How Do Birth Control Pills Affect Your Skin?

Updated 12/1/17. For many young women, taking birth control pills are a part of a daily routine. Beyond the obvious benefits of these tiny pills, for some they can also greatly affect the skin. While the pills can improve certain conditions like acne, for others it can increase breakouts or cause brown patches on the skin. Here’s some important information you need to know.

Potentially lessen breakouts with birth control pills. The pill can have a positive effect on breakouts for many women, so it may be worth considering if you believe your breakouts are hormonal and all other efforts to reduce acne have not helped. There are fluctuations in androgen hormone levels right before and during a woman’s period that can stimulate sebaceous glands to produce excess oil. Since oil encourages bacteria, along with dead cells in the pore lining, this can cause breakouts to occur. The pill can help reduce breakouts due to their affect on natural hormonal balance. (Read how to prevent adult hormonal breakouts.) Many of our clients have found that going on the pill, or simply making a change in the one they are currently taking, can reduce acne and occasional hormonal breakouts. Some examples of FDA-approved birth control pills that seem to lessen breakouts include Ortho Tri Cyclen, Yaz, and Estrostep; but your doctor can help to determine the best course of action. This is a great post that discusses the various birth control methods and how they might affect the skin.

Hair growth reduction. There is a condition called hirsutism, which is the growth of dark, course hair for women on the face, back, and breasts. This occurs when the ovaries produce excess androgens. Birth control pills may reduce the androgen production to lessen hair growth in these unsightly areas.

Brown patches and skin discoloration. A common complaint I’ve seen from clients taking birth control is the development of brown patches above the upper lip, making it look like a mustache. These dark patches can also appear on the forehead and lower cheeks. This pigmentation comes on so gradually that many women don’t even realize its happening until it’s there. (To note, there are plenty of women who take birth control pills who never experience pigmentation.) If you are someone who experiences this side effect, talk to your doctor about changing the dosage or other forms of birth control as this can help it disappear over time. While there are steps you can take to help fade it, as long as the pill is in your system, it’s difficult to get it to go away completely.

To help fade pigmentation, treat the area with exfoliation and natural skin lighteners by following these three steps.

1. Exfoliate often. The best combination is to use an exfoliating acid serum several times a week to dissolve and digest pigmented cells. Then, a physical exfoliator such as a facial scrub or sonic cleansing brush can lift off those cells. You can also use a product containing retinol, as this too will help stimulate cell turnover to get discoloration to appear lighter. With exfoliation, however, be sure to follow the instructions for usage because you don’t want to over-do it and cause potential irritation. Read the beginner’s guide to exfoliation as well as the beginner’s guide to using retinol or prescription retinoids.

2. Use a pigment lightening product. Using a fading serum or cream daily can help significantly. There are many on the market, some over-the-counter and some available by prescription. I recommend for my clients to start with a gentle, natural product and one that contains the vitamin C active ingredient, magnesium ascorbyl phosphate like found in Vitamin C&E Treatment. This is a proven melanin suppressor to put pigment cells asleep and lighten stubborn discoloration with continued use. Just remember, it’s important to address brown patches as soon as possible. Since skin cells have a memory, the longer the skin pigmentation is present, it may not try to fade it as efficiently as time goes on. Sometimes, a topical skin bleach prescription is needed, but this is a really good place to start.

3. Get professional chemical peels or Bio Brasion. Without a doubt, the right home care products can make a dramatic difference with the skin but getting quicker results requires treatments from an esthetician or skin care professional. Peels and Bio Brasion are my go to treatments for those wanting to fade discoloration. As you can see from this picture, the results are quite impressive. Photofacials and other laser treatments can be effective, too so consult with a trusted skincare professional.

As a licensed esthetician, I work closely with my clients to determine the best course of action to get their skin looking its best and manage the side effects from birth control pills.

Do you breakout during ‘that time of the month’? Read the real reason why you’re getting monthly hormonal acne.

Which skin care products are best for you? See our nine skin types or take the Skin Type Quiz and get products recommended.

Need expert advice from a licensed esthetician? Schedule a virtual consultation to get customized advice in person, over the phone or online via Skype or FaceTime.

For more expert advice check out the blog. Also, sign up for our skin tip e-newsletter, follow Renée Rouleau on Twitter and Instagram and join the discussion on our Facebook page. You’ll be your own skin care expert in no time. Get the #ReneeRouleauGlow!

Get Blog Posts In Your Email

Content Copyright © 2017, Renée Rouleau, Inc

Content found on, including: text, images, audio, or other formats were created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this blog.