Managing Postpartum Acne While Breastfeeding: A Case Report from Katy & Houston, Texas

Written By Honey Cisneros

Acne is not just a teenage condition. Many adult women experience breakouts during pregnancy and postpartum due to hormonal fluctuations. At Reena Jogi, MD, we frequently treat women in Katy and Houston, Texas who are navigating acne while breastfeeding or planning another pregnancy.

This case highlights the thoughtful management of acne in a 31-year-old female patient whose breakouts began during pregnancy and persisted postpartum.

Patient Background

The patient was initially evaluated on November 10, 2023 for acne vulgaris and prescribed tretinoin 0.025% cream, with instructions to gradually increase usage as tolerated.

She returned for follow-up reporting:

  • Persistent inflammatory papules and pustules

  • Comedonal acne (blackheads and whiteheads)

  • Facial distribution of breakouts

  • Onset during pregnancy with continuation postpartum

Importantly, she is currently breastfeeding and planning another pregnancy, which significantly influences medication safety and treatment selection.

Examination Findings

A focused dermatologic examination of the:

  • Face

  • Eyelids

  • Nose

  • Lips

  • Neck

confirmed ongoing inflammatory and comedonal acne. The condition was classified as inadequately controlled.

The patient was otherwise healthy, well-appearing, and in no acute distress.

Acne Treatment Considerations During Breastfeeding & Pregnancy Planning

Treating acne in women who are breastfeeding or planning pregnancy requires careful selection of medications. Many traditional acne therapies—such as oral antibiotics, spironolactone, and isotretinoin—are not appropriate during pregnancy or while trying to conceive.

We discussed safe and effective alternatives, including:

The patient was advised to confirm medication safety with her OB/GYN prior to starting any new treatment, ensuring coordinated care.

Learn more

Customized Treatment Plan

A pregnancy-conscious acne regimen was initiated:

Morning (AM Routine)

  1. Gentle cleanser

  2. Apply azelaic acid 15% gel or clindamycin 1% lotion to entire face

  3. Apply non-comedogenic moisturizer with SPF 30+

  4. Reapply sunscreen every 2 hours if outdoors

Evening (PM Routine)

  1. Gentle cleanser

  2. Apply a pea-sized amount of Differin® (adapalene) to entire face

  3. Apply moisturizing cream

Detailed retinoid counseling was provided, including:

  • Use only a pea-sized amount

  • Wait 30 minutes after washing before applying

  • Use moisturizer if dryness occurs

The patient verbalized understanding of proper use and potential side effects.

Setting Expectations for Adult Female Acne

Patients should understand:

  • Improvement typically takes 2–3 months

  • Consistency is critical

  • Acne may fluctuate with hormonal shifts

  • Contact the office if acne worsens, scarring develops, or new cystic lesions appear

Adult female acne is highly treatable, but requires patience and personalized management—especially during breastfeeding or pregnancy planning.

Adult Acne Treatment in Katy & Houston, Texas

At Reena Jogi, MD, we specialize in personalized dermatologic care for women at every stage of life. Whether you are pregnant, breastfeeding, planning pregnancy, or managing hormonal acne, we provide safe and evidence-based treatment options tailored to your goals.

If you are experiencing postpartum acne or pregnancy-related breakouts in Katy or Houston, Texas, schedule a consultation for a customized treatment plan.

Honey Cisneros
Next

Female Hair Loss in Perimenopause: Comprehensive Evaluation and Treatment in Katy and Houston, Texas