Hormonal acne, deep jawline and chin breakouts that flare on a cycle, responds to targeted medical management at SOM's dermatologist-led aesthetic center in Encinitas.

At SOM Aesthetics in Encinitas, hormonal acne, deep breakouts along the jawline and chin that flare with the menstrual cycle, is managed through a dermatologist-led aesthetic center. Options include hormonal therapy such as spironolactone or combined oral contraceptives, topical retinoids, and isotretinoin for severe cases, often with skincare and in-office support. Pricing depends on your plan and insurance. Results build over a few months.
In consult
Jawline, chin, cyclical
Spironolactone, OCPs
Dermatologist-led
2–3 months
1–2 years
Medical plan
2–3 months
Ongoing management
Varies by therapy
Hormonal Rx, topical
Dermatologist-trained provider
Every case is documented by the SOM team. Treating the hormonal cause clears deep jawline breakouts, over a few months.
• Pregnant or trying to conceive (affects some meds)
• History of blood clots (some oral contraceptives)
• Cannot attend monitoring visits
• Allergy to a prescribed medication
• Prefer in-office procedures only (ask about lasers)
A consultation with the SOM medical team determines the safest hormonal plan for you.
ABOUT THE TREATMENT
Targeted treatment for hormone-driven breakouts.
Learn more →
WHY CHOOSE SOM FOR HORMONAL ACNE
Targets the hormonal driver, not only the surface.
Dermatologist-trained providers follow the SOM Method.
Hormonal options matched to your health and goals.
Clearing deep breakouts early prevents scarring.
Four steps. One personalized plan.
Choose Therapy
Monitor
Maintain
How much does hormonal acne treatment cost in San Diego?
Confirmed before treatment
Planning estimate
Personalized plan
Final product, dose, and total are confirmed during consultation. Product-specific units are not interchangeable.
At SOM, dosing is mapped to your facial movement, asymmetry, and goals, not a generic chart. The result: softer lines that still let your face be your face. Over 3–4 months, Botox gradually metabolizes and muscle function returns.
• Stop blood-thinning supplements 48h prior
• No alcohol 24h before
• Clean skin, no makeup on the jaw
• Mention any jaw, TMJ, or dental changes
• Plan a relaxed 24h after

The appointment typically takes 10–15 minutes. A dermatologist-trained SOM provider maps the masseter muscles and places precise injections based on anatomy and the treatment plan.
• 10 to 15 minute appointment
• A few precise injections per side
• Mild pinch, no numbing needed
• No downtime, walk in and out

Avoid rubbing or massaging the area for 24 hours, stay upright for about 4 hours, and skip strenuous exercise that day. Jawline slimming develops gradually over 6 to 8 weeks as the muscle relaxes. Results typically last 3 to 4 months.
• Stop blood-thinning supplements 48h prior
• No alcohol 24h before
• Clean skin, no makeup on the jaw
• Mention any jaw, TMJ, or dental changes
• Plan a relaxed 24h after

SOM providers may combine masseter Botox with other treatments when a balanced lower-face plan is appropriate.

Platysmal bands, laxity, texture, and contour planning for the neck and décolletage.

Hollowing, dark circles, brow support, eye refresh without surgery.

Redness, sensitivity, barrier repair for reactive or rosacea-prone skin.

Layered protocol for pigment, safe, progressive, no relapses.

Dermatologist-trained SOM providers use shared protocols for assessment, placement, documentation, and follow-up. This consistency supports precise, individualized care no matter which qualified SOM provider you see.
• Stay upright for 4 hours post-injection
• Apply ice gently if jaw feels swollen
• Eat soft foods for 24 hours
• Sleep on your back the first night
• Resume skincare 24 hours after
• Call us immediately with any concerns
• No heavy chewing (gum, tough meat) 24h
• No massage or rubbing the jaw area (24h)
• No saunas, hot yoga, hot tubs (24h)
• No alcohol for 24 hours
• No facial treatments for 2 weeks
• No heavy exercise for 24 hours
Masseter Botox relaxes the chewing muscle before the face looks slimmer. Jaw tension may begin to ease within 2 to 3 weeks, while visible jawline slimming usually develops over 4 to 8 weeks and may continue through 10 to 12 weeks. Timing varies with muscle size, dose, and individual response.
Temporary chewing fatigue or an uneven smile can occur if treatment affects nearby muscles. Careful mapping and conservative dosing help reduce this risk. Contact SOM if you notice unexpected weakness, asymmetry, difficulty chewing, or another change in normal function.
Masseter Botox may reduce chewing-muscle overactivity in selected patients and can lessen jaw tension or clenching. It does not treat every cause of TMJ symptoms and does not replace dental or medical evaluation. A dermatologist-trained SOM provider reviews your symptoms and history before recommending treatment.
Effects often last about 4 to 6 months, but the interval varies with muscle activity, dose, and whether the goal is jawline slimming, clenching relief, or both. SOM reassesses jaw function, symmetry, and facial balance before repeating treatment instead of using an automatic schedule.
Botox cannot be dissolved, but its effect is temporary and gradually wears off as muscle activity returns. Conservative dosing and clear goals help reduce the risk of over-slimming or imbalance. Contact SOM if the result feels uneven or affects normal function so the area can be evaluated.
Cosmetic jawline slimming is generally self-pay. Any insurance coverage for medically diagnosed symptoms depends on the plan and is not guaranteed. SOM confirms provider-neutral pricing after evaluating muscle strength, symmetry, and treatment goals.
SOM Aesthetics is located at 25 E E St, Encinitas, CA 92024, minutes from Del Mar, La Jolla, Carlsbad, Solana Beach, and Rancho Santa Fe. Same-day masseter Botox available for qualified patients.