Baekrokdam Acne Treatment Guide
If your acne has worsened while preparing for pregnancy or during pregnancy
Preparing for pregnancy or Possibility of pregnancyIf this is the case, please first inform your prescribing physician and prenatal care provider about any current oral or topical acne medications, cosmetic ingredients, Korean herbal medicine, and supplements you are using. In particular, do not continue using or restart retinoids on your own. After determining the range of permissible treatments, if inflammation along the jawline recurs, record the timing of onset and changes in sleep or digestion, and check during a Baekrokdam consultation whether Korean herbal medicine can be prescribed and determine the treatment sequence.
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Please first inform us of the possibility of pregnancy and your planning timeline
It is essential to verify not only after pregnancy is confirmed but also during the preparation stage when deciding which medications to use. Please provide the date of your last menstrual period, the possibility of pregnancy, and breastfeeding status at every visit.
Create a single list of oral and topical medications
Isotretinoin, including topical retinoids and antibiotics, as well as over-the-counter cosmetics and supplements. If you do not know the ingredients, please prepare photos of the front and back of the packaging.
Do not make changes yourself based only on safety lists found online
Even with the same ingredient, the assessment may differ depending on the form of the medication, dosage, and application area. Inform both your prescribing physician and prenatal care provider of your full usage history and confirm the timing for any changes.
After confirming medication safety, record the patterns of recurrence
After determining the permissible medications and the timing for discontinuation or change with your medical provider, record when inflammation along the jawline recurred and any changes in sleep or digestion. Do not simply endure deep, painful inflammation and rapidly forming scars just because they are changes during pregnancy; seek dermatological care.
Baekrokdam consultations proceed after verifying the stage of pregnancy and medication use
We first determine whether Korean herbal medicine can be prescribed at that stage after verifying pregnancy plans, gestational age, breastfeeding status, and all current medications. If prescription is possible, we decide whether to prioritize treating recurring inflammation, itching, heat sensations, or sleep disturbances. Do not discontinue existing prescriptions arbitrarily; coordinate the timing of changes with your prescribing physician.
Check once more before your appointment
Preparing just this much before the consultation is sufficient
Rather than looking at a single symptom in isolation, observing when it started, what changed alongside it, and how much it has disrupted your daily life helps in determining the direction of treatment.
Adult acne: Details to be checked during the consultation
adult acneEven for the same jawline area, causes are divided into upper heat, blocked liver qi due to tension, Chong-Im imbalance linked to menstruation, or yin deficiency with hyperactivity of fire after overwork. Rather than a single phrase like 'because of hormones,' we link the prescription to which week and in what situations new acne appears.
Photos from the last 4 weeks and dates of menstruation, sleep, company dinners, and stressJawline/periodic acne: Details to be checked during the consultation
If jaw inflammation recurs before menstruation, we categorize the prescription based on the connection between sleep, digestion, and patterns such as Chung-im-bul-jo (imbalance of the Chong and Ren vessels), Gan-ul-hwa-yeol (liver qi stagnation with heat), or the stomachdamp-heatand prescribe separately according to the connection between sleep and digestion.
Menstruation start date and the date new acne appearedInflammatory Acne: Details to be checked during medical evaluation
Rather than only reducing heat sensation and sebum·comedonesdeep inflammation, delayed recovery, and digestion, sleep, and menstruation to set the goals for Korean herbal medicine treatment.
within 7 days papule· number of pustules and nodulesInformation that is helpful to write down before your visit
- 4-week photos and dates of menstruation, sleep, company dinners, and stress
- Depth, pain, and scarring of acne along the jawline
- Upper body heat sensation, digestion, constipation, menstrual cramps, and lower abdominal coldness
- Menstruation start date and the date new acne appeared
- Number of days of pain from jawline nodules
- Changes in sleep, stress, bowel movements, and medications
Acne Glossary
Terms to note in this text
You can check simple definitions before proceeding to detailed explanations.Details confirmed in Korean medicine treatment
We review test results and your current discomfort together
Adult acne on the same jawline is categorized into different types: upper body heat, blocked Liver Qi due to tension, imbalance of Chong and Ren vessels linked to menstruation, or Yin deficiency with hyperactivity of Fire after overwork. Rather than a simple phrase like 'it is because of hormones,' we link the specific weeks and situations in which new acne appears to the prescription.
Criteria for Overlapping the 4-Week Cycle with New Acne
We align the dates of menstruation, overnight work, company dinners, and changes in sleep with the start date of jawline acne.
Criteria for observing new acne on a 4-week cycle
the start date of menstruation and the jawline nodulesCheck if the time lag repeats.
Distinguishing between papules, pustules, and nodules
The risk of scarring and treatment priorities are adjusted based on the ratio of surface inflammation to deep, painful acne.
No, it is not. Sebum·Clogged pores, bacteria, and inflammation act together with hormones, products, and medications. Strong cleansing and repeated scrubbing can irritate the skin and may actually worsen the condition.
How to discuss my symptoms during the medical evaluationFrequently Asked Questions
Frequently Asked Questions Before Your Visit
Should I throw away all my acne medications once pregnancy is confirmed?
The determination varies by medication. Before further use, verify the exact name of the medication and immediately consult your prescribing physician and prenatal care provider.
Should I just endure acne during pregnancy?
No, you do not have to. You can determine the range of treatments safe for use during pregnancy with your medical provider to address deep inflammation, the risk of scarring, and daily discomfort.
Since herbal medicine is natural, is it okay to use during pregnancy?
Safety cannot be determined by the fact that it is natural alone. A decision must be made through a consultation with a doctor of Korean medicine after reviewing the stage of pregnancy, the prescription details, and other medications.
Why do I still get acne after becoming an adult?
Sebum·Clogged pore·bacteria and inflammation are the basic processes, and in adulthood, hormonal fluctuations, stress, products, and medications may overlap as aggravating factors.
Is acne on the chin always caused by hormones?
Worsening of the chin and lower face before menstruation can be a change related to hormones, but the location alone is not definitive. Even if it first appears on one cheek, we consider the affected area, whether it accompanies the other side or jawline, the cycle, and the use of products or medications.
Read Next
Guidance related to my symptoms
Evidence and Update Information
The definitions, criteria for distinguishing similar symptoms, and safety standards from the materials below were referenced. These are applied together with medical interviews and pattern identification (Byeonjeung) to determine the direction of Korean herbal medicine and acupuncture treatments and the sequence for continuing existing treatments.
- NICE: Acne vulgaris managementThe possibility of pregnancy and the safety range for treatment options have been verified.
- AAD: Acne clinical guidelineThe acne treatment option has been verified.