Skip to main content

Z(it) Happens / Acne 101

Derm Visits, Decoded: The Acne Questions That Really Matter

2 June, 2025

by Jenna Curcio

Let’s be honest — trying to figure out your acne on your own can feel like a full-time job. If nothing's clicking or things are getting worse, it might be time to call in a pro. That’s where board-certified dermatologists come in. They’ve seen it all, and they’re here to help you cut through the noise.

Come armed with these 8 important questions to get the most out of your visit and start seeing results that actually make sense for your skin.

1. What’s the root cause of my breakouts?

There are a hundred reasons acne shows up. Hormones. Genetics. Products. Lifestyle. A board-certified dermatologist can help you figure out what’s driving yours — and steer you away from one-size-fits-all fixes.

They might recommend treatment options like topical retinoids, hormone-based meds, or gentle exfoliants based on what’s really going on under the surface.


2. What type of acne am I dealing with?

Knowing the difference between whiteheads, hormonal breakouts, or deep cysts is a game-changer. Ask your derm to ID what kind of acne you’ve got so you’re not using random treatments that don’t fit.

Different types = different treatment options. And the more specific you get, the better your plan will work.


3. What products should I actually be using?

This is where things get super practical. Ask your derm to help you build a routine — something realistic and effective. A great base? The Acne Safe Essentials Kit: cleanse with Chamomile Jelly Cleanser, exfoliate with Blemish Control & Exfoliating Serum, and spot treat with the Sulfur Spot Treatment.

Make sure to ask:

  • What ingredients should I avoid?

  • When should I exfoliate?

  • What order should I layer products in?

  • What’s non-negotiable in the AM vs. PM?


4. Could This Be Hormonal?

If your breakouts show up around your cycle, jawline, or show no signs of calming down, ask if hormones are playing a role. Many board-certified dermatologists will factor this in and might suggest hormonal treatment options — like birth control or spironolactone — if that’s the right fit for you.


5. Are over-the-counter products enough?

Not all acne calls for prescriptions. Bring in what you’re already using and ask which ones are worth keeping. Some OTC MVPs your derm might approve of include:

Even with OTCs, it’s all about how you’re using them. Frequency, layering, and ingredient combos matter.


6. How should I exfoliate without overdoing it?

Exfoliating is great…until it’s not. Too much can damage your barrier. Your derm can guide you on what acids work best for your skin (salicylic? glycolic? both?) and how often to use them.

On off-nights from actives or retinoids, the Blemish Control & Exfoliating Serum is a solid gentle option to help you stay on track without pushing your skin too hard.


7. How is my diet and lifestyle affecting my skin?

No, you don’t need to quit pizza (literally heaven forbid). But there might be patterns worth noticing. Ask your derm if it’s worth keeping a food or habit journal. Sometimes things like high-glycemic foods or dairy can contribute — but it’s different for everyone.

The goal isn’t restriction. It’s balance and figuring out what gives your skin more support, not rules.


8. What should I do if my skin gets irritated?

Progress isn’t always linear. Ask for a game plan if your skin flakes, purges, or just isn’t vibing with something. A board-certified dermatologist can help you tweak your routine and recommend barrier-loving ingredients (think: ceramides, niacinamide, glycerin) to bring things back into balance, so be sure to check in with them on the reg.


Screenshot This For Your Next Appointment


The Takeaway: You’re The Best Advocate for Your Skin 

No one expects you to know everything about your skin — but showing up with the right questions can help your board-certified dermatologist build a plan that’s actually about you.

Ask, take notes, be honest. Your skin deserves a strategy that evolves with you. And the best treatment options are the ones that support progress — not pressure.

Author

Jenna Curcio

Ciao, I’m Jenna :) I’m a writer and brand strategist with 6+ years of experience telling stories in the beauty world — both professionally and personally. After years of dealing with acne, I know how overwhelming and emotional the skincare journey can be. I’m here to make it feel a little less confusing and a lot more human.

The starting lineup

z(it) happens in your inbox