Chin pimples are most commonly seen in adult females who are experiencing hormonal acne Due to a change in androgen hormone levels, females in their 20’s-40’s experience an increase in sebum production, which leads to the aggravating phenomenon of adult acne in women. Dr. Schweiger explains that, “There are numerous options to treat and prevent chin pimples in women. One of the best long-term solutions is a medication called spironolactone. Spironolactone is used in very low doses to block the androgen hormone from binding at its receptor, and therefore causing increased sebum production. By blocking the androgen hormone from binding, and therefore blocking the increased sebum production that would otherwise occur, we can block the formation of chin pimples for many women. Spironolactone is safe to take for many years, but must be stopped prior to trying to conceive. It is very important that women not take spironolactone while trying to conceive, while pregnant, or while breast-feeding.”
While spironolactone works very well to control chin pimples in the long term, it can take a few months to begin working at its full capacity. In the meantime, we often recommend that women undergo simple in-office laser and light-based treatments, which can produce faster improvement of chin pimples. In-office treatments, such as Photodynamic Therapy (PDT), LED Light, and the Isolaz acne treatment address the causes of acne, and work more quickly than prescription medications. They can prevent permanent scarring that occurs when acne goes untreated, as well as diminish the appearance of red marks left behind after acne improves.