Acne is a common but often distressing skin condition that affects up to 95% of people aged 11 to 30 at some point in their lives. However, acne can persist well beyond the age of 30 and is increasingly common among adults. Many individuals experience hormonal acne into their 40s and 50s, with notable flares around perimenopause and menopause.
This later-life acne is often driven by hormonal fluctuations, specifically the decline in estrogen levels and the relative increase in androgen activity. These hormonal changes can lead to increased sebum (oil) production and clogged pores, triggering inflammatory breakouts typically around the jawline, chin, and neck. Stress and changes in skincare routines or medications can also contribute.
Acne develops when hair follicles become clogged with sebum and dead skin cells. This blockage creates an environment where bacteria can thrive, leading to inflammation and breakouts.
Comedonal Acne: Blackheads and whiteheads
Inflammatory Acne: Papules and pustules
Nodulocystic Acne: Large, painful lumps under the skin
Hormonal Acne: Common in adult women, often appearing around the jawline and chin
At The Blackwell Clinic, we take a personalised, evidence-based approach to acne treatment, and acne scar treatment, grounded in expert dermatological care. Our treatments are designed to tackle active acne while preventing future breakouts and reducing the risk of long-term acne scarring.
Topical Retinoids (e.g., adapalene) – Help to unclog pores and encourage skin cell turnover
Benzoyl Peroxide – Kills acne-causing bacteria and reduces inflammation
Topical and Oral Antibiotics – Reduce bacterial growth and inflammation
Oral Contraceptives – Regulate hormonal imbalances in women
Spironolactone – A hormonal treatment used primarily in women to reduce androgen levels
Clascoterone Cream – A topical anti-androgen that targets oil production, helping with hormonal acne.
Isotretinoin (Roaccutane) – A powerful vitamin A derivative for severe acne, prescribed under specialist supervision
The Blemiderm® Peel is a professional-grade chemical peel for acne and pigmentation developed by Mesoestetic to target moderate to severe acne and associated skin concerns. It contains a powerful combination of salicylic acid, azelaic acid, shikimic acid, and retinol to deeply exfoliate the skin, reduce inflammation, control oil production, and clear blocked pores.
This multi-action formula helps improve acne-prone skin while also addressing post-acne pigmentation and uneven texture. Suitable for oily, congested, and acne-prone skin types, the Blemiderm® Peel offers visible improvement in clarity and smoothness after just a few sessions.
We also offer Blemiderm®—a medical-grade, multi-phase treatment system for moderate to severe acne. Blemiderm® combines:
This system works to control inflammation, reduce C. acnes bacteria, regulate sebum production, and support the skin barrier. Ideal for those looking to treat acne comprehensively.
Initial consultation → Skin assessment, treatment planning, and skincare education
In-clinic peel session 1 → Application of Blemiderm® professional peel and active mask
Homecare kit phase 1 → Use of cleanser, serum, and night cream with active ingredients
Supplement support → Optional gut-health capsules to reduce inflammation
In-clinic peel session 2 (week 4–6) → Second targeted peel session
Homecare phase 2 → Continued use of tailored skincare products
Review & maintenance plan → Follow-up consultation and skincare optimisation
Even after acne has cleared, it may leave behind scars that affect skin texture and tone. At The Blackwell Clinic, we offer cutting-edge acne scar treatment to restore a smooth, even complexion.
| Aspect | Details |
|---|---|
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Time required |
30–60 minutes per session depending on treatment
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Time until results |
Visible improvement after 4–8 weeks; continued improvement over 3-6 months
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Longevity |
Results are long-lasting; maintenance sessions may be advised annually |
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Number of treatments |
Typically, 3–6 sessions spaced 4–6 weeks apart |
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Anaesthetic required |
Topical anaesthetic used for microneedling, subcision, and laser treatments |
We usually address active acne first before beginning scar treatments to ensure long-term results.
Yes. We are experienced in treating darker skin tones with a focus on safe, pigmentation-aware practices.
With consistent skincare and maintenance, results can last many months to years.
Most treatments have minimal downtime. You may experience redness, mild peeling, or sensitivity for a few days.
Yes, retinol for acne scars helps refine skin texture gradually.
Yes, we offer tailored Blemiderm® home-care packs as part of our treatment plan to continue results outside the clinic.
We’re a doctor-led skin clinic that blends cosmetic expertise with medical dermatology. We use evidence-based protocols and advanced skincare solutions, including Mesoestetic’s Blemiderm® range. Our approach is personal, medically sound, and results focused.
Compliant Statement: This page is written in line with UK advertising regulations and the CAP Code. Prescription-only medicines and high-strength peels are only available after a medical consultation. Individual results may vary.
