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What is acne?

Acne is a common skin condition that can appear at any age. While frequently seen in teenagers, acne increasingly affects adult women, especially during perimenopause and menopause. Many acne sufferers seek dermatology acne treatment after trying over-the-counter options without success.

How acne develops

Acne develops as a result of one, or all, of the below factors:

  1. Overproduction of sebum, often linked to hormonal changes.
  2. Accumulation of dead skin cells that block follicles.
  3. Bacteria, such as P.acnes, that multiply in blocked pores and form spots.

Acne develops as a result of one, or all, of the below factors:

Hormonal changes are a frequent trigger, which is why treatment for acne in adults often focuses on hormonal drivers as well as topical and systemic care. Left unchecked, these processes can lead to blackheads, congestion, inflammation and long-term scarring.

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Consultation for acne treatment

Why choose Dr Bye for acne treatment?

Dr Bye is a GMC-registered GP and JCCP-registered aesthetics doctor with advanced training in cosmetic dermatology. Her holistic approach blends thorough medical assessment with aesthetic expertise to provide safe, evidence-based acne treatment that minimises discomfort.
Dr Bye completed extensive cosmetic dermatology and aesthetic training at Harley Academy.
She provides integrated care for persistent adult acne, perimenopausal flare-ups and cases where rosacea and acne coexist, and will arrange referral to a consultant dermatologist when clinically appropriate.
Dr Bye will discuss budget openly before any treatment and recommends options that balance clinical effectiveness with each patient’s financial preferences

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Frequently Asked Questions

Which treatment is best for acne?

The best acne treatment depends on acne type, severity and patient factors such as age, pregnancy status and previous therapies. Mild acne often responds to medical grade skin care and topical therapies. Moderate to severe acne may require medical grade chemical peels, combined topical regimens or systemic therapy. For persistent or complex cases a referral for dermatologist treatment acne may be appropriate. A personalised plan that targets sebum production, follicle congestion and bacterial overgrowth delivers the best long-term results.

What foods trigger acne breakouts?

Certain foods can worsen acne for susceptible people, most consistently those with a high glycaemic load and some dairy products; refined sugars, white bread and sugary drinks often correlate with more breakouts, while skimmed milk has been linked repeatedly to higher acne rates.

Does drinking water help acne?

Drinking adequate water supports skin hydration, immune function and metabolic health and may indirectly help acne as part of a wider plan, but increasing water intake alone is unlikely to clear established acne without concurrent evidence-based acne treatment.istently those with a high glycaemic load and some dairy products; refined sugars, white bread and sugary drinks often correlate with more breakouts, while skimmed milk has been linked repeatedly to higher acne rates. Practical tip: maintain good hydration alongside medical-grade skin care, diet changes and clinician-guided therapies for best effect.

How to tell if acne is hormonal or bacterial?

Hormonal acne typically shows as deep, recurring nodules or cysts concentrated around the lower face and jawline and often flares cyclically around a menstrual cycle, pregnancy or menopause; bacterial-driven lesions tend to be more surface-level pustules and widespread inflammatory spots. A clinician will use distribution, timing and history to decide if targeted hormonal treatment, topical antibacterials or systemic options are needed.

What triggers acne the most?

The dominant trigger for most acne is hormonal influence that increases sebum production combined with follicular blockage from excess dead skin cells, creating an environment where acne thrives. Genetics, certain medications, stress, high-glycaemic diets and heavy or occlusive products also commonly contribute.

Why won’t my acne go away?

Persistent acne usually reflects one or more unresolved drivers: untreated hormonal imbalance, inappropriate or inconsistent use of products, spot-treating instead of preventative full-area therapy, resistant bacteria or an untreated coexisting skin condition; failure to allow treatments time (often 6–12 weeks) or to combine complementary therapies also commonly prevents clearance.

Practical tip: a structured review with a clinician to optimise regimen, add a second active ingredient if needed, consider systemic options and discuss dermatology referral when scarring or poor response occurs is the usual next step.