Struggling with Acne or Blemished Skin?

Acne often begins with blackheads (comedones) and small, skin-colored bumps. These bumps often appear close together, typically on the forehead. Many people don’t recognize these as pimples, but they are often the first signs of acne.

Moderate acne, also known as papulopustular acne, is marked by red swellings (papules) and pus-filled, inflamed pimples (pustules).

Severe acne, also referred to as papulopustular nodular acne, is characterized by tender, inflamed nodules. People with severe acne often describe these as "deep pimples" or "bumps" that are painful, inflamed, and may leave scars.

Acne commonly appears on the face, particularly around the chin, perioral area (around the mouth), cheeks, forehead, and nose. Mild acne often begins as small, skin-colored bumps clustered on the forehead. Many people don’t initially recognize these as acne, but they are often the first stage of the condition. Acne is caused, in part, by an overproduction of sebum, a natural oil in the skin, which can lead to a greasy feeling, especially on the forehead.

Pimples on the scalp can develop into inflammation of the hair follicles, known as folliculitis. This condition appears as pimple-like changes with red swelling around the hair follicle and can occur singly, in small groups, or across larger areas of the body. Folliculitis can develop anywhere hair grows, including the scalp, chest, back, buttocks, and legs. Prolonged or inflamed folliculitis can scar the hair follicle and surrounding skin, which is particularly concerning when it occurs on the scalp.

Acne can also appear on the chest and back, often triggered by stress, sweat, and friction that irritates the skin. Back acne results from increased sebum production and inflammation of the sebaceous glands. In some cases, these pimples can cause pain, itching, and discomfort, potentially leading to permanent marks and scars. People with acne on their back and shoulders may also experience protruding hypertrophic scars, which are challenging to treat. Excessive picking or squeezing of pimples can worsen scarring.

Acne may also appear on the abdomen and buttocks but can sometimes be mistaken for ingrown hairs caused by shaving.

If you use sunscreen or moisturizers, select products designed for oily skin and labeled "non-comedogenic," meaning they won’t clog pores or cause blackheads.

Try non-prescription options such as gels, toners, or creams available at the pharmacy. Look for active ingredients like benzoyl peroxide, glycolic acid, or salicylic acid.