Acne Face Mapping: How To Determine the Cause of Your Breakouts

You can learn a lot about your overall health based on where blemishes pop up on your face.

If you've paid close attention to where blemishes appear on your face, you might have noticed that they will show up in the same places over and over. According to an ancient Ayurvedic technique called face mapping, the location of your acne may have something to do with what's happening inside your body.

Whether your cheeks, nose, or chin are giving you blemish-related grief, this guide can help you identify the possible causes of your skin imperfections, as well as the most effective tactics to get rid of them.

What Is Face Mapping—And How Exactly Is It Helpful With Acne?

Face mapping associates facial skin areas with different internal organs. When the practice was first developed thousands of years ago, the location of blemishes on the face helped healthcare providers diagnose internal health problems. The practice can still be used to help zero in on the health- or lifestyle-related factors that might be bringing on breakouts.

"Our facial anatomy determines the type of skin in [a] specific area," said Amanda Doyle, MD, a dermatologist at the Russak Dermatology Clinic in New York City. "The skin around our eyelids is 10 times thinner than the skin on the rest of the face. That's why facial mapping is very important in terms of caring for your skin," Dr. Doyle added, as she has employed facial mapping before conducting all skin treatments at her office.

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What Issues Do Different Breakout Areas Indicate?

The location of your breakouts can also help alert you to what type of acne you have, whether it's basic acne or the hormonal kind, Dr. Doyle said.

Jaw or Chin

It's a safe bet to blame jaw and chin breakouts on hormones, Dr. Doyle said. Hormonal acne is caused by an excess of male androgen hormones (which includes testosterone), Dr. Doyle explained. These hormones can over-stimulate the oil glands and clog pores where the acne bacteria grow. A hormone-related breakout might also occur about seven to 10 days before a woman's period.

Dr. Doyle recommended prescription-strength products to treat hormonal flare-ups that occur fairly regularly. Dr. Doyle also suggested asking your dermatologist about Aczone, a topical gel that is commonly prescribed to treat hormonal acne. "Also, spironolactone can be quite helpful. This is an oral medication that is prescription strength," Dr. Doyle added. Another option for treatment could be birth control pills; some versions with drospirenone (a progestin medication) are approved for treating moderate acne, per the FDA. Of note, there are some birth control pills that can actually make acne worse, so talk with your healthcare provider to determine the best option to try.

Near the Edges of the Face

Breaking out along the hairline, near the ears, or in the cheek area can fall into the hormonal acne category, Dr. Doyle said. "I also think about exogenous factors, such as hair products containing oils and chemicals that can clog or irritate the pores," Dr. Doyle added.

You can try switching up your beauty routine for a few weeks to incorporate more natural products and see if you notice any skin improvements. Or, consider having your dermatologist or healthcare provider look at the ingredients in your favorite products (makeup, hair, and skincare included) to point out any common irritants. Wearing dirty workout headbands, hats, or earmuffs can also transport bacteria to the edges of your face, so wash your gear frequently.

Cheeks

Acne in the cheek area can be a sign of high sugar consumption, Dr. Doyle said. Per the American Academy of Dermatology (AAD), research has suggested that eating foods that don't cause your blood sugar to rise quickly (i.e., a low-glycemic diet) has led to a reduction in acne. Thus, cleaning up your diet and limiting your intake of the sweet stuff may help cheek breakouts clear up.

You should also be aware of how close you're holding your phone to your face. "Our cell phones are notorious for carrying germs, and the screen accumulates oil and makeup from pressing against our face," Dr. Doyle said. Clean your smartphone with a disinfectant wipe regularly to prevent transferring germs to your skin.

Forehead

Just like for blemishes around the edges of your face, hair products may be the issue causing acne on your forehead. According to the AAD, the medical name for this type of acne is acne cosmetica. Discontinuing the use of acne-causing hair products can help clear the appearance of whiteheads, blackheads, and pimples across your forehead.

Dr. Doyle also said that forehead acne can occur due to stress. However, stress acne may also show up on your jaw and chin. No matter the cause of the acne, consistent forehead breakouts are worth bringing up with your healthcare provider.

T-Zone

The T-zone—forehead, nose, and down to the chin region—is generally a bit slicker because it has more oil glands than the rest of the face, Dr. Doyle explained. That makes it prone to blackheads and whiteheads. The makeup you're using can also bring on breakouts. "I see a lot of patients with clogged pores from using makeup that isn't non-comedogenic, meaning that it does not clog the pores," Dr. Doyle said.

Dr. Doyle said that the best way to extract black and whiteheads is manually at a dermatologist's office; still, those blemishes often come back. "Topical retinoids can also help, as this serves to expel the sebum from the actual pores when used appropriately," Dr. Doyle explained.

Other Considerations Regarding Face Mapping

Face mapping can be a helpful starting point for pinpointing the cause of your pimples—but it's not foolproof. If your acne doesn't seem to clear up after a couple of weeks, or you have additional symptoms (stomach problems or extreme fatigue, for example, which may indicate something more serious beyond breakouts), make an appointment with your healthcare provider.

"It's best to be proactive, and there are so many options to treat acne, Rx and non-Rx," Dr. Doyle said. "Talking to a professional who can customize your regimen and incorporate both is best. Many products, even some over-the-counter products, are not safe for use in pregnancy or breastfeeding as well, so having someone to guide you through that process can be helpful."

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