Hormonal acne is often identified by certain characteristics such as appearing predominantly on the lower face, jawline, and chin, being deep and cystic in nature, and flaring up around menstruation or in times of hormonal fluctuation like puberty, pregnancy, or menopause. Other signs may include sudden onset in adulthood, resistance to typical acne treatments, and a pattern linked to the menstrual cycle. If you suspect your acne is hormone-related, it would be helpful to consult a dermatologist for a proper diagnosis and tailored treatment plan.