to heal and impossible to ignore.

In my experience, when clients start to understand the link between blood sugar, insulin, and their skin, things begin to make a lot more sense. And from there, we can start making changes that actually last.

In this blog, I want to help you understand how hormonal acne differs from other common types, and why figuring this out can make all the difference when it comes to supporting your skin long term.

In clinic and online, one of the biggest internal acne triggers I support my clients with is blood sugar dysregulation, and this often shows up more around holidays, birthdays, or busy periods when routines go out the window.

Conventional medications can offer relief but they’re not the whole picture. For many people, they come with trade offs: nutrient depletion, hormonal disruption, gut issues, or emotional side effects that no one explained upfront.