Many women notice mild to moderate acne breakouts as they enter perimenopause, even if they have never struggled with acne before. Menopausal acne is a result of fluctuating hormones. Estrogen naturally decreases during this life stage, but androgen hormones, such as testosterone remain level. The end result is a higher proportion of testosterone to estrogen, which leads to increased sebum production, inflammation and acne.
The good news is that menopausal acne usually resolves on its own once hormone levels become more consistent post-menopause. Unfortunately this process can take years and the breakouts are frustrating now! Your dermatologist can help you decrease the acne and may suggest regular esthetic treatments for exfoliation and decreasing acne bacteria in the skin.
Medical treatments could include prescription topical antibiotics or retinoids, oral antibiotics, spironolactone to suppress testosterone activity, or Accutane for deep cystic lesions that are unresponsive to other treatment avenues. For mild to moderate cases, esthetic treatments and proper home care can be very successful. Isolaz treatments are particularly successful in reducing acne because they target several causes of acne: oil, inflammation, and bacteria. Isolaz uses photoneumatics, which is a combination of vacuum pressure and broadband light, to loosen impactions and bring the skin closer to the light source for greater effectiveness. A series of 6 treatments performed every 7-10 days makes Isolaz one of the fastest ways to reduce acne. It can also easily be combined with topical acne treatments, oral antibiotics, and chemical peels for more thorough treatment. Currently, Renew Dermatology is the sole provider of Isolaz in Richmond!