How Does Hormonal Acne Look Like?

You may have heard the term “hormonal acne” tossed around, but do you really know what it looks like? Hormonal acne is a common skin condition that occurs due to imbalances in hormone levels, particularly during puberty, menstrual cycles, and menopause. Characterized by large, tender, and inflamed pimples that often appear along the jawline, chin, and cheeks, hormonal acne can be frustrating to deal with. However, understanding how it looks can help you identify and treat it effectively, so let’s take a closer look at the visual signs of hormonal acne.

What is Hormonal Acne?


Hormonal acne is a type of acne that is primarily caused by hormonal imbalances in the body. It occurs when the hormone levels fluctuate, leading to an overproduction of sebum, which is the oil that lubricates the skin. This excess sebum clogs the hair follicles, causing inflammation and the formation of acne lesions.


There are several factors that can contribute to hormonal acne. Hormonal imbalances, such as those experienced during puberty, menstruation, pregnancy, and menopause, are common triggers. Androgens and testosterone, which are male hormones that are also present in females, can stimulate the sebaceous glands to produce more oil, leading to acne. Estrogen and progesterone, which are female hormones, can also play a role in hormonal acne.


Hormonal acne is characterized by a variety of symptoms. The most common symptom is the presence of acne lesions on the skin, which can include whiteheads, blackheads, papules, pustules, and cysts. The affected areas may appear red and swollen, and there may be pain or tenderness associated with the acne. In some cases, hormonal acne can also lead to scarring if the lesions are not properly treated.

How does Hormonal Acne differ from other types of acne?


One of the key differences between hormonal acne and other types of acne is its appearance. Hormonal acne tends to be deeper and more cystic in nature, often forming large, inflamed bumps under the skin. This is in contrast to other types of acne, which may consist of smaller, surface-level pimples.


Hormonal acne tends to appear in specific areas of the face and body. It is commonly found on the lower face, particularly along the jawline and chin. In addition, hormonal acne can also affect the neck, chest, back, and shoulders. Other types of acne, such as bacterial acne, are not limited to these areas and can occur anywhere on the skin.

How Does Hormonal Acne Look Like?


Another distinguishing factor of hormonal acne is its timing. It often flares up during certain periods of hormonal changes, such as the menstrual cycle, puberty, pregnancy, and menopause. This indicates the direct influence of hormones on the development of hormonal acne. Other types of acne may not exhibit this cyclic pattern and can occur at any time.

Physical characteristics of Hormonal Acne

Types of Acne Lesions

Hormonal acne can manifest in different types of lesions on the skin. These can include whiteheads, which are closed comedones with a white or flesh-colored bump; blackheads, which are open comedones with a dark appearance; papules, which are small, red bumps without pus; pustules, which are red bumps with a white or yellow center of pus; and cysts, which are deeper, painful bumps filled with fluid.


Inflammatory acne is a common characteristic of hormonal acne. The presence of inflammation is often visible as redness and swelling around the acne lesions. This inflammation can make the acne more tender and sensitive to touch.

Pain or Tenderness

Hormonal acne can be accompanied by pain or tenderness in the affected areas. The larger, deeper cystic acne lesions can be particularly painful. This can cause discomfort and make daily activities, such as washing or touching the face, more challenging.

Common areas affected by Hormonal Acne


The face is one of the most common areas affected by hormonal acne. Hormonal fluctuations can stimulate the sebaceous glands in the face, leading to increased oil production and the formation of acne lesions. The areas most commonly affected include the cheeks, forehead, and especially the lower face, particularly along the jawline and chin.

How Does Hormonal Acne Look Like?

Jawline and Chin

The jawline and chin are particularly prone to hormonal acne. The hormonal changes that occur during the menstrual cycle, puberty, and menopause can have a direct impact on these areas. The presence of hormonal acne along the jawline and chin can also be indicative of hormonal imbalances in the body.

Neck and Chest

Hormonal acne can also extend beyond the face and affect other areas like the neck and chest. These areas have a higher concentration of sebaceous glands, making them more susceptible to acne breakouts. The appearance of acne on the neck and chest can be bothersome, particularly if it is visible when wearing low-cut tops or accessories that expose these areas.

Back and Shoulders

In some cases, hormonal acne can also appear on the back and shoulders. This is more common in cases of severe hormonal imbalances or in individuals with a predisposition to acne. Acne on the back and shoulders can be particularly difficult to treat due to the larger surface area and the friction caused by clothing.

Common symptoms of Hormonal Acne

Cystic acne

Cystic acne is a severe form of hormonal acne characterized by large, painful bumps that are filled with fluid. These cysts can be deep within the skin and may take longer to heal compared to other types of acne lesions. Cystic acne can leave behind scars and may require more aggressive treatment.

Papules and Pustules

Papules and pustules are common acne lesions seen in hormonal acne. Papules are small, red bumps without pus, while pustules are red bumps with a white or yellow center of pus. These lesions can appear inflamed and can be sensitive to touch.

How Does Hormonal Acne Look Like?

Blackheads and Whiteheads

Hormonal acne can also lead to the formation of blackheads and whiteheads. Blackheads are open comedones characterized by dark or black plugs on the surface of the skin, while whiteheads are closed comedones with a white or flesh-colored bump. The presence of these comedones is a result of clogged hair follicles.

Redness and Swelling

Inflammation is a common symptom of hormonal acne, leading to redness and swelling in the affected areas. This inflammation can make the acne more noticeable and can contribute to pain or tenderness.


If not properly treated, hormonal acne can result in scarring. Severe acne lesions, such as cysts, can cause permanent scarring on the skin. It is important to treat hormonal acne promptly to minimize the risk of scarring.

Hormonal acne flares during certain times

Menstrual cycle

Hormonal acne often worsens during the menstrual cycle. The fluctuation of hormones, particularly estrogen and progesterone, can stimulate the sebaceous glands and lead to increased oil production. This can result in the development of more acne lesions.


Hormonal acne is particularly common during puberty due to the significant hormonal changes that occur during this time. The surge in androgens and testosterone can lead to increased sebum production and the development of acne. Puberty-related hormonal acne tends to improve as hormone levels stabilize.

How Does Hormonal Acne Look Like?


Pregnancy can trigger hormonal acne in some women. The hormonal fluctuations that occur during pregnancy, particularly the increase in progesterone, can result in acne breakouts. Hormonal acne during pregnancy is usually temporary and improves after delivery.


Menopause is another time when hormonal changes can trigger acne breakouts. The decrease in estrogen levels and the relative increase in androgens can disrupt the balance of hormones and lead to hormonal acne. Menopausal acne can persist for several years but usually improves with time.

Hormonal changes that contribute to acne

Increased sebum production

Hormonal acne is often associated with increased sebum production. Androgens and testosterone can stimulate the sebaceous glands to produce more oil, leading to oily skin and clogged hair follicles. The excess sebum contributes to the development of acne lesions.

Hormone imbalances

Imbalances in hormones, such as estrogen and progesterone, can contribute to hormonal acne. When these hormones are not in balance, it can lead to an overproduction of sebum or disruption of the skin’s natural shedding process, resulting in acne formation.

Androgens and testosterone

Androgens and testosterone, which are male hormones present in both males and females, play a significant role in hormonal acne. These hormones stimulate the sebaceous glands, leading to increased sebum production and the development of acne.

How Does Hormonal Acne Look Like?

Estrogen and progesterone

Estrogen and progesterone, female hormones, also contribute to hormonal acne. Fluctuations in these hormones, such as those experienced during the menstrual cycle or pregnancy, can lead to hormonal imbalances and increased sebum production.

Factors that can aggravate hormonal acne


Stress can exacerbate hormonal acne. The body’s response to stress can trigger hormone imbalances and increase the production of sebum, leading to acne breakouts. Managing stress through relaxation techniques and self-care can help reduce the impact on hormonal acne.


Diet can play a role in hormonal acne. Consuming a diet high in refined carbohydrates, sugar, and dairy products can increase insulin levels and contribute to hormonal imbalances. Incorporating a balanced diet rich in fruits, vegetables, and healthy fats can help support overall skin health.

Cosmetics and skincare products

Certain cosmetics and skincare products can worsen hormonal acne. Products that are comedogenic or contain irritating ingredients can clog pores and trigger acne breakouts. Opting for non-comedogenic and oil-free products can help prevent further aggravation of hormonal acne.


Certain medications, such as corticosteroids or hormonal therapies, can contribute to hormonal acne. These medications can disrupt hormone levels or increase sebum production. It is important to discuss any potential side effects with a healthcare professional.

Polycystic ovary syndrome (PCOS)

PCOS is a hormonal disorder that can lead to hormonal acne. PCOS is characterized by a hormonal imbalance, typically involving an excess of androgens. This hormonal imbalance can result in increased sebum production and the development of acne. Treating the underlying PCOS can help manage hormonal acne.

Treating hormonal acne

Topical treatments

Topical treatments are commonly used to manage hormonal acne. These include over-the-counter products containing ingredients like salicylic acid or benzoyl peroxide, which can help unclog pores and reduce inflammation. Prescription-strength topical medications, such as retinoids, can also be used to treat hormonal acne.

Oral medications

In some cases, oral medications may be prescribed to treat hormonal acne. Antibiotics can help reduce inflammation and control bacterial growth. Oral contraceptives, particularly those containing anti-androgens, can help regulate hormone levels and reduce sebum production.

Hormonal therapies

Hormonal therapies, such as spironolactone or isotretinoin, may be prescribed for severe or persistent hormonal acne. These medications work by targeting hormone imbalances or reducing sebum production. Hormonal therapies should be used under the guidance of a healthcare professional.

Lifestyle changes

Making certain lifestyle changes can help manage hormonal acne. This can include practicing good skincare habits, such as gentle cleansing and avoiding excessive scrubbing or picking at acne lesions. Additionally, managing stress levels, eating a balanced diet, and getting regular exercise can help support overall skin health.

Natural remedies

Some individuals may choose to explore natural remedies for hormonal acne. These can include using tea tree oil, witch hazel, or aloe vera to reduce inflammation and soothe the skin. It is important to note that natural remedies may not be as effective as medical treatments and results can vary.

When to seek professional help for hormonal acne

Severe or persistent acne

If hormonal acne is severe or persists despite attempts to manage it at home, it may be necessary to seek professional help. A dermatologist can assess the severity of the acne and recommend appropriate treatment options, such as prescription medications or in-office procedures.

Emotional distress

Hormonal acne can have a significant impact on a person’s self-esteem and emotional well-being. If acne is causing distress or affecting quality of life, it is important to seek professional help. A healthcare professional can provide support and guidance to help manage the emotional effects of hormonal acne.

Possible underlying health conditions

In some cases, hormonal acne may be a symptom of an underlying health condition, such as PCOS. If acne is accompanied by other symptoms, such as irregular periods or excessive hair growth, it is important to seek medical attention. A healthcare professional can evaluate the symptoms and recommend appropriate testing or treatment.