By Lucy Mazzucco

The why
Dr. Sutton says mild hormonal imbalances and Polyendocrine Metabolic Ovarian Syndrome (PMOS), formerly known as PCOS, can trigger acne, especially deep, painful cysts on the lower face, jawline and temples. “Working with your physician to stabilize your hormones with an oral contraceptive pill and/or oral spironolactone can often be important,” she says, adding that using a skincare regimen that is anti-acne, anti-comedogenic and non-irritating is crucial.
While Dr. Sutton finds that hormonal therapies are extremely effective against the deep cystic component of this type of acne, she says topical agents such as salicylic and glycolic acid, retinol or retinoids can also help remove congestion and improve texture, glow and radiance.
“Never underestimate the importance of a personalized skincare regimen for this condition. It’s critical!” She suggests picking a moisturizer that is non-comedogenic and made for acne-prone skin – and never forgetting sunscreen. “Most of the products used to treat and prevent acne can make a person more sun-sensitive, so sunscreen on a day-to-day basis is key. It will also help to lessen discolouration left by acne lesions.”
Routine reset
While adult acne and breakouts related to hormonal imbalances may feel daunting ahead of a wedding, there are actionable steps that brides and grooms can take. Both Dr. Sutton and Dr. Benjamin Barankin, Toronto dermatologist and medical director and founder of Toronto Dermatology Centre, suggest seeing a dermatologist at least six months in advance. “There are now many terrific topical cream options,” says Dr. Barankin, adding that retinol, vitamin C, glycolic acid, AHAs and azelaic acid can all help improve skin texture and tone.
Dr. Sutton emphasizes that treatments take time to work, and that skin needs to adjust to new medications and skincare products. However, she often sees improvements in her patients at the one-month mark. “If someone is doing well at three months, they’ll likely continue improving over the next three months if they stick with the same treatment. So, the more time you have, the better,” she says. Dr. Sutton also cautions against using oils and oil-based products, which can lead to blackheads and whiteheads. “Makeup is another common factor that clogs skin. So, if you are prone to clogging or mild acne, then choosing mineral-based makeup is the safest choice.”
For brides and grooms experiencing an acne flare-up close to the big day, Dr. Sutton suggests spot-treating the pimple with topical benzoyl peroxide gel, which can be used up to twice a day and helps dry out pimples and decrease inflammation. “If you have a really deep or painful cyst, these can be injected by your dermatologist with some corticosteroid to quickly shrink them and take down the inflammation,” she says.
Honeymoon prep
Keratosis Pilaris, which is sometimes referred to as “chicken skin,” can also be a concern for some during wedding season. However, Dr. Sutton says it is an extremely common skin condition. “It affects the upper outer arms most commonly but can often affect the buttocks and thighs. It shows up as tiny little rough bumps on a background of red, patchy skin,” she says. While there are treatment options, she cautions against physically exfoliating the area too aggressively. “I prefer chemical exfoliants and only recommend physical exfoliants, like a scrub, very gently, one to two times per week.” 
Depending on whether there is a redness component or just roughness, Dr. Barankin says brides and grooms can try glycolic, lactic or salicylic acid, urea, retinol or topical steroid creams. “Omega-3 fatty acids and oral vitamin A supplements may help, too. Many can be found over the counter, although there are some great prescription options from a dermatologist. Low-dose prescription oral isotretinoin can be helpful for more severe or resistant cases.”
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This article originally appeared in the Fall/Winter 2026 issue of Today’s Bride. To read the issue, click here.









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