All forms of acne are collections of dirt, oil and bacteria that get trapped in enlarged pores or hair follicles and which are not allowed to escape through regular rinsing or washing of the face because the skin forms a small barrier over these. Everyone has dirt and oil on their face, but not everyone gets acne and certainly most don't have severe cystic acne. The problem with acne is not just that collection of dirt and oil but that barrier of skin cells as well, which shouldn't form this way over that opening. When that barrier forms that collection grows into a small bump that we call a pimple.
Overactive oil glands - In the teen years especially, but sometimes also during adulthood, the oil glands of the skin become extremely active, making the skin more oily. This oil can get clogged in pores leading to acne.
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