Hormonal Acne in San Diego
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.
How is hormonal acne treated in San Diego?
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
Targeted treatment for hormone-driven breakouts.
Hormonal acne is driven by androgens that increase oil and clog pores, producing deep, tender breakouts along the jawline, chin, and lower face, often flaring before your period. It frequently persists into adulthood and does not fully respond to topicals alone.
SOM's medical team treats the hormonal driver directly, with therapies like spironolactone or combined oral contraceptives, plus topical care and, for severe cases, isotretinoin. The plan is tailored and monitored for safe, lasting clearing.
✓ Dermatologist-led medical team
Real hormonal expertise, not just products.
✓ Treats the cause
Targets the hormonal driver, not only the surface.
✓ The SOM Method
Dermatologist-trained providers follow the SOM Method.
✓ Tailored therapy
Hormonal options matched to your health and goals.
✓ Scar prevention
Clearing deep breakouts early prevents scarring.
Is hormonal acne treatment right for you?
✓ Good Candidates
• Deep breakouts along the jawline and chin
• Acne that flares with your cycle
• Adult acne that persists past the teen years
• Acne not controlled by topicals alone
• Want to treat the hormonal cause
• Open to medical, monitored therapy
✗ May Not Be Right For
• Pregnant or trying to conceive (affects some meds)
• Certain heart, kidney, or potassium conditions
• 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.
Hormonal acne options compared.
Hormonal Acne guided by dermatologist-led standards and the SOM Method.
Dermatologist-trained SOM providers plan and deliver Hormonal Acne through the SOM Method, with consultation, candidacy review, individualized treatment planning, documentation, and follow-up.
How much does hormonal acne treatment cost in San Diego?
Visit + medications
New patient rate
10% off retail + priority
Available after first visit
Until clear, then maintain
Costs vary by therapy and insurance; confirmed in consultation
Final pricing is confirmed in consultation. 0% APR financing through Cherry and CareCredit for qualifying patients.
Four steps. One personalized plan.
Your SOM provider reviews your breakout pattern, cycle, and health history.
A hormonal option (e.g., spironolactone or a pill) plus topical care is started.
Follow-ups track progress and safety, with labs where appropriate.
Once clear, a maintenance plan keeps breakouts and scarring away.
Before · During · After
How to prepare for your hormonal acne visit
Note where and when you break out and how it relates to your cycle. List medications you take, including birth control, and any history of clots, kidney, or heart conditions, which guide therapy choice.
• Note breakout pattern and cycle timing
• List current medications and birth control
• Share clot, kidney, or heart history
• Mention pregnancy plans
• Come ready to discuss a medical plan
What happens during your hormonal acne visit
Your visit takes about 20 to 30 minutes. A dermatologist-trained SOM provider reviews your breakout pattern, often jawline and cyclical, discusses hormonal therapy options like spironolactone, and may order labs. It is a medical consultation tailored to hormonal acne.
• 20–30 minute medical visit
• Breakout pattern reviewed
• Hormonal therapy discussed
• Labs ordered if needed
• Tailored to hormonal acne
After starting hormonal acne treatment
Hormonal treatments work gradually; give them 8 to 12 weeks to show their full effect. Take medication as directed, use SPF, and attend follow-ups and any labs. We adjust as your skin and cycle respond.
• Works gradually, give it 8–12 weeks
• Take medication as directed
• Daily SPF
• Attend follow-ups and labs
• We adjust to your response
Is hormonal acne treatment safe?
✓ Do
• Take medications exactly as prescribed
• Attend lab and follow-up visits as advised
• Report side effects or mood changes promptly
• Use sunscreen, some acne meds raise sun sensitivity
• Follow pregnancy guidance for your medications
• Call us right away with any unusual symptoms
✗ Don't
• Do not use spironolactone if pregnant
• Do not start an estrogen pill with a clot history without review
• Do not share prescription medication
• Do not stop abruptly without guidance
• Do not skip recommended bloodwork
• Do not replace medical review with online advice
Hormonal acne questions patients ask
Explore other acne care options
Compare other approaches to acne care.
Hormonal Acne Treatment in Encinitas / North County San Diego.
SOM Aesthetics is at 25 E E St, Encinitas, CA 92024, accessible from Del Mar, La Jolla, Carlsbad, Solana Beach, and Rancho Santa Fe. Call (760) 766-7546.
