It's not commonplace for clients to readily admit some of the horrible and unsafe things that they do to their skin. But when they do — or when you have a suspicion that they do — it's important to encourage clear and honest communication about it.
After all, if we do not have a complete understanding of our spa and medical spa clients' habits and lifestyle choices, then we cannot recommend and perform safe treatments. 

I’m just going to say it: There is a special place in hell for hormonal zits.
You likely know the ones: The kind with deep roots that set up shop on your chin and jawline—otherwise known as the “hormone belt”—and threaten to stick around forever and haunt your dreams. They make your regular old whiteheads look like a walk in the park, because not only are they annoying to look at, but they are painful—especially if you make the mistake of trying to pick at them.
It’s an unfortunate reality that hormonal acne doesn’t just go away because you’ve made it through puberty (a fact I’m reminded of every month, without fail, three days before my period). To make things easier (or at least in an attempt to keep you from regularly cursing your endocrine system or clawing at your pimples), I chatted with the experts to find out everything you need to know about that pesky hormone belt on your face, and what you can do so that you’ll never have to see it again.