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Case Studies In Hormonal Acne Management

By: Laura Cooksey
Posted: April 1, 2014, from the April 2014 issue of Skin Inc. magazine.
Case Studies In Hormonal Acne Management

page 6 of 9

Morning: 2.5% BPO wash; salicylic toner; 5% mandelic serum every day; sunscreen

Evening: BPO wash; salicylic toner; 10% BPO gel worn all night; 5% BPO with 3% sulfur spot treatment for inflamed lesions

Treatment: weeks 5–6.

By this point, the client’s inflammation is markedly decreased. The treatment was a mild 5% TCA/mandelic/lactic peel—two layers.

Home care regimen.

Morning: 2.5% BPO wash; salicylic toner; 5% mandelic serum every day; sunscreen

Evening: BPO wash; salicylic toner; 5% mandelic serum; 10% BPO gel worn all night; 5% BPO with 3% sulfur spot treatment for inflamed lesions.

Ongoing care.

Once the client’s inflammation was under control, she did not spot treat with the 5% BPO gel with sulfur. Her home-care regimen was adjusted to include a stronger mandelic serum as her skin adapted to the weaker strength. Because she was not inflamed anymore, she used a 5% BPO gel for her night regimen, and she stayed relatively clear for the next five years.

This recent picture from the client (See Case Study No. 2.) showed an influx of facial hair and chin acne. A bigger swing of hormonal imbalance was suspected, and she was advised to get a hormone panel from her physician.