Persistent Adult Female Acne After Teenage Years
Are the breakouts mostly around the lower face or more widespread?

Are the breakouts mostly around the lower face or more widespread?
When did you first notice that your acne was becoming more persistent?
Some people find certain foods can trigger flares, but it varies widely; keeping a simple diary of any patterns can help guide future discussions.
I understand how frustrating and uncomfortable this has been, and thank you for the details and the photograph (not shown for privacy). The pattern you’ve described is most consistent with hormonal acne, which often presents with deep, tender bumps on the lower face and tends to worsen around menstrual cycles. Conditions such as perioral dermatitis, […]
Have you noticed any triggers like stress, new cosmetics, or dietary changes?
Do the spots tend to appear mainly on the lower face, such as the jawline and chin?
When did these deeper breakouts first begin, and have they been fairly regular each month?