acne.

What it is

Adult acne is more common than most patients expect, and rarely behaves like the teenage version. It clusters along the jawline and chin, flares with cycles, and resists everything the supermarket aisle has on offer. It is not bad luck; it is a treatable condition.

We address it as such, and in the right order. The active acne is brought under control first, with a prescription routine that works at the follicle. Only once the skin is calm and primed do we add in-clinic work to repair the texture and barrier acne leaves behind, and we keep managing it across the weeks that follow. Nothing is done to inflamed skin out of sequence.

What we look for

• ●Hormonal fluctuation: perimenstrual, perimenopausal, or stress-driven sebum spikes
• ●Follicular hyperkeratinisation: dead cells trapping sebum inside the pore
• ●Cutibacterium acnes overgrowth feeding the inflammatory loop
• ●A barrier weakened by over-stripping with harsh, supermarket products
• ●Diet and lifestyle inputs that quietly intensify the picture: dairy, high glycaemic load, sleep debt
• ●Skincare that promises clearing but is wrong for your specific acne type

Dr Beiki assesses which of these are at play before recommending a layered approach.