Why Do I Keep Getting Painful Acne Around My Chin?

The acne is very painful?

The young woman is currently nearly 30 years old.
She has oily skin and has been controlling her diet and maintaining cleanliness, but she is troubled by the persistent emergence of acne, particularly clustered around her chin and mouth.
Despite visiting doctors multiple times and experiencing significant improvement after taking medication and applying topical treatments for a brief period of one to two weeks, she always faces a resurgence of numerous painful, red, and hard pimples just as she is about to fully recover.
This situation is causing her considerable distress, and she is seeking help.

Hua Hua, 30~39 year old female. Ask Date: 2005/02/17

Dr. Jiang Zheen reply Dermatology

Your acne may require long-term treatment, lasting at least about 3 months of continuous therapy.
Additionally, it is important to ensure adequate sleep.
If first-line medications are not effective in controlling the condition, second-line treatments may be considered, including oral hormonal agents or oral retinoids.
Wishing you well.

Reply Date: 2005/02/17

More Info

Acne, particularly around the chin and mouth area, can be a frustrating and persistent issue, especially for individuals with oily skin. Your experience of having painful, red, and hard pimples that seem to improve only temporarily before returning is not uncommon. This type of acne is often linked to several factors, including hormonal fluctuations, lifestyle choices, and skin care routines.

Hormonal Factors
One of the primary reasons for acne around the chin and jawline is hormonal changes. For many women, hormonal fluctuations related to menstrual cycles, pregnancy, or conditions like polycystic ovary syndrome (PCOS) can lead to increased oil production in the skin. This excess oil can clog pores, leading to the formation of acne. If you notice that your breakouts coincide with your menstrual cycle, it may be worth discussing hormonal treatments with your healthcare provider.

Skin Care Routine
Your skin care routine plays a significant role in managing acne. While you mentioned that you are controlling your diet and maintaining cleanliness, it's essential to ensure that your products are suitable for oily skin. Look for non-comedogenic products, which are formulated not to clog pores. Additionally, consider incorporating products with active ingredients like salicylic acid or benzoyl peroxide, which can help reduce acne by exfoliating the skin and killing bacteria.

Diet and Lifestyle
Diet can also influence acne. While you are already mindful of your diet, consider keeping a food diary to identify any potential triggers. Some individuals find that dairy products, high-glycemic foods (like white bread and sugary snacks), and excessive intake of processed foods can exacerbate acne. Staying hydrated and maintaining a balanced diet rich in fruits, vegetables, and whole grains can support overall skin health.

Stress Management
Stress is another contributing factor to acne. When you are stressed, your body produces more cortisol, which can lead to increased oil production and, consequently, acne. Incorporating stress-reducing activities such as yoga, meditation, or regular exercise can be beneficial.

Professional Treatment
Since you have already seen doctors and experienced temporary relief, it may be helpful to consult a dermatologist who specializes in acne treatment. They can provide tailored advice and may suggest treatments such as topical retinoids, oral medications (like antibiotics or hormonal treatments), or even procedures like chemical peels or laser therapy, which can help reduce acne and improve skin texture.

Conclusion
Persistent acne around the chin and mouth area can be attributed to a combination of hormonal fluctuations, skin care practices, dietary choices, and stress levels. It’s crucial to adopt a comprehensive approach that includes a suitable skin care regimen, dietary adjustments, stress management, and possibly professional treatment. If your acne continues to be a concern, seeking the guidance of a dermatologist can provide you with the most effective strategies for long-term management and relief. Remember, patience is key, as it may take time to find the right combination of treatments that work for your skin.

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