What Peri-Menopause Acne Looks Like and How to Treat It

As women transition into the next chapter of life—peri-menopause—many expect changes like hot flushes, mood shifts, and irregular periods. What often comes as a surprise is the sudden return of acne, sometimes decades after leaving it behind in adolescence. At The Treatment Centre, we approach peri-menopause-related skin concerns with empathy, expertise, and a holistic lens—because healthy skin at every age is a reflection of overall well-being.

Peri-menopause is the transitional stage leading up to menopause, usually beginning in the early to mid-40s but potentially starting earlier. During this time, the body undergoes significant hormonal fluctuations, especially in oestrogen and progesterone levels. These hormonal changes can trigger an increase in androgens (male hormones), which stimulate the sebaceous glands to produce more oil, creating an environment where acne-causing bacteria thrive.

Unlike teenage acne, which often appears on the forehead and nose, peri-menopausal acne tends to present differently:

• Location: Commonly found around the chin, jawline, neck, and even the chest or back.

• Lesion Types: Inflammatory papules, cysts, and deep nodules are more frequent than whiteheads or blackheads.

• Persistence: The acne may be more persistent and slower to heal due to slower cell turnover with age.

• Skin Texture: Acne might coexist with signs of skin ageing, such as dryness, fine lines, and sensitivity.

At The Treatment Centre, we know there’s no one-size-fits-all approach to skincare. Peri-menopausal acne requires a nuanced, personalised strategy that balances hormone shifts, skin renewal, and barrier support.

We begin with a comprehensive consultation to understand your skin's history, lifestyle, hormonal health, and existing skincare routine. This forms the basis for a tailored treatment plan that evolves with your skin’s changing needs.

Certain ingredients are particularly effective for peri-menopausal acne, without compromising skin resilience:

• Salicylic Acid: A beta-hydroxy acid that unclogs pores and reduces inflammation.

• Niacinamide: Balances oil production, soothes irritation, and supports the skin barrier.

• Retinoids (like Retinaldehyde): Promote cell turnover and reduce clogged pores—used cautiously to prevent over-drying.

• Azelaic Acid: A gentle multitasker that targets acne, pigmentation, and inflammation.

Depending on your skin’s needs, we may recommend treatments such as:

• LED Light Therapy: Targets inflammation and bacteria with zero downtime.

• Chemical Peels: Gently exfoliate and renew the skin, tailored to hormonal breakouts.  

Navigating peri-menopause can be a transformative, empowering journey. While hormonal acne can feel frustrating, it’s also an opportunity to re-evaluate and refine your skincare and wellness approach. At The Treatment Centre, we're here to support you with understanding, professional care, and personalised solutions—because your skin deserves to thrive at every stage of life. Book your Health Skin Discovery Session.