Why Acne Can Occur at Any Age: A Naturopathic Approach

Acne affects men and women of all ages - well into their 20s, 30s, and beyond. Some experience painful cystic acne or breakouts that won’t go away no matter what they’ve tried. Women may experience breakouts around their period, after stopping birth control, or during perimenopause. Acne may also appear alongside hair loss, digestive issues, or food sensitivities, reflecting deeper imbalances in the body.

Hormones play a central role in persistent acne. Androgens, insulin, and other hormonal messengers influence oil production and inflammation. When hormones are out of balance, stubborn breakouts often appear along the chin, jawline, and lower cheeks, areas commonly linked to hormonal fluctuations. Chronic stress can worsen acne by disrupting the hypothalamic-pituitary-adrenal (HPA) axis, leading to elevated cortisol. This can increase inflammation, interfere with reproductive hormones, and affect blood sugar regulation—all of which can aggravate breakouts.

Nutrition and digestive health are closely tied to skin health. Diets high in processed foods and refined sugars can spike insulin and IGF-1, triggering excess oil production and inflammation. An imbalanced gut microbiome may also impair nutrient absorption and promote systemic inflammation, further contributing to acne. When there is a cyclical pattern to the breakouts, it’s important to address internal imbalances rather than just treating symptoms. Exposures to endocrine-disrupting chemicals in plastics, personal care products, and environmental pollutants can further influence hormones and worsen acne.

Naturopathic approaches aim to address the root causes of acne through holistic care rather than masking symptoms. Treatments often focus on restoring hormonal balance, supporting gut and digestive health, detoxification and liver support, stress management, targeted nutrition, herbal or nutraceutical support, and gentle skincare routines that protect the skin’s natural barrier. By treating the body as a whole, the skin often reflects internal balance—becoming clearer, calmer, and healthier over time.

If you’re dealing with painful cystic acne, stubborn breakouts, hormonal acne, acne with hair loss, digestive issues, or food sensitivities, a naturopathic approach can help identify and address the underlying causes. Dr. Barnett, a leading naturopathic acne doctor in Bellevue and Seattle, offers holistic, functional medicine approaches to acne. Appointments are available in-person or via telemedicine, and most insurance plans are accepted. Call 425-539-0800 or email staff@drclara.com to schedule your consultation and start your journey toward clear, healthy skin.