What Causes Acne?

The precise cause of acne is not known, but its onset is usually linked to a few key factors. One of the most important of these factors seems to be the increase in the production of androgen hormones that occurs in both men and women during puberty or adolescence. Increased amounts of androgens in the body cause the sebaceous glands to become enlarged and to produce greater quantities of sebum (oil).

Also during puberty, the skin cells lining a follicle tend to be shed at a quicker pace, increasing the probability that they will stick together and contribute to blockages in the follicle.

Other factors that are thought to contribute to acne include:

  • use of greasy, pore-clogging (comedogenic) cosmetics.
  • a family history of acne.
  • abrasion caused by over-vigorous scrubbing, frequent shaving, or other manipulation and "picking at" the skin.
  • exposure to high heat and humidity.
  • exposure to airborne pollutants.
  • the use of certain drugs, such as glucocorticoids, iodides, bromides, lithium, artificial androgens and others.

No definitive link has been shown to exist between acne and diet--even with the consumption of chocolate, fatty foods or shellfish. Surprisingly, even such factors as stress and poor hygiene are only linked indirectly to acne, even though regular cleansing is advisable for many reasons.

Since normal changes in the body during puberty are the main contributors to acne, it's no wonder virtually everyone experiences breakouts.

Remember, your friends experience it, your parents probably experienced it, and it's not a sign of personal failure when you experience it. Yes, even models and movie stars experience breakouts...of course, they have a lot of help hiding them!

So, do your best not to let a breakout get you down. And to minimize the frequency and severity of breakouts, follow the advice in our How To Deal With Acne? section.