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NEWS & UPDATES

Understanding Acne: Types, Causes, and Treatment Options

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Tretinoin Dr. Emily Clarke June 27, 2025, 7:19 a.m.

Have you ever looked in the mirror and felt frustrated by those stubborn pimples or bumps on your face? Well you are not alone. Acne is one of the most common skin problems in the world. It affects people of all age groups from teenagers going through puberty to adults dealing with stress or hormonal changes . Acne is actually a skin condition that occurs when your hair follicles get clogged with oil and dead skin cells. It generally leads to pimples blackheads white heads or even more serious bumps like nodules.

What do you need to know about acne?

Acne happens when your hair follicles get clogged with oil dead skin cells and also sometimes bacteria. Your skin naturally produces an oil known as sebum which helps you keep it nourished but when there is too much it can mix with dead skin and block your pores. Blocked pores can cause whiteheads blackheads pimples large lumps like nodules or cysts. Acne usually appears on areas with more oil glands like your face, chest , back and shoulders. No doubt you might even associate acne with teenagers but it's very important for you to know that adult acne is also very common especially in women dealing with hormonal changes.

Different types of acne

Acne is not just one thing it comes in different forms. Understanding the right type you're dealing with can help you find the right treatment.

Non inflammatory acne:

  • White heads are small bumps under the skin and they happen when your pores are completely blocked. They might look white or skin coloured and can be really challenging to squeeze but don't pick.

  • Blackheads are open pores clogged with oil and dead skin. The black color is not dirt, it's because of oil oxidizing when exposed to air.

Inflammatory acne :

  • Papules are small red tender bumps and they don't have pus and are usually sore to touch.

  • Pustules are red bumps with white or yellow pus filled tips and these are what most people think of when they hear pimples.

  • Nodules are large hard and painful lumps under your skin. They generally form deep within your skin and don't usually have a head.

  • Cysts are actually a more severe type and deep pus filled painful lumps can lead to scarring if not treated properly. Other forms also include  acne mechanica and they are generally caused due to friction from helmets, tight clothing and sports gear besides cystic acne or severe form that often needs medical treatment.

The root cause of acne: why do you get it?

Understanding why acne occurs is key to treating it properly.

  • Hormonal fluctuations, especially androgens, increase during poverty and cause the skin to produce more oil. Hormonal acne can appear during menstruation, pregnancy , menopause and high stress time. You might often experience hormonal acne on the lower face and jawline.

  • Excessive sebum production is a problem. No doubt, sebum keeps your skin from drying out but too much sebum can clog the pores and lead to breakouts.

  • When dead skin cells don't shed properly they mix with oil and form a plug in your pores. This creates a breeding ground for bacteria.

  • If your parents had acne you're more likely to get it too. Genetics can also influence your skin type oil production and also how it reacts to bacteria.

  • Other contributing factors like diet can also cause acne but high glycemic diets and dairy might aggravate it in some cases.

  • Stress doesn't cause acne but it can make existing acne worse.

  • medications like steroids or hormonal medications can trigger breakouts.

  • Some products with comedogenic ingredients can cause acne.

Treatment options

There is no one-size-fits-all acne treatment. What works for you might not work for someone else so it's important for you to understand the treatment options.

Over the counter treatments:

You can find these at your local chemist or supermarket in Australia. Salicylic acid helps you unclog your pores and gently exfoliate the skin and it works best for blackheads and whiteheads. At the same time benzoyl peroxide kills acne causing bacteria reduces inflammation and also reduces oil production. You must start with lower concentrations to reduce irritation. Furthermore when it comes to over the counter treatments you must always do a patch test of new products. Use sunscreen daily as many acne treatments make your skin more sun sensitive. At the same time, you must be patient as results often take 6 to 8 weeks.

Prescription topical medications:

If over the counter treatments don't work it's time for you to check out prescription topical medications. Prescription retinoids are stronger than adapalene and they treat both existing acne and prevent new breakouts. Prescription antibiotics help you reduce bacteria and inflammation. You can generally combine it with benzoyl peroxide to prevent resistance.

Oral medications:

Oral medications are used to treat severe or moderate conditions or when topicals are not enough. Hormonal therapies like birth control pills can regulate hormones.

In office treatments:

chemical peels generally use mild acids to remove dead skin and unclog pores. Laser and light therapy helps you reduce bacterial inflammation generally used as a complementary treatment. Extractions under a professional can safely remove blackheads or whiteheads.

Lifestyle and home remedies :

These won't cure acne but they support your treatment plan. You can use a gentle cleanser twice a day but don't scrub. Avoid picking or popping pimples as it causes scarring. Always stay sun safe as acne treatments make your skin sensitive. You must eat a balanced diet and focus on fresh Whole Foods. Manage stress with activities like yoga, walking or journaling.

When should you see a dermatologist?

If your acne is persistent or painful causing scarring or impacting your esteem it's very important for you to see a skin specialist. In Australia you can get a referral from your GP to see a dermatologist. Don't wait for too long as early treatment can help you prevent long term damage.

Natural remedies versus medical treatments what's best for you

When facing acne you might have to choose between natural remedies and medical treatments at times. Both approaches have their own advantages and limitations and understanding what works best for your skin type and lifestyle is very important.

The appeal of natural remedies

Natural treatments are really prominent because they are generally accessible, affordable and free from synthetic materials. Common home remedies include tea tree oil which is known for its antibacterial properties and it is a favorite in Australia for treating mild to moderate acne. Aloe Vera is a soothing plant often used for its anti-inflammatory and hydrating effects. It might not clear acne completely but it can calm irritation and help the skin heal. While these remedies can be beneficial for some they are generally most effective for mild breakouts and might not address deeper cystic acne. Natural doesn't always mean safe allergic reactions or skin sensitivity can occur especially with essential oils.

 Living with acne beyond treatment

Treating acne takes a lot of time. It's a marathon not a Sprint. Most treatments need at least 6 to 12 weeks to show results. You must be consistent and follow the advice of your doctor or pharmacist. Once acne heels, it can leave marks . Treatments generally include microneedling laser therapy chemical peels or dermal fillers. You can talk to a skin specialist to see what's right for your skin type. Acne can impact your mental health and confidence. If you're feeling anxious, depressed or even avoiding social situations, speak to someone whether it's your mental health expert or even a trusted friend. Your emotional well-being is as important as your skin health.

Above all you need to know that acne treatment takes a lot of time and patience. But it is really important to remember that you have options. From over the counter treatments to prescription medications and lifestyle adjustments there are plenty of ways to manage your acne and keep your skin looking the best. If you're dealing with persistent or severe acne don't hesitate to reach out just for health.

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Reviwed by: Dr. Emily Clarke

Dr. Emily Clarke is a skincare and dermatology writer based in Sydney, Australia. With over 12 years of clinical experience, she specialises in acne care, hormonal breakouts, and skin barrier repair. Emily is passionate about breaking down complex skin science into easy, relatable advice.She collaborates with Australian pharmacies and wellness platforms to promote evidence-based skincare.Her goal is to empower readers with knowledge to take control of their skin health. Outside of writing, she enjoys beach walks and testing new sunscreen formulas.