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The 5 Types of Acne

Diving into the fascinating world of acne, we uncover a quirky mix of factors conspiring to cause pesky breakouts.

If sebum, your skin’s natural oil, goes overboard, the acne shenanigans begin.

Add dirt and dead skin stuck in pores, and you have the perfect recipe for a breakout party.

But with early intervention and understanding your acne, this is one skin condition you can get under control.

Understanding why acne forms

It is like solving a puzzle where different factors play a role in its development.

Excessive sebum (skin oil) production, the trapping of dirt and dead skin in your pores, and the proliferation of Cutibacterium acnes bacteria team up to create the perfect conditions for intense inflammation, which results in those bothersome acne breakouts.

Your skin’s natural oil, sebum, is a good thing in moderation – it keeps your skin soft and supple. But when there’s too much of it, the risk of acne significantly increases.

Acne usually starts as a minor issue but can quickly become more severe, with cystic acne being one of the most challenging types to deal with.

These breakouts often leave physical scars and can lead to post-inflammatory hyperpigmentation (PIH), making treatment more complicated. This underscores the importance of early intervention and adopting a thorough skincare routine.

Types of acne

Acne can be broadly categorised into two main types: inflammatory and non-inflammatory acne. The primary subtypes include:

  • Whiteheads (Non-inflammatory): Also known as closed plugged pores
  • Blackheads (Non-inflammatory): Often referred to as open plugged pores, blackheads result from pores filled with excess oil and dead skin cells that remain open, leading to their characteristic appearance.
  • Papules: These are tiny, red, inflamed, and tender bumps on the skin.
  • Pustules (Pimples): Pustules are papules with a pus collection. They can come to a head when squeezed due to skin debris, white blood cells, and bacteria accumulation.
  • Nodules: Nodules are large, firm, and hard lesions that can be painful. They do not contain pus and are located deep within the skin.
  • Cysts: Cysts are painful, pus-filled lesions that occur deep under the skin. They are approximately half a centimetre in diameter and have the highest potential to cause scars.

Understanding the acne grades

Understanding the causes and types of acne is fundamental in developing effective treatment strategies and maintaining healthy, clear skin. Let us look at these grades in more detail:

Grade One: Mild Acne

Grade one acne is the mildest form, commonly seen in adolescents and some adults. Key characteristics include:

  • Blackheads and whiteheads, typically in the T-zone, chin, and forehead.
  • Milia may be present around the eyelids, under the eyes, and cheeks.
  • Few minor pimples on the chin or cheeks.
  • No inflammation; only a few papules or pustules.

At this stage, controlling acne is essential to prevent it from worsening and causing scarring.

Grade Two: Moderate Acne

Grade two acne may affect the chest, back, and shoulders. Features include:

  • Commonly in the T-zone and forehead.
  • Presence of blackheads, whiteheads, and milia.
  • Visible, raised, inflamed bumps.
  • Slight skin inflammation and light superficial scarring.

Grade Three: Severe Acne

Grade three acne is characterised by significant inflammation:

  • Looks angry and inflamed.
  • Uneven, dull skin texture, not excessively oily.
  • Inflamed papules and pustules.
  • Extends to the cheeks and other areas like the chest, neck, back, and shoulders.

Grade Four: Hormonal Acne

Often referred to as hormonal acne, grade four is found around the lower part of the face, chin, jaw, and neck. Features include:

  • Flat-crusted lesions.
  • Red, inflamed papules.
  • Nodules beneath the skin.
  • Sensitised, inflamed skin with scarring.

Grade Five: Cystic Acne (Most Severe)

Grade five is the most severe form and is the cause of cystic acne. Characteristics include:

  • Very coarse and uneven skin.
  • Fluid-filled lumps under the skin’s surface.
  • Evident pitting due to deep scarring.
  • It can be excruciating and have psychological effects.

For grades four and five, the risk of scarring is high, necessitating treatment by a qualified dermatologist. If you’re concerned about your skin, consult a dermatologist for an accurate assessment and tailored treatment to minimise the risk of infection and scarring.

To conclude, the naked truth

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