Acne Vulgaris

Types, Images, Causes & Management Tips

Acne is a common skin condition that occurs when hair follicles become clogged with oil and dead skin cells, leading to pimples, blackheads, and cysts. While often viewed as a cosmetic concern, severe or persistent acne can significantly impact self-esteem and may lead to scarring. Medical intervention is crucial to address the root cause, prevent complications, and tailor treatments to achieve clearer, healthier skin.

Acne Vulgaris - Meaning And Medical Definition:

Acne vulgaris is a medical term for common “pimples”, “zits” or “breakouts”. The skin disorder affects the pilosebaceous gland, i.e. the hair follicle and the oil gland associated with it. The excessive production of natural oil or sebum combined with the buildup of dead cells and bacteria leads to the clogging of the hair follicles. It results in inflammation and redness in the form of acne.

Facial acne is one of the most widespread skin concern that includes breakouts on the forehead, nose, cheek, chin, jawline and even neck. However, pimples may also appear on other areas of the body, including chest, shoulders, arms and back. Acne usually occurs during the teenage phase due to puberty. However, for some of us, pimples may persist or become more severe during adulthood. Let us find out more about the types, causes and symptoms of acne vulgaris before exploring preventive tips and treatment options.

Causes of Acne Vulgaris

Here are the top reasons for acne you need to know-

  • Stress

    A high-stress lifestyle can trigger the activity of sebaceous glands and can result in excess sebum production and acne.

  • Medications

    Specific medicines containing androgen, corticosteroids, DHEA, and lithium cause acne as a side-effect.

  • Diet

    Regular consumption of sugary foods that have a high glycemic index can also trigger acne.

  • Improper Skincare

    Using skincare and makeup products that contain harsh chemicals or are not suitable for your skin type may clog your pores and cause breakouts.

  • Heredity

    If either of your parents had acne, then there is a high probability of you having pimples too.

  • Hormonal Changes

    Hormonal disorders related to conditions like PCOS can stimulate sebaceous glands to produce more sebum, leading to acne outbreaks. Hormonal changes during puberty, menstruation, pregnancy and menopause too may trigger breakouts.

Types Of Acne

Whiteheads

Whiteheads are closed comedones that appear as small, white and raised bumps on the skin.

Blackheads

Blackheads are open comedones that appear as tiny, dark spots on the skin.

Papules

Papules are small, solid, raised spots on the skin that have a border with edges.

Pustules

Pustules are small, pus-filled lesions on the skin that are larger than whiteheads and blackheads.

Cystic

Cystic acne is the severe form of acne. They are large and pus-filled pimples underneath skin and painful.

Nodules

Nodules or nodular acne is a severe form of acne that appears as large bumps deep under the skin. They are tender and very painful to the touch.

Symptoms

The signs and symptoms of acne vary based on the type and severity of the condition. However, you may note the following if you have acne-prone skin: Clogged pores with white or transparent lesions Redness and inflammation in the form of bumps and rashes Painful pus-filled pimples Cysts with deep abscesses Scar and pigmentation

Clogged pores

Clogged pores with white or transparent lesions

Inflammation

Redness and inflammation in the form of bumps and rashes

Pus-filled

Painful pus-filled pimples

Abscesses

Cysts with deep abscesses

Dark spots

Scars and pigmentation

Diagnosis

An experienced dermatologist can diagnose accurately and recommend treatment options to treat the specific type of pigmentation.

Step
One-on-one Consultation

During an exclusive consultation with our dermatologist, they will look out for the common signs and symptoms during a physical examination.

Step
Evaluate

They will record your family and medical history and lifestyle habits and suggest blood investigations to identify any hormonal imbalance.

Step
Customised Treatment

They will recommend a customised treatment plan based on the underlying cause, type and severity of your acne.

Are you at Risk?

  • In India alone, more than 10 million people complain of acne every year.

  • People who have a family history of acne vulgaris or hormonal issues like PCOS are more prone to breakouts than others.

  • Also, those of you undergoing hormonal changes due to puberty, pregnancy or menopause have an increased risk of having acne.

  • If you have a stressful lifestyle or poor dietary habits, your probability of having pimples is high.

Prevention and Management

Here are the top skincare tips for acne-prone skin recommended by leading dermatologists for the prevention and management of acne:

Cleanse

Wash your face twice a day with a mild cleanser, especially after a sweaty workout.Read More

Use non-comedogenic products

Skincare products containing harsh chemicals. Opt for products labelled non-comedogenic and oil-free.Read More

Do not pop or squeeze

Never pop, squeeze or pick pimples as this may aggravate the inflammation and lead to permanent scarring. Read More

Use a sunscreen

Always use a sunblock cream suitable for your skin type before going out in the sun. Do not forget to use it even on rainy days. Read More

Change pillowcases often

Maintain cleanliness and change your pillowcases every week.

Hydration

Stay hydrated to flush out toxins from your body and minimise acne.Read More

Treatment Options

Topical Retinoids

Many leading doctors prescribe topical creams or gels that contain retinoids in conjunction with advanced procedures to unclog the pores effectively and reduce acne.

Topical Antibiotics

Our medical experts may suggest the application of antibiotic creams to minimise the bacterial activity and inflammation associated with acne.

Oral Medications

Our experienced dermatologist at Oliva may recommend hormonal therapy for you to treat underlying conditions like PCOS and insulin resistance that may be triggering your acne breakouts.

Chemical Peels

Top dermatologists at Oliva apply plant-based extracts for controlled exfoliation of the skin to minimise acne.

Comedone Extraction

Our medical experts may use specialised tools in a sterile environment to remove mild forms of acne safely and effectively.

Intralesional Injections

Experienced doctors at Oliva may administer specialised injections to reduce the inflammation due to nodular and cystic acne visibly and alleviate pain.

Laser Treatments

Leading skin specialists at Oliva may recommend this advanced procedure as part of your acne treatment plan. They may combine it with other modalities to give you the best results.

Treatments Explained

Chemical Peels

Prognosis

Usually, teenage acne clears up on its own by the mid-20s. Adult acne, especially in women, may persist up to the age of 40.

  • Usually, teenage acne clears up on its own by the mid-20s.
  • Adult acne, especially in women, may persist up to the age of 40. It generally needs detailed diagnosis and holistic treatment to subside.
  • Most adults usually develop mild to moderate acne lesions and seeking immediate treatment may help them prevent recurrence and scarring.
  • Acne in its various stages can lead to permanent scars if left untreated during its early onset. Seeking early medical help is advisable.
Reviewed by Dr. Debatri Datta
MBBS, MD in Dermatology, Venereology & Leprosy
Written by : Dr. Debatri Datta
Updated on: August 24, 2024