Acne and Pimples

Basically acne is a self limiting disease of sebaceous gland originating from the roots of hair follicles of the face such as foreheads, cheeks and chin. By circulating the impure blood to these glands, eruption of the surface of the skin occurs with pleomorphic lesions like papules, nodules and cysts.

Acne is caused by blocked pores such as blackheads and whiteheads, pimples and deep lumps that appear on face, chest, neck, shoulders and other part of the body.

Acne and Pimples


There are several causes of acne and pimples formation on the face in both males and females like:

  • Excess production of testosterone during maturity or young age from childhood
  • Excessive sebaceous glands on the face
  • Follicular keratinization
  • Deficiency of Vitamin A
  • Hormonal changes during pregnancy
  • Starting or stopping of birth control medicines
  • Use of cosmetic products harmful to your skin type
  • Excessive intake of junk food

Due to some hormones during physical maturation, sebaceous glands produce a large amount of oil known as sebum. Sebum causes the cells to break faster at the follicle level and thus the broken cells unite together and form a blockage at the opening of the hair follicle of the skin.

The problem is further aggravated by the bacteria that grow in the mixture of cells and sebum oil in the follicle. These bacteria produce a lot of chemicals in the mixture which further stimulate inflammation and break apart the walls of the follicles. The oil (sebum), bacteria and broken cells get scattered in the skin and cause redness, pus, swelling and pimples on the skin.

There are many forms of acne as mentioned below:

Whiteheads: These are pimples which get formed and stay under the surface of the skin

Blackheads: These are pimples which come out on the surface of the skin. These are black in color.

Papules: These are pimples which look like small pink bumps on the surface of the skin. They are very small and tender

Pustules: These are the pimples which are red at the bottom and contain pus on the top.

Nodules: These pimples are large and give a lot of pain. They affect the deep inside of the skin.

Cysts: These pimples are generally pus-filled and painful. They cause scars on the skin.

According to Clinical Severity Acne has been divided into four stages of its development:

Stage one: This is represented with purely mild papules

Stage two: This is recognized by several blackheads and whiteheads, some pustules, and some tiny nodules with no scarring.

Stage three: This is characterized by numerous papules, numerous nodules, inflammation can also be observed with scarring.

Stage Four: This is characterized by grouped blackheads and whiteheads; several deeply found nodules and more inflammation and scaring.