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I am 19. How to manage my acne mostly around the jawline?

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Patient's Query

Hi doctor,

I started getting acne when I was 14, mainly on my forehead then I went on Accutane and it completely cleared up, it was clear throughout the time I was 16, now I am 19 and this year for the past seven to eight months the acne has came back but this mostly focused on the jawline and it is left horrible dark acne spots all over as well as constantly breaking out.

I went to the dermatologist and she gave me Lymecycline and Epiduo, but my skin is getting even worse, and I have been using it for five weeks.

Please advise.
Answered by Dr. Chibitam Hope Obia

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

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Hi,

Welcome to icliniq.com

I am very sorry about your medical condition, and I am glad that you are paying attention to changes in your body system. But do not worry, I am here to take care of you. Thanks for sharing that.

I believe your acneiform eruption and exfoliating dermatitis that is linked to internal inflammation. Here is a breakdown of what might be happening and how to approach it beyond temporary fixes:

  1. Hormonal imbalance - Especially if acne worsens around your period, on your jawline or chin, or during stress.

  2. Oily skin and clogged pores - If your skin is naturally oily, topical creams alone may not fully manage it.

  3. Diet or gut health - High sugar, dairy, or processed foods can trigger inflammation in sensitive people.

  4. Incorrect skincare - Using harsh products or over-washing can damage your skin barrier.

I would suggest the following treatment plan:

Medical options (Stronger but effective):

  • Oral medications: Tab Doxycycline 100mg orally thrice daily for two weeks

  • Hormonal treatments (like birth control or Spironolactone for women) twice daily for a month

  • Topical Isotretinoin (Accutane) twice daily for a month

Reply to me if you have more concerns or questions by scheduling a direct appointment or follow-up via chat, phone, or video consultation.

I hope this answers your query.

Thank you.

Medically reviewed by iCliniq medical review team
Published At November 8, 2025
Reviewed At November 10, 2025

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Decision Helper
Jawline Acne Management Decision Helper

Struggling with jawline acne?

Answer a few questions to explore potential causes and treatment options for your persistent jawline acne. This tool helps you prepare for a conversation with a healthcare professional.

  • Hormonal imbalance
  • Oily skin and clogged pores
  • Diet or gut health factors
  • Incorrect skincare practices

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.
Dr. Chibitam Hope Obia
Dr. Chibitam Hope Obia

General Practitioner

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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