management of your skin starts from within
What causes it?
Contrary to popular belief, acne is primarily not a result of improper facial hygiene. While it typically presents itself on the outside, its more often an unfortunate indicator that there's an internal problem. The most important question to ask is, "why is this happening in the first place?"
The root of acne formation is centred in the oil gland, known as the sebaceous gland. Hormonal changes, inflammatory foods, disrupted skin pH, etc. can lead to changes in the quality and quantity of sebum produced, creating low-level inflammation. This inflammation can plug the follicle, resulting in the closed comedones we all lovingly know as acne. The closed comedo is an ideal bacterial breeding ground, and the more overgrown with bacteria these blocked follicles become, the larger and more cystic the resulting "pimple". If the cyst ruptures below the dermis, the lesions last a lot longer and are more likely to result in permanent scarring.
First and foremost, we must investigate hormones. Higher levels of dihydrotestosterone lead to increased sebaceous gland activity and acne formation. This is common in conditions like PCOS and congenital adrenal hyperplasia, with the most common symptoms being irregular or infrequent menses, adult-onset acne, male-patterned hair growth around the chin/nipples/stomach/hands, and insulin resistance. However, not all of these symptoms have to be present for hormones to be disrupted, making it difficult to uncover the underlying problem.
Consider: Hormone Testing can be a useful tool in these cases.
While balancing hormone production is important, proper elimination of these hormones is just as critical. Your liver acts as a filter, eliminating degraded hormones and preventing hormonal congestion that results in acne. Alcohol, birth control, environmental toxins, etc all burden our liver on a daily basis, leading to sluggish detoxification and toxins being shifted to our major detox organ, the skin.
A high intake of refined carbohydrates, sugars, and preservatives results in blood sugar spiking, and subsequent boosts in insulin levels. High levels of insulin in the bloodstream trigger sebum production and an increase in pore-clogging cells. Dairy also tends to be a problematic food, as it's rich in IGF-1, which also promotes insulin release. An imbalanced, high-carb diet may be attributed to you producing all the wrong hormones as an older adolescent or adult.
Just as the liver detoxifies hormones, the colon excretes them. If bowel movements are not regular, degraded hormones sit in the gut waiting to be reactivated and resorbed by "bad" bacteria. Furthermore, consuming foods you may be sensitive to (ie food intolerances) results in higher levels of overall inflammation in the diet every time you eat them.
Consider: Food Sensitivity Testing
Last but not least, consider what you put on your skin.
If you’ve been using strong washes or cream moisturizers, STOP. Harsh chemicals strip the natural pH of the skin, leading to higher amounts of oil production from the skin to compensate for the balance. Most creams are glycerin based, which the skin does not properly absorb. Instead, it sits on the surface of the skin, trapping debris and oil within the pores, and preventing the skin from breathing. That sounds like a perfect recipe for acne.