From digestive issues to hormone problems: 4 health conditions acne reveals

Skin is the mirror of our health. What goes on inside is reflected outside on our faces. It is more than a cosmetic concern; it might be trying to tell us something. In ancient Ayurveda and Chinese medicine, there is a concept known as acne face mapping, which suggests the locations of the acne on the face and what issues they indicate. Which scientific research is limited, below are the common interpretations of acne locations and the corresponding health concerns they are believed to reflect.

Why does acne occur

Acne develops as a result of hypersensitivity of the sebaceous glands to normal levels of circulating androgens. This process is further exacerbated by the presence of Cutibacterium acnes (C acnes), a bacterial species, and subsequent inflammation.

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Hormonal acne: Chin and jawline

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The study titled “”Hormonal treatment of acne vulgaris: an update,” published in the Clinical, Cosmetic and Investigational Dermatology journal provides significant insights into the relationship between hormonal imbalances and acne, particularly in women. Its key findings suggests that hormonal fluctuations in the body can lead to increased sebum production and the excess sebum (oil) can clog the pores, leading to acne flair ups. It very well recognised that hormonal acne concentrates itself in the lower third of the face, along chin and jawline.

Digestive issues: Cheeks

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Clinical research suggests that individuals with acne vulgaris often exhibit gut microbiota profiles compared to healthy individuals. An imbalance in gut bacteria can lead to inflammation and an overproduction of sebum (skin oils), which can clog pores and cause breakouts, especially on cheeks. Further the research claims that if the gut-barrier function is enhanced, it can offer a complementary strategy in managing acne.

Liver functionality: Between the eyebrows

While traditional Chinese medicine supports the idea that pimples between the eyebrows are linked to proper liver health and functioning, modern science doesn’t show a direct connection. Breakouts in this particular area might suggest that the liver is under strain, possibly from an unhealthy diet, emotional stress or alcohol.

Hairline and temples

In traditional Chinese medicine, “face mapping”, breakouts on the hairline and temples are often interpreted as signs of liver or bladder function imbalance. However, dermatology says that acne in this particular region is largely due to external factors and clogged pores, which is known as pomade acne. Some researchers argue that the correlation between kidney function and temple acne is not fully proven. It is believed that when these organs are struggling, perhaps due to dehydration or infection, the skin on the temples could respond with breakouts.

What can possibly be done to avoid acne

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  • Maintain a consistent skincare routine
  • Consume a healthy diet
  • Manage chronic stress
  • Avoid common triggers and beware of sweat

In cases where acne can be persistent, working with a dermat, nutritionist or functional medicine practitioner can help uncover the root cause.


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