Sorry, I don't know, but I'd love to find out if it means something, because recently I've broken out in loads of spots around my mouth, after having relatively good skin for years. Just as I think they are on the way out, another one pops up!
I put it down to having a new bloke, and doing more snogging than usual!
Touching your face a lot will cause them, thats why I asked if you smoke.
As for hormone imbalance that would because you would be hairier there so more prone to spots.
I just started a new type of contraceptive pill 3 weeks ago and i have had 2 huge spots on my chin in one week for the 1st time in years.I'm 36 by the way, so I am pretty sure hormones can cause this :-(