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Say goodbye to acne break outs for good!

No matter what stage of life you are in, acne break outs can be a pesky source of stress and emotional let down. At En Sante Clinic & Medical Spa, we specialize in treating hormonal, inflammatory and cystic acne by employing innovative, holistic and cutting edge technology.  

The best treatment begins with knowing the root cause...


Hormonal acne is a specific type of acne that occurs due to fluctuations in hormone levels, particularly androgens such as testosterone. It is most commonly experienced during puberty and adolescence, but can also affect adults, especially women, during menstrual cycles, pregnancy, and menopause due to changes in estrogen and progesterone levels.

Characteristics of hormonal acne:

Location: Hormonal acne tends to appear on the lower face, jawline, chin, and neck.

Severity: It often consists of deep, painful, and inflamed lesions such as cysts and nodules, rather than the smaller surface-level pimples.

Timing: Hormonal acne outbreaks often coincide with hormonal fluctuations, like before menstruation in women.


Cystic acne is a severe form of acne characterized by large, inflamed, and painful nodules or cysts that form beneath the surface of the skin. These cysts are deeper and more stubborn than typical pimples or whiteheads. Cystic acne is often caused by a combination of factors including excess oil production, bacterial overgrowth, hormonal fluctuations, and inflammation. It can be particularly distressing due to its painful nature and potential to leave scars.

Symptoms of Cystic Acne:

Large, red, and inflamed bumps beneath the skin’s surface.

Painful and tender to the touch.

May contain pus or fluid.

Develop in clusters or individually.

Location:  Cystic acne is commonly found on the face, neck, chest, and back.


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     This type of acne is characterized by the presence of comedones, which are non-inflammatory clogged pores. Comedones can be either open (blackheads) or closed (whiteheads).

    Symptoms: whiteheads and blackheads,  small, papular and nodular without inflammation and not tender.

    Location: Forehead, chin, jawline, back, chest, shoulders

    Treatment for acne

    Topical solutions:

    • Retinoids: These are derivatives of vitamin A that help unclog pores and reduce inflammation.
    • Benzoyl Peroxide: It has antibacterial properties and can help control excess oil production.
    • Salicylic Acid: This exfoliating agent helps prevent clogged pores and reduces inflammation.

    Oral Medications:

    • Birth Control Pills: For women, certain oral contraceptives can regulate hormone levels and reduce acne. They work by suppressing androgen production.
    • Anti-Androgen Medications: Drugs like spironolactone can block androgen receptors and reduce excess oil production.

    Lifestyle Changes:

    • Healthy Diet: Consuming a balanced diet rich in whole foods, vegetables, and low-glycemic-index foods can help reduce acne-triggering inflammation.
    • Stress Management: Stress can worsen hormonal imbalances. Practices like meditation, yoga, and exercise can help manage stress levels.
    • Skincare Routine: Gently cleanse your face twice a day, avoid using harsh products that can irritate the skin, and always remove makeup before bed.

    Professional Treatments:

    • Acne Facials:  Getting regular facials is a great and easy way to treat and prevent acne.  Facials are cleansing and increase skin turnover ensuring a healthy and smooth texture.
    • Chemical Peels: These treatments use mild acids to exfoliate the skin, unclog pores, and reduce inflammation.
    • Laser Therapy: Our laser treatments can target and reduce sebaceous glands’ activity, helping control oil production while clarifying and toning for a healthy glow.
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