Hormonal blemishes typically manifest or worsen in the week preceding menstruation. This timing coincides with a natural drop in oestrogen levels and a subsequent rise in testosterone and progesterone. This hormonal shift leads to increased oil production and constricted pores, resulting in the appearance of blemishes, bumps, blackheads, and milia. Persistent hormonal acne may also indicate deeper health concerns such as chronic stress, Polycystic Ovary Syndrome (PCOS), excessive androgen levels, or the onset of menopause. Individuals with such concerns are advised to consult a healthcare professional.
At-Home Management for Congestion
To effectively manage congestion at home, a strategic approach to daily skincare is recommended:
- Double Cleansing: In the evening, begin with an oil cleanser to meticulously remove makeup and surface debris. Follow this with an AHA-based cleanser for a deeper clean, targeting excess oil, dirt, pollution, and dead skin cells from within the pores.
- Targeted Exfoliation: Incorporate an exfoliant containing a BHA, such as salicylic acid. This ingredient effectively liquefies and flushes oil and dead skin cells from the lining of the pores. It also aids in dissolving milia (small, hard, white or pearly bumps) by enhancing cell turnover, thus improving the skin's natural exfoliation process and unplugging congested pores.
- Nightly Retinol: A retinol serum applied at night will accelerate cellular turnover, helping to sweep away dead skin cells and clear congestion. It also promotes collagen production, which refines the appearance of pores.
- Lightweight Hydration: Swap heavy, rich creams for a lightweight, water-based moisturiser or gel creme to provide essential hydration. It's crucial to remember that skipping moisturiser entirely can paradoxically increase oil production as the skin attempts to compensate for perceived dryness.
Professional Treatment Options
For more comprehensive management, several professional treatments offer effective solutions:
- Diamond Microdermabrasion: This gentle method abrades the uppermost layer of dead skin cells, helping to smooth and reduce the appearance of bumps while stimulating blood and lymphatic circulation.
- Gentle AHA or Enzyme Peels: These peels work to dissolve built-up dead skin cells and decongest clogged pores, promoting a clearer complexion.
- Light Therapy with Customised Infusions: This modality helps to reduce inflammation and combat bacteria, supported by bespoke infusions that deliver targeted active ingredients into the skin.
Day-to-Day Routine Considerations
Beyond specific products and treatments, daily habits significantly impact hormonal blemishes:
- Avoid Occlusive Products: Steer clear of oil-based makeup and heavy skincare formulations that can exacerbate congestion.
- Maintain Hygiene: Regularly clean mobile phones, as they can transfer bacteria and oils to the face.
- Resist Manipulation: Never attempt to squeeze milia or deep cysts. This action can lead to increased inflammation, damage the surrounding skin, and result in post-inflammatory hyperpigmentation or potential scarring.
- Dietary Adjustments: Consider an anti-inflammatory and wholesome diet. Reduce intake of inflammatory foods such as refined sugar, dairy, red meat, and alcohol, while increasing consumption of essential fatty acids found in nuts, avocados, and oily fish to support overall skin health.
