Acne is a common skin condition that affects most people at some point. It causes spots, oily skin and sometimes skinthat's hot or painful to touch.

Acne most commonly develops on the:

  • face this affects almost everyone with acne
  • back this affectsmore thanhalf of people with acne
  • chest this affectsabout 15% ofpeople with acne

Types of spots

There are six main types of spot caused by acne:

  • blackheadssmall black or yellowish bumps that develop on the skin;they're not filled with dirt, but are black because the inner lining of the hair follicle produces pigmentation (colouring)
  • whiteheads have a similar appearance to blackheads, butmay be firmer and won't empty when squeezed
  • papulessmall red bumps that may feel tender or sore
  • pustulessimilar to papules, but have a white tip in the centre, caused by a build-up of pus
  • noduleslarge hard lumps that build up beneath the surface of the skin and can bepainful
  • cyststhe most severe type of spot caused by acne; they're large pus-filled lumps that look similar to boilsand carry the greatest risk of causing permanent scarring

What can I do if I have acne?

The self-help techniques below may be useful:

  • Don't wash affected areas of skin more than twice a day. Frequent washing can irritate the skin and make symptoms worse.
  • Wash the affected area witha mild soap or cleanser and lukewarm water. Very hot or cold water can make acne worse.
  • Don't try to "clean out" blackheads or squeeze spots.This can make them worse and cause permanent scarring.
  • Avoid using too much make-up and cosmetics. Use water-based products that are described as non-comedogenic (this means the product is less likely to block the pores in your skin).
  • Completely remove make-up before going to bed.
  • If dry skin is a problem, use a fragrance-free, water-based emollient.
  • Regular exercise can't improve your acne, but it can boost your mood and improve your self-esteem.Shower as soon as possible once you finish exercising, as sweat can irritate your acne.
  • Wash your hair regularlyand try to avoid lettingyour hair fall across your face.

Although acne can't be cured, it can be controlled with treatment. Several creams, lotions and gelsfor treating spots are available at pharmacies.

If you develop acne, it's a good idea to speak to your pharmacist for advice. Products containing a low concentration of benzoyl peroxide may be recommended but be careful, as this can bleach clothing.

If your acne is severe or appears on your chest and back,it may need to be treated withantibiotics or stronger creams that are onlyavailable on prescription.

When to seek medical advice

Even mild cases of acne can cause distress. If your acne is making you feel very unhappy or you can't controlyour spotswith over-the-counter medication,see your GP.

Also see your GP if you develop nodules or cysts, as they need to be treated properly to avoid scarring.Try to resist the temptation to pick or squeeze the spots, as this can lead to permanent scarring.

Treatments can take up to three months to work, so don't expect results overnight. Once they do start to work, the results are usually good.

acnes, which becomes more aggressive and causes inflammation and pus.

The hormones also thicken the inner lining of the hair follicle, causing blockage of the pores (opening of the hair follicles). Cleaning the skin doesn't help to remove this blockage.

Other possible causes

Acne is known to run in families. If both your mother and father had acne, it's likely that you'll also have acne.

Hormonal changes, such as those that occur during the menstrual cycle or pregnancy, can also lead to episodes of acne in women.

There's no evidence that diet, poor hygiene or sexual activity play a role in acne.

About 80% of people aged 11to 30are affected by acne.

Acne is most common in girls from the ages of 14to 17, and in boys from the ages of 16to 19.

Most people have acne on and off for several years before their symptoms start to improve as they get older. Acne often disappears when a person is in their mid-twenties.

In some cases, acne can continue into adult life. About5% ofwomen and 1% of men have acne over the age of 25.

Content supplied by the NHS Website

Medically Reviewed by a doctor on 13 Dec 2016