Breakouts along your jaw and chin: deep, tender, slow to clear, and always in the same places
Dr. Sahar Tabrizi is a licensed naturopathic doctor in Toronto who treats hormonal acne, thinning hair, and skin that has started to change from the inside, by finding the hormone, nutrient, or inflammatory pattern actually driving it. Her practice is fully virtual, so you can work with her from anywhere in Ontario.
No quick fixes. No ten step routines. No covering it up.
Skin and hair are the first places your body cuts back when hormones, nutrients, or inflammation are off. They are also the most visible, which is usually why women finally start looking for a real answer.
Breakouts along your jaw and chin: deep, tender, slow to clear, and always in the same places
There is more hair in the brush: a thinner ponytail, a part that keeps widening, shedding that will not settle
Your skin lost its bounce: less firmness, more texture, and a dullness no serum has touched
Your skin tracks your stress: redness, flares, and breakouts that arrive right after your hardest weeks
You came off the pill and your skin changed: acne that showed up afterwards and never really left
You have tried everything topical: the routine, the actives, the facials, the prescriptions, and it keeps coming back
Not ready to book yet? Start with the free guide, What Your Body Type Says About Your Hormones, and learn to read the signals your body is already sending.
You grow new skin and new hair constantly. Both are built from what is happening inside you.
Your skin and your hair are outputs, not systems of their own. When they change, something upstream changed first. These are the six places that change usually starts.
testosterone and its relatives drive oil production. When they run high, or when your skin is simply more sensitive to them, pores clog along the jaw and chin. The same hormones thin hair at the crown and the part while thickening it in places you never asked for.
estrogen supports collagen, hydration, and the thickness of your skin. As it shifts, skin gets drier and thinner and lines settle in faster. The drop before your period is why breakouts can arrive almost on schedule.
a sustained stress load raises inflammation, breaks collagen down faster than you build it, and pushes a wave of hair follicles into shedding at once. This is why heavy shedding so often shows up well after the hardest stretch has already passed.
spikes drive both inflammation and androgen production, and excess sugar binds to collagen in a process that leaves it stiff and brittle. This is the most direct line there is between what you eat and how your skin ages.
hair is one of the first things your body stops spending on when supply is short. Ferritin sitting at the bottom of the range is one of the most common and most missed reasons for shedding, and it is rarely checked.
used hormones leave the body through your gut. When that pathway is sluggish, estrogen recirculates and inflammation climbs, and both of those tend to show up on your face before they show up anywhere else.
This is why I test rather than guess. See the full range of hormone and lab testing I can order for you in Ontario, or read more about hormonal imbalance and how it is treated.
Most women arrive with a full shelf and a dermatologist's number.
Usually the products are fine. The issue is what they can reach. A topical works on the outer layer of your skin. The cell that becomes that layer took its instructions much earlier, from your hormones, your blood sugar, your nutrient status, and how much inflammation you were carrying at the time.
And the prescriptions? Antibiotics, the pill, and isotretinoin can work, sometimes dramatically, and sometimes they are exactly the right call. What they do is turn the output down. On their own they never ask why the output was high, which is why so many women watch the same skin return once they stop.
Hair follows the same story. A shed that began with a stressful season, a restrictive stretch of eating, or low iron stores will not respond to a scalp serum, because the follicle was never the thing that went wrong.
You have not been doing this wrong. You have been working on the layer you can see, without anyone checking the one that builds it.
A clear sequence built on evidence and testing, paced to how skin and hair actually respond.
We go through when your skin or hair changed, what it tracks with, what you have already tried, and what actually happened when you did. That history narrows the list before a single test is ordered.
We test what your pattern points to: androgens, a full thyroid panel, iron and ferritin, blood sugar markers, and inflammation. Skin and hair complaints are exactly where low ferritin and an underactive thyroid hide.
Your plan targets the hormone, nutrient, or inflammatory pattern actually behind it. Nutrition, targeted supplementation, and the daily habits that support it, built around the life you actually have.
Skin and hair grow on their own schedule, so we track what is shifting underneath and adapt as it does, instead of changing approach every time progress goes quiet.
You should not have to plan your week around how your skin is behaving.
Getting ready should be the easy part of your day.
When what is underneath is handled, your skin and your hair stop being something you manage and go back to being something you barely think about. That is the goal, not a routine you have to keep up forever.
Book a Free ConsultationThis is where a sports nutrition certification and a personal training background change the plan. None of this is exciting, and all of it is what actually moves the needle once the surface work has stalled.
skin is collagen and hair is keratin, and both of them are protein. Chronic under eating is one of the fastest ways to lose hair density and skin quality, and it is very common in women with a long dieting history.
not simply “not anemic.” Ferritin is the storage number, and hair is sensitive to it long before a standard result flags anything as low.
fewer spikes means less inflammation, less androgen drive, and less sugar binding to your collagen. This is the most underrated skin intervention there is.
omega 3s and enough total fat for hydration, barrier function, and hormone production. Very low fat eating shows up on skin quickly, and it shows up on hair not long after.
complete, regular clearance so estrogen leaves instead of recirculating, plus the absorption you need to actually use everything above.
sleep and a lower cortisol load. Collagen and hair follicles are both downstream of whether your body currently believes it can afford them.
Different names, overlapping causes. Each of these is approached by looking at the whole picture underneath rather than at the label on top.
jawline, chin, and cyclical breakouts, including acne that arrived after coming off hormonal birth control.
a widening part, a smaller ponytail, or a sudden shed after stress, illness, or a stretch of eating too little.
the change in firmness, texture, and hydration that arrives with shifting estrogen, treated as the hormonal event it is.
finding where the inflammation is actually coming from, rather than only calming it once it reaches the surface.
the gut, immune, and nutrient picture underneath skin that keeps losing its defences.
pigment changes tied to hormones, the pill, pregnancy, and thyroid, addressed at the hormonal source.
Beauty and health get treated as separate conversations, usually by people qualified in only one of them. I was trained in both, and I do not think you should have to choose.
Certified in Cosmetic Acupuncture, so how you look is taken seriously as a clinical goal rather than dismissed as vanity. Very few naturopathic doctors have trained on this side of the work.
Licensed Naturopathic Doctor, a regulated healthcare professional in Ontario who can assess you, order the testing, and treat what it finds.
Certified in Sports Nutrition, with a personal training background, which is where the protein, iron, and nutrient side of skin and hair gets handled properly instead of guessed at.
BSc in Psychology, because what your skin is doing affects how you walk into a room, and that gets treated as real rather than brushed aside.
Optimal, not just “in range”, a ferritin or thyroid result sitting inside the reference range is not the same as one that will actually grow hair.
Fully virtual practice, this is root cause work, which means all of it can be done properly from anywhere in Ontario, with no commute and no waiting room.
Yes. As a licensed naturopathic doctor in Ontario, Dr. Sahar Tabrizi can assess your skin alongside your cycle, order hormone and blood sugar testing, and treat the pattern driving the breakouts. Hormonal acne is usually an androgen, insulin, or clearance problem showing up on your face, which is why it responds to internal work when topicals alone stop being enough.
More about working with a naturopath for women in Ontario.
Most commonly a combination of androgen activity, blood sugar and insulin swings, a sustained stress load, and sluggish hormone clearance through the gut. Coming off hormonal birth control is another frequent trigger, because the pill suppressed androgen activity that returns once it is stopped. The location is a clue: breakouts along the jaw, chin, and neck tend to be hormonal rather than surface driven.
More on the systems underneath this in naturopathic care for hormonal imbalance.
The usual causes in women are low iron stores, thyroid changes, a period of eating too little, a stressful or ill stretch that pushed many follicles into shedding at once, and androgen driven thinning at the crown and part. These look different from one another and are treated differently, which is why testing matters more than a scalp product. Ferritin in particular is often normal on paper and still too low to grow hair well.
It depends on your pattern, and can include androgens such as testosterone and DHEA-S, a full thyroid panel rather than TSH alone, a complete iron panel including ferritin, blood sugar markers such as insulin and HbA1c, inflammatory markers, and nutrient status including zinc and vitamin D. The point is to find which system is actually driving the change rather than treating every possibility at once.
See the full range of hormone and lab testing she offers.
Yes, and this is one of the most common reasons women reach out. Post pill acne often appears some time after stopping, once androgen activity that the pill was suppressing returns. Support here focuses on helping your own hormones settle and on the blood sugar and clearance work that keeps the skin calm while they do, rather than waiting it out and hoping.
Dr. Sahar is certified in cosmetic acupuncture, and that training shapes how she approaches skin and ageing. Her practice, however, is fully virtual, so the care she provides is the internal root cause work: hormones, nutrients, blood sugar, inflammation, and gut clearance. The certification is why aesthetic goals are treated as legitimate clinical goals here rather than as something separate from health.
No. This work sits alongside what you are already doing rather than replacing it. Good topical care and, where appropriate, dermatological treatment are genuinely useful. What internal work adds is an answer to why your skin needed them, which is what determines whether the result holds once you scale back.
Dr. Sahar's 1:1 naturopathic care, including testing and treatment, is for women in Ontario. Women elsewhere in Canada and beyond can work with her through her signature programs, like Effortless, which are built on the same root cause principles in a coaching format.
Learn more about Effortless.
Still have questions? The easiest next step is a short, no pressure call.
Book a Free ConsultationTell me what changed, roughly when it started, and what you have already tried. I'll tell you what it points to and which testing would actually answer it. Ready to begin? Booking a free call is the fastest way.
Balance your hormones, calm the inflammation, and give your body the nutrients it has been short on, and the glow follows on its own. Let's find out what yours has been asking for.