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.
Since teenage acne is mainly due to the increased level of androgen in your body, you have to learn the effects androgen has over your acne condition. To promote growth of your body, your hormonal system releases androgen. Androgen, aside from being a stimuli of growth also has effects on your sebaceous glands under your skin. When sebaceous glands receive react with androgen, they will secrete sebum to remove excessive dead skin cells on your face. Since the amount of androgen is increased, the sebaceous glands release more sebum to your skin. The excessive sebum will create a mild mixture with the dead skin cells, sticky enough to block the pores.
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