I heard that if I had acne during my teen years I probably will have acne after menopause—is this true?

No. It might not be acne. It might be rosacea.

During adolescence, hormones are heightened. When these acne making male hormone levels increase, sebaceous glands enlarge and produce more sebum, an oily/waxy substance that can clog pores, leading to acne.

Menopause is a red flag. Many menopausal women tend to think they have adult acne when they see red bumps and pimples. However, it could be rosacea. In fact, hot flashes might cause the first appearance of rosacea, so visit a dermatologist for an accurate diagnosis if you have “new acne” that came with menopause.