AI facial scan technology keeps saying she looks 15 but I’ve known her for a long time, when she was 21 she looked 12ish. When she was 18 she looked about 10. She says her hormones were checked when she was 24 and they were normal, she says she only looks young because she has big eyes and a small nose. Starting about 2 years ago her face started getting acne, and any treatments just made it worse. the only thing that helped was antibiotics. it isn’t just one or two spots, she says she’s getting up to a dozen new spots at once and parts of her face are constantly sore. Some of the spots are very tiny, like pore-sized, and get white heads. She never had acne when she was in school or college and she doesn’t wear any makeup and hasn’t tried anything new. Before her period she gets very irritated-hyper, one time she got so pissed off at a pretty mundane thing she threw a mug at the wall. Her bloods are normal too since she had those checked recently. She also told me once that her sweat is “very sticky” rather than watery.
Since 31 is still very young, is this normal for her age? I was told acne typically stops by 45. I mean for a cis woman (I’m trans so idk if this is just normal cis woman things)


Have her talk to a doctor about Demodex Mites.
Have her talk to a doctor, full stop. There could be a lot of things going on here, she needs a professional workup to address the root cause.