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Internal Health & Aesthetics

Hormonal Imbalance

It's not just 'stress'—it's your body's chemistry.

From the sudden breakouts of adulthood to the rapid changes of menopause, hormones are the master regulators of your skin's health. When they fluctuate, your skin is often the first to signal distress.

30%
Collagen lost in the first 5 years of menopause
50%+
Women experience adult hormonal acne
Estrogen
Key hormone for skin hydration & thickness
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Symptom Check

Decoding Your Signals

Hormonal skin issues present differently than regular aging or teenage acne. Look for these specific patterns:

0
/ 5 signs identified

These are not just cosmetic flaws; they are biological signals requiring a medical approach.

The Science

The Hormonal Connection

As a physician-led clinic, we understand that skin health starts beneath the surface. Here is how your hormones dictate your appearance:

Estrogen: The Youth Hormone

Estrogen is responsible for stimulating collagen, elastin, and hyaluronic acid production. It keeps skin plump and hydrated. **The Drop:** During perimenopause and menopause, estrogen levels plummet. This leads to the 'Collagen Cliff'—a rapid loss of structural support, causing skin to thin, dry out, and sag significantly faster than before.

Androgens: The Oil Driver

Androgens (like testosterone) are present in everyone. **The Spike:** When stress rises or estrogen drops, androgen activity can become relatively high. This signals oil glands to go into overdrive, leading to clogged pores and deep, painful cystic acne, particularly on the lower face.

Cortisol: The Stress Ager

Cortisol is the stress hormone. **The Damage:** Chronic stress keeps cortisol high, which breaks down collagen (catabolic effect) and causes inflammation ('Inflammaging'). It also disrupts the skin barrier, making you more prone to sensitivity and redness.

Hormones & Pigment

Hormones can overstimulate melanocytes (pigment cells). Conditions like Melasma are notoriously difficult to treat because they are driven by internal heat and hormonal fluctuations, not just sun exposure.
🌏

The Asian Perspective

Asian skin is particularly prone to **hormonal hyperpigmentation (Melasma)** and **reactive inflammation**. Aggressive treatments can make this worse. Dr. Jiang uses gentle, specialized protocols to manage hormonal pigment without triggering rebound darkening.

Impact Zones

Where It Shows

Chin & Jawline

The primary zone for hormonal acne.

Cheeks

Common area for Melasma patches and volume loss due to estrogen drop.

Scalp

Hair shedding or thinning density.

Body Composition

Shift in fat distribution to the abdomen (visceral fat) despite diet.

RAAC Protocol

Managing the Changes

We cannot stop time, but we can manage the symptoms. Dr. Jiang approaches hormonal issues with a combination of clinical management and aesthetic restoration.

For Hormonal Acne

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For Melasma & Pigment

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For Menopausal Aging

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Medical Expertise

Why Trust Dr. Jiang with Hormones?

29+
Years
70k+
Patients
#1
In BC

MD vs. Technician

Hormonal issues are medical, not just cosmetic. Dr. Jiang understands the physiological pathways affecting your skin.

Safe for Melasma

Hormonal pigment is unstable. We know how to treat it without causing the 'rebound effect' common in non-medical spas.

Long-Term Management

We view hormonal skin issues as chronic conditions to be managed, not just 'fixed' once.

FAQ

Your Questions Answered

Adult acne is usually hormonal, not bacterial. It's often driven by a sensitivity to androgens or stress (cortisol), even if your blood hormone levels are 'normal'.
Melasma is a chronic condition managed, not 'cured'. We can clear the pigment significantly, but maintenance and sun protection are vital to prevent hormonal triggers from bringing it back.
It causes significant changes, but they are manageable. Starting collagen-stimulating treatments (like Ultherapy or Thermage) *before* or during early menopause is the best defense.

Get Control of Your Skin

Don't let hormonal fluctuations dictate how you look. Book a medical assessment with Dr. Jiang.

Book Consultation604-370-5410

Private & Professional Care