Clear Skin, Clear Confidence: Treating Teenage Acne with Integrative Medicine

Teenage acne is more than just a few troublesome pimples—it can be a significant source of distress for teenagers and their families. This common skin condition affects up to 85% of teens and can impact self-esteem, social interactions, and overall quality of life.

Let's dive into the root causes of teenage acne and how integrative and functional medicine can offer holistic solutions for clearer skin and a healthier future.

What causes acne?

Acne begins when hair follicles, tiny tube-like structures on the surface of the skin, become obstructed by a mixture of oils, dead skin cells, and bacteria. The oil is produced by the sebaceous glands, which are attached to the hair follicles under the skin. These glands secrete sebum, an oily substance that nourishes the skin and hair as it travels up the follicle to the surface.

The production of sebum by the sebaceous glands is stimulated by hormones known as androgens, which include testosterone (1). The surge in androgen production during puberty can cause the glands to produce an excess amount of sebum. This, combined with dead skin cells, blocks the hair follicles.

Another significant factor in the development of acne is bacteria, namely Cutibacterium acnes or C. acnes (2). This type of bacteria normally resides on the skin, but certain types can proliferate and intensify follicle clogging in the presence of excessive sebum. This eventually leads to skin inflammation, giving rise to blackheads, whiteheads, red, raised pimples, or even nodules and cysts beneath the skin.

Let's delve deeper into identifying the root causes that predispose skin to these conditions favoring acne development.

Related: Treating Hormonal Imbalance with Integrative Medicine

Understanding the Root Causes

One of the more frustrating aspects of managing acne is seeking out answers for troublesome breakouts, only to find generalized causes with solutions that only treat the symptoms instead of the root cause.

Common causes of acne are often listed as: clogged pores, bacteria, excess oil production, and/or inflammation. While these factors do play a role in acne development, it's important to dig deeper and understand the root cause of each individual’s specific case.

Hormonal Imbalances

Hormones, specifically androgens like testosterone and DHEA-S, can increase sebum (oil) production in the skin (3). This excess oil can clog pores and create an environment for bacteria to thrive. Hormonal imbalances can also trigger inflammation in the body, leading to breakouts. Hormonal imbalances that cause teen acne may include:

Integrative medicine takes into account hormonal imbalances that may be contributing to acne and offers personalized treatment plans to address these imbalances.

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Gut Health & Inflammation

The gut-skin connection is a well-studied and complex topic. The balance of bacteria in the gut can influence the immune system and hormone balance, which can manifest as acne on the skin (4). The overuse of antibiotics, exposure to environmental toxins, stress, and other factors can disrupt the delicate balance of bacteria in our digestive system.

Read: Probiotic Bacteria Change Behavior in Children

Diet, Nutrient Deficiencies, & Lifestyle Factors

Processed foods, high sugar intake, dairy products, and unhealthy fats have been linked to increased inflammation in the body, which can worsen acne symptoms for those who are sensitive. One study found that those who frequently eat foods high in sugar or fat were 54% more likely to have acne (5).

High stress levels and poor sleep quality can also impact hormone levels and contribute to acne development.

Testing Available to Identify the Root Causes of Acne in Teens

Hormone Tests

Hormonal testing can help pinpoint imbalances that contribute to acne. By identifying specific hormonal issues, practitioners can recommend targeted treatments such as herbal supplements or lifestyle changes that promote hormonal balance.

DUTCH testing is a comprehensive hormone panel that provides detailed information about hormone levels, and how hormones are being metabolized in the body. This test also includes cortisol patterns to assess adrenal function, which can impact hormone balance.

Saliva testing is another common method for evaluating hormone levels and imbalances. It measures the level of free (unbound) hormones that are active and available for use by the body.

Shop: The One-Day At-Horme Hormone Check

Food Sensitivity Testing

Elimination diets or food sensitivity tests can help identify potential triggers for acne (6). Some individuals may have sensitivities to certain foods that can cause inflammation in the body and contribute to acne development.

Gut Health Tests

Gut microbiome testing can provide valuable insights into the balance of bacteria in the digestive system. This information can guide treatment plans to improve gut health and reduce inflammation, ultimately leading to clearer skin.

Allergy Testing

Allergy testing helps identify environmental allergens that might be affecting the skin. By reducing exposure to these allergens and implementing appropriate treatments, the skin’s condition can improve significantly.

Meet us on social: What’s included in a new patient exam?

Traditional vs. Integrative Treatment Approaches

Conventional Treatments

Traditional acne treatments often include over-the-counter topical creams, prescription medications, and antibiotics. While these can be effective, they often come with side effects and may not address the root causes of acne. Simply masking symptoms without understanding underlying issues can lead to recurring problems.

Integrative and Functional Medicine Solutions

Integrative and functional medicine takes a holistic approach, considering the whole person rather than just the symptoms. Integrative treatments may include natural supplements, dietary changes, stress management techniques, and other holistic therapies.

Read: PCOS vs. Endometriosis: What’s the Difference, and Is It Possible to Have Both?

The Benefits of Integrative Medicine for Teenage Acne

Integrative medicine not only offers a more personalized and holistic approach to treating teenage acne but also focuses on long-term solutions rather than quick fixes. By addressing the root causes of acne, integrative medicine aims to improve overall health and well-being, leading to clearer skin and increased confidence.

Additionally, since integrative medicine takes into account diet, lifestyle habits, and stress levels, it can also promote positive changes that benefit teenagers beyond their skin health.

Integrative Treatments for Teenage Acne

Rather than simply applying topical creams or taking antibiotics, integrative medicine treatments for teenage acne may include:

  • Dietary changes: Eliminating processed foods, high sugar intake, and dairy products can help reduce inflammation in the body (7). Eating more anti-inflammatory foods may help.
  • Herbal supplements: Herbs such as spearmint, licorice root, and saw palmetto have been shown to balance hormones and reduce acne symptoms (8). 
  • Probiotics: Restoring balance to the gut microbiome through probiotic supplements can help reduce inflammation and improve skin health (9). 
  • Stress management techniques: Mind-body practices such as meditation, yoga, and deep breathing can help reduce stress levels and promote hormonal balance.

Every teenager’s acne is unique, and a personalized approach is necessary for long-term success. Working with an integrative practitioner allows for a deeper understanding of each individual’s underlying causes of acne and tailoring treatments accordingly.

Additional Ways to Promote Clear Skin

While integrative medicine can be an effective approach for treating teenage acne, there are also some general tips that can help promote clear skin:

  • Keep skin clean: wash the face twice daily with a gentle cleanser to remove excess oil and dirt.
  • Avoid picking or popping pimples as this can lead to scarring and further inflammation.
  • Use non-comedogenic skincare products to prevent clogging pores.
  • Limit dairy intake as it has been linked to increased sebum production in some individuals (7).  

What to Remember

Acne is a complex condition that requires a multifaceted approach for effective treatment. By addressing underlying root causes, such as hormonal imbalances, gut health, and dietary triggers, integrative medicine offers holistic solutions for clearer skin and improved overall health in teenagers.

With personalized treatment plans tailored to each individual’s unique needs, integrative medicine can help boost confidence and improve quality of life for teens struggling with acne. Ready to ditch the one-size-fits-all approach and embrace a more comprehensive, integrative approach to treating teenage acne?

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