Pregnancy acne & rant

In my early 20s, I battled some adult acne and went on accutane. Every since, my skin has been clear... Until I got pregnant, of course :) 
I've thrown away all chemical soaps and am going with all natural stuff. Yesterday, I went for a facial to make myself feel better. 
I was berated my the esthetician for my "infected-looking" face and for using all-natural products. She also told me that my daughter (in utero) was "stealing all of my beauty" 
 This was a high-end, expensive spa, and I went there to feel better, not worse. 
I have never been more convinced that acne has nothing to do with diet and lifestyle, as I am extremely healthy, and has everything to do with hormones!