Top 5 Causes of Acne (And How to Treat Them Effectively)

By Yuliya Koval - Licensed Esthetician | Upper East Side, NYC

If you're struggling with breakouts and feeling overwhelmed by skincare advice, you're not alone. Acne is one of the most common concerns I treat at my skincare studio here on the Upper East Side. The good news? You don’t have to fight it alone—and you don’t have to guess at the cause.

As a licensed esthetician, my goal is to help you understand what’s really going on with your skin and create a plan that delivers results. Let’s take a closer look at the top 5 causes of acne, and what you can do to treat it effectively.

1. Hormonal Imbalances

Hormonal fluctuations are one of the biggest triggers for acne, especially in adult women. You might notice breakouts around the jawline or chin, particularly before your period or during times of stress.

How to Treat It:

While I can't change your hormones, I can help your skin respond better. Facials designed to reduce inflammation, balance oil production, and support your skin barrier are incredibly effective. I also recommend calming, non-comedogenic products that won’t aggravate hormonal breakouts.

Try my customized Signature Facial to target hormonal breakouts and restore balance to your skin.

2. Clogged Pores

Makeup, sweat, sunscreen, and even the wrong skincare products can clog pores and trigger acne. This is especially common in New York City’s fast-paced, polluted environment.

How to Treat It:

Consistent, professional-grade exfoliation and extractions are key. In-studio facials remove buildup and congestion safely—unlike at-home picking, which can cause scarring. We’ll also go over your current routine and swap out any pore-clogging products.

Professional extractions done by a licensed esthetician are safer and more effective than at-home attempts.

3. Stress

Stress doesn’t just affect your mood—it affects your skin too. Elevated cortisol levels can increase oil production and inflammation, which often leads to breakouts.

How to Treat It:

Incorporating facials into your self-care routine can help reduce both stress and acne. My facial treatments combine skin-clearing techniques with massage and calming ingredients that soothe both your skin and your nervous system.

4. Diet and Gut Health

Certain foods—especially high-glycemic ones like sugar and processed carbs—can spike insulin and contribute to acne. Dairy may also be a trigger for some.

How to Treat It:

While I don't give dietary advice, I do help you recognize patterns and make mindful skin choices. We can pair lifestyle adjustments with targeted facials to support detoxification and reduce inflammation in the skin.

5. Using the Wrong Skincare Products

Not all skincare is created equal. Products labeled “natural” or “acne-fighting” aren’t always right for your skin type. In fact, many drugstore or trendy products can strip the skin, clog pores, or trigger irritation.

How to Treat It:

I perform a thorough skin analysis during every facial and help you build a routine that actually supports your skin. My product recommendations are based on proven, non-comedogenic formulas suited to your specific needs—not what’s trending on TikTok.

Acne is complex, but your treatment plan doesn’t have to be. At Skin Story studio, we specialize in results-driven facials that are customized to your skin’s unique condition and lifestyle.

If you're ready to stop the cycle of breakouts and frustration, we are here to help—with expert care, a personalized approach, and a calm, welcoming space.

👉 Book your consultation or signature acne facial today and take the first step toward clear, confident skin.

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