Acne and Acne Scars: A Holistic Approach to Clear Skin

Acne is more than just a teenage problem—it’s increasingly affecting adult women, often due to hormonal fluctuations. Managing breakouts requires a strategic approach, prioritizing acne control before addressing scars. This process can take up to six months, but once acne is stable, treatments like chemical peels, laser therapy, and microneedling can help with scarring. A combination of the right skincare, lifestyle adjustments, and professional treatments is essential for long-term results.

Step 1: Controlling Acne First

Hormonal Acne: Why It’s Rising in Adult Women

Hormonal acne is becoming more common in women in their 20s, 30s, and even 40s. Unlike teenage acne, which is often caused by excess oil production, adult hormonal acne is influenced by:

• Fluctuating estrogen and progesterone levels, especially around the menstrual cycle, pregnancy, postpartum, and perimenopause
• Increased androgen activity, which stimulates oil production and can clog pores
• Stress-related cortisol spikes, which can worsen inflammation and lead to breakouts
• Insulin resistance, which may increase testosterone levels and contribute to persistent breakouts

Hormonal acne often appears as deep, cystic pimples along the jawline, chin, and lower cheeks and can be stubborn to treat.

Skincare That Supports the Skin Barrier

For those dealing with acne—hormonal or otherwise—maintaining the skin’s pH balance and reducing transepidermal water loss (TEWL) is key to help maintain hydration.

• Fresh Face Cleanser by Dr. Naana Boakye Skincare gently removes excess oil and debris without disrupting the skin barrier
• Cocoa Gel Mask helps soothe inflammation and refine pores, reducing the severity of breakouts
• Cocoa Barrier Cream provides hydration while reinforcing the skin’s natural defenses, helping to prevent irritation and excessive dryness from acne treatments

Lifestyle Adjustments to Help Regulate Hormonal Acne

1. Diet & Nutrition

• Reduce high-glycemic foods (processed carbs, sugary drinks) that can spike insulin and worsen breakouts.
• Incorporate healthy fats like avocados, nuts, and salmon to support hormone balance.
• Boost gut health with probiotics to reduce systemic inflammation.

2. Stress Management

• Chronic stress increases cortisol, which can lead to more breakouts.
• Practices like meditation, yoga, and deep breathing can help balance stress hormones.

3. Quality Sleep

• Lack of sleep disrupts melatonin production, impairing skin repair.
• Aim for 7–9 hours of quality sleep each night to support overall skin health.

4. Exercise & Hormone Regulation

• Regular physical activity helps regulate insulin levels and reduces stress-related acne.
• Avoid letting sweat sit on the skin—cleanse post-workout to prevent clogged pores.

5. Sun Protection for Acne & Scars

• UV exposure worsens post-inflammatory hyperpigmentation (PIH) from acne.
• A broad-spectrum sunscreen is crucial to protect against discoloration and premature aging.

Step 2: Addressing Acne Scars

Once acne is under control, targeted treatments can help with scarring:

• Chemical Peels: Improve hyperpigmentation and stimulate collagen.
• Laser Therapy: Helps with deep scars by resurfacing the skin.
• Microneedling: Encourages collagen production, reducing the appearance of scars.

Post-treatment, keeping the skin hydrated and strengthening the barrier with the Cocoa Barrier Cream ensures optimal healing and reduces the risk of further irritation.

Clear Skin is a Long-Term Commitment

Managing acne—especially hormonal acne—requires patience, consistency, and a holistic approach. By combining the right skincare, lifestyle habits, and targeted treatments, long-term improvements are possible. If you're struggling with acne or scars, consulting a dermatologist for a personalized plan is the best step forward.