Acne is one of the most common skin concerns, yet it can feel deeply personal and frustrating. While conventional approaches often focus on topical creams or medications to suppress breakouts, as a naturopathic doctor, we take a holistic approach and try to understand the root cause of why the skin is reacting in the first place.
By addressing underlying imbalances, we can create lasting improvements not only in skin health but also in overall well-being.
Root Causes of Acne
1. Hormonal Imbalances
Fluctuations in hormones such as testosterone, estrogen, and progesterone can increase oil (sebum) production and clog pores. Many patients notice acne flare-ups around their menstrual cycle or during times of stress — both linked to hormone shifts.
2. Gut Health & Digestion
The gut and skin are closely connected. Imbalances in the gut microbiome, food sensitivities, or poor digestion can increase systemic inflammation and show up on the skin. Conditions like dysbiosis or leaky gut often play a role in persistent acne.
3. Diet & Blood Sugar Spikes
High-glycemic foods (like refined sugar, white bread, or processed snacks) can raise insulin levels, which in turn stimulates oil glands and worsens acne. Dairy products may also contribute to acne in some individuals.
4. Chronic Stress
Stress increases cortisol and can trigger inflammation, worsen hormonal imbalances, and even disrupt gut health — all of which can aggravate acne.
5. Toxin Load & Liver Health
When the body struggles to process and eliminate toxins efficiently, the skin often becomes a secondary route of elimination, leading to congestion and breakouts.
Naturopathic Treatment Approach
A naturopathic acne protocol is always personalized, but here are some of the common pillars:
- Comprehensive Testing: Hormone panels, stool testing, and food sensitivity testing to identify hidden contributors.
- Dietary Support: A whole-foods diet rich in vegetables, protein, fiber, and omega-3s to reduce inflammation and balance blood sugar.
- Gut Healing: Using targeted probiotics, digestive support, and dietary adjustments to restore gut balance.
- Hormone Regulation: Supporting healthy cycles naturally through herbs, lifestyle, and nutrition.
- Stress Management: Mind-body practices, adaptogenic herbs, and sleep support to reduce cortisol’s impact on skin.
- Detoxification Support: Gentle liver support through diet and supplementation to optimize elimination pathways.
Bonus: The Role of Microneedling in Acne Treatment
While addressing internal imbalances is crucial, advanced skin therapies can significantly accelerate healing and boost confidence.
Microneedling for Active Acne
Microneedling uses tiny, controlled micro-injuries to stimulate skin healing. For patients with active acne, microneedling can:
- Improve topical absorption of acne-supportive serums
- Reduce inflammation and redness over time
- Balance oil production and improve skin texture
Microneedling for Acne Scars
For those dealing with past scarring, microneedling is one of the most effective natural treatments available. It helps by:
- Stimulating collagen and elastin production
- Reducing the appearance of pitted or raised scars
- Evening out overall skin tone and texture
- Enhancing skin firmness and resilience
Many patients see significant improvements after a series of treatments, especially when combined with internal naturopathic support.
Final Thoughts
Acne is never just “skin deep.” By uncovering and addressing the root cause — whether it’s hormonal, digestive, or stress-related — and pairing that with advanced skin therapies like microneedling, true healing becomes possible.
If you’re struggling with acne or acne scarring, know that there are solutions that go beyond covering up symptoms. With the right integrative approach, you can restore balance, rebuild confidence, and enjoy healthy, radiant skin.
Book your appointment with Dr. Sanam today.
Dr. Sanam Arora, ND
Sage Naturopathic Clinic