![Image 1 — [ACNE] I need help and reccs for hormonal cystic acne, 3 months of tracking and can’t get it down](https://preview.redd.it/t0ni3rhflckh1.jpg?width=724&format=pjpg&auto=webp&s=c66fdf9de636ab9b3dd3b705cee11508d5ce8ff4)
![Image 2 — [ACNE] I need help and reccs for hormonal cystic acne, 3 months of tracking and can’t get it down](https://preview.redd.it/gbtgvrhflckh1.jpg?width=475&format=pjpg&auto=webp&s=3decb0e88783e06d9cf3ef4e1694e522de0fa5f9)
![Image 3 — [ACNE] I need help and reccs for hormonal cystic acne, 3 months of tracking and can’t get it down](https://preview.redd.it/1r327rhflckh1.jpg?width=446&format=pjpg&auto=webp&s=1ed2c94d825f8d296db51edc9d4d51bf571e3bbe)
![Image 4 — [ACNE] I need help and reccs for hormonal cystic acne, 3 months of tracking and can’t get it down](https://preview.redd.it/chkh4rhflckh1.jpg?width=637&format=pjpg&auto=webp&s=2c29bf131e9b679cabf6c9b47ad74684f0c79b3d)
![Image 5 — [ACNE] I need help and reccs for hormonal cystic acne, 3 months of tracking and can’t get it down](https://preview.redd.it/c15qsrhflckh1.jpg?width=450&format=pjpg&auto=webp&s=28e35133d2627cfef7d96d9d4c0818fbfe8f82ad)
[ACNE] I need help and reccs for hormonal cystic acne, 3 months of tracking and can’t get it down
26F dealing with hormonal/cystic acne concentrated on my jawline and chin, flares predictably around my period. I track my cycle and rotate my actives by phase — barrier-only during my period, alternating Differin 0.1% and Azelaic Acid 10% during follicular, one BHA night a week, and a stricter Differin-only push around ovulation with no BHA. AM routine is a gentle cleanser, vitamin C, niacinamide, spot treatment on active areas, moisturizer, and SPF every day, and I stay on top of hydration and drink plenty of water. I started Spironolactone 50mg daily this week for the hormonal component, so I know it’s still very early. Despite all of this I’m still getting new cystic breakouts along the jaw and chin most weeks and it’s not really trending down yet. I’m considering Accutane if things don’t improve. Also I am dealing with a huge one right now.
Would love to hear from anyone who’s dealt with this same hormonal jawline pattern — what actually worked for you, or if I’m missing something obvious in my routine.