Acne, pigmentation and dry skin can appear at different ages. Many women try to conceal them with makeup or find a “miracle” cream. But when skincare does not bring a lasting result, it may be worth looking beyond the skin itself.

The condition of the skin can be influenced by hormonal changes, digestive health, inflammation, stress and nutrient intake. A comprehensive assessment can help identify factors that may be contributing to persistent skin concerns.

Hormonal factors

Adult acne in women can be associated with hormonal changes. Androgens, or increased sensitivity of skin receptors to them, may stimulate oil production. Changes in oestrogen and progesterone levels can also affect skin hydration, elasticity and inflammation.

Breakouts around the lower face, chin and neck may be a reason to discuss hormonal factors with a doctor. Pigmentation, including melasma and post-inflammatory marks, can also be influenced by hormones and may become more noticeable with sun exposure.

Digestive health and nutrient absorption

Digestive health may affect the skin indirectly through nutrient absorption and inflammatory processes. Chronic constipation, restrictive diets, food intolerances or gastrointestinal conditions can contribute to nutritional deficiencies and affect overall wellbeing.

Dry skin may be associated with insufficient intake or absorption of essential fats and fat-soluble vitamins, including vitamins A, D and E, which support normal skin renewal and barrier function.

Stress and recovery

Chronic stress can influence hormonal balance, inflammation and the skin’s ability to recover. It may worsen existing acne, sensitivity or dryness.

Sleep, nutrition, stress management and regular physical activity are all part of supporting the body and skin health.

An individual approach

When a woman comes to me with skin concerns, we look at the full picture rather than relying on one universal solution. Depending on the symptoms and medical history, this may include discussing hormonal health, nutrition, stress levels, lifestyle and possible nutrient deficiencies.

A personalised plan can help address factors that may be contributing to acne, pigmentation or dryness and support healthier skin over time.

2026 © Elena Konovalova