Why Stubborn Acne Appears on Your Face? These are The Main Cause

Why Stubborn Acne Appears on Your Face? These are The Main Cause - The face is a body part on which acne usually develops. Apart from the face, acne can also affect other body areas such as the shoulders, neck, upper arms, back and chest. In these body parts there are the most oil glands that have the potential to trigger acne.

Then, you start to wonder how acne can appear suddenly. Acne occurs due to the production of excess oil (sebum). As a result, excess oil and dead skin cells can clog hair follicles. The skin will become inflamed, marked by the appearance of small bumps on the skin surface.

Involving the oil glands at the base of the hair follicles, acne that is harmless can leave scars on the skin. Acne that affects 3 in 4 people aged 11 to 30 years is often difficult to get rid of and thus requires special treatments. Puberty is the stage of life when acne usually appears. In addition, acne is also common during pregnancy and childbirth, perimenopause and menopause as well as menstrual cycle.

What are The Common Signs of Acne?

People of all ages can get acne especially those in the puberty period when sebaceous glands are active. Generally, black acne (blackheads) or white acne (whiteheads) appear on the face or other body parts.

If acne affects you, it can develop into acne scars that will be difficult to remove. There are several types of acne that you need to know in order to identify them from the start. The types of acne include:


Oil, dirts, and dead skin cells that get clogged in a pore are called whiteheads. The oily parts of your face that are most susceptible to being affected by whiteheads are T-zone including the chin, nose and forehead. Whiteheads, which are a mild form of acne, can be treated with topical and oral medications.

Read Also: 6 Different Types of Acne, How to Identify and Treat Them


Small bumps that appear on the skin due to clogged hair follicles are called blackheads. This type of nild acne affects the face and other body parts including the arms, shoulders, chest and back. The characteristics of blackheads are easily recognized because of their black color.


Often called a skin lesion, a papule is an area of ​​raised skin tissue less than 1 centimeter around it. Papules that can appear in many colors, shapes and sizes are generally not serious. You can recognize papules that look like a dome or flat on the top.

Pimples (Pustules)

Protruding patches of skin filled with yellowish fluid called pus are pustules. Basically big acne, pustules appear when you have some kind of infection and your body tries to fight it off with white blood cells. Pustules can form when infected fluid and dead white blood cells trapped in the pores.

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Nodular Acne

Involving bacteria called p. acnes, nodular acne is considered as a more severe form of acne. Nodular acne results from an infection that gets deep under the skin, causing the affected pore to become swollen and red. Acne nodules look like small bumps under the skin that feel painful if they are touched.

Cystic Acne

Cystic acne is different from nodular acne even though they are both under the surface of the skin. Because it is filled with pus, cystic acne is softer than nodular acne. Cysts occur when an infection gets into the skin creating a pus-filled lump. If the cyst bursts then the infection can spread, causing more acne.

What Causes Acne?

The pores on the skin connect to the oil glands through hair follicles. The glands produce oily fluids called sebum which carry dead skin cells to the surface of the skin. Excess oil glands build up together with skin and hair cells under the skin's surface will clog the follicles. A blockage that is infected with bacteria can cause swelling.

The live bacteria on the skin that contributes to acne infection is Propionibacterium acnes (P. acnes). Not all bacteria in the skin can cause acne. The types of bacteria affect the frequency and severity of acne.

Hormonal Factors

Acne caused by hormonal factors is known as acne vulgaris. This most common type of acne forms in response to hormonal changes and increases in androgens such as testosterone. This hormone stimulates the sebaceous glands to swell and produce more oil. Acne affects 80 percent between the ages of 11 and 30 years. Most of those affected by acne are teenagers aged 14 to 19 years. Some people still get acne after 30 years.

At puberty, the testosterone increases, causing muscle development in boys and bone strength in girls. Hormones can also trigger increased sebum production at the base of the hair, causing the skin to become oily. Clogged hair follicles coupled with overproduction of skin cells form blackheads which can be exacerbated by bacterial infection. Inflammation occurs due to the immune system's reaction to bacteria.

Meanwhile, hormonal changes in the period of pregnancy and menopause cycle can also trigger acne in women. According to the researchers, women who have acne around menopause generally have androgen levels in the normal range, but endrogen levels are dropping.

Genetic Factors

Genetics is said to have a role in the development of acne. If your parents have a history of acne then it is more possible that you may also have acne. Genetic acne determines how your immune system responds to acne-causing bacteria. However, there is no underlying evidence to suggest that specific genes can be affected by acne.

Some families may have a hereditary tendency to overproduce dead skin cells. Or, the family line has a tendency to produce excess sebum. If acne is caused by this then we call it genetic acne.


How can diet cause acne? When you are on a diet, you are consuming certain types of food. Some foods can raise blood sugar faster than others. Increased blood sugar causes the body to release a hormone called insulin. Excess insulin production in the blood causes the oil glands to produce more oil. This will increase the risk of acne development.

Read Also: 5 Basic Types of Skin: Normal, Dry, Oily, Combination, & Sensitive

Although the link between diet and acne is relatively controversial, researches shows that diet contributes to acne growth. There are several foods that trigger acne. One of them is foods rich in carbohydrates such as white rice, pasta, bread, crackers, cereals, syrups, and sugary drinks.

Until now, it is not clear how milk and dairy products contribute to acne formation. Milk might make acne worse because it increases insulin levels. However, the cause and effect relationship between milk consumption and acne is only a speculation that needs further research.

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The direct link between stress and acne is unclear. But one thing you need to know, stress cannot directly cause acne. However, studies suggest that stress may make existing acne worse. When people are under stress, acne takes longer to heal.

To get rid of acne, everyone needs to learn to manage stress. Even when you are not under a lot of stress, the appearance of acne presents a problem for you. Exercise regularly, get enough sleep, take a rest if the workload burdens you heavily as well as eat healthy foods might help you feel better so stress can be reduced.


Most acne cases are not related to drugs. However, acne can be triggered by the use of certain drugs, especially those containing androgenic steroids, corticosteroids, barbiturates, DHEA, and anticonvulsants.

When drugs can trigger acne, the most appropriate step to overcome it is to stop taking drugs. Usually, acne will reduce even though it takes longer. However, some people cannot discontinue medication because it is important for their survival.

How to Remove Acne?

Acne treatment can be performed by taking prescribed drugs or creams as well as self-care remedies. Depending on the type and severity, acne requires some treatments that you can do yourself at home. There are several suggested home remedies that take advantages of natural ingredients. Studies found that tea-tree oil can help reduce mild to moderate acne.

Apart from that, you can also use the extracted ingredients in tea called polyphenols. This content is useful for reducing the production of excess sebum that causes acne. To soothe your skin, you can use a moisturizer containing aloe vera.

If you experience some symptoms such as red or pus-filled bumps accompanied by itching or burning then it's time to see an experienced dermatologist. The doctor will perform an examination and diagnosis to determine the most appropriate type of acne treatment.

How to Get Rid of Acne?

Cleaning your face twice every day is important to remove dirt, excess oil, and dead skin cells. This action needs to be done by anyone whether they have acne or not. Wash your face gently with warm water and a mild facial cleanser. Rinse your face thoroughly and dry it with a soft cloth or towel.

If you must wear a makeup or skin care product make sure it includes noncomedogenic on the label. Noncomedogrnic means that it doesn't cause breakouts. Use a moisturizer to hydrate the skin and minimize dryness.

The hands that frequently hold or touch something have the potential to spread bacteria. Therefore, it is important to keep them away from your face. Also avoid picking up pimples with your fingers as this can lead to inflammation and infection. If you go outside, make sure you wear a sunscreen with SPF 30 to protect your skin from ultraviolet radiation. (Beauté Salon & Spa)

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