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Updated: Apr 24, 2022

Acne, also known as acne, occurs in the sebaceous glands and hair follicles in the skin. To explain the formation of acne in the shortest way, the pores in the skin are the mouth part of the channels called follicles under the skin. Sebaceous glands are connected to these channels, which produce sebum, an oily liquid. In combination, oily and acne-prone skin, sebum production from time to time becomes unbalanced and increases due to various factors, and the structure of sebum changes. Sebum, whose structure changes and becomes sticky, causes the channels to become clogged over time. With the accumulation of dead skin cells at the mouth of the channel that opens outward, acne formation begins in the form of white oil buttons and black spots. Bacteria, which find the opportunity to multiply easily in the oily environment formed by the clogging of the channels and pores, never miss this chance and form first infection and then larger, sensitive, red and painful pimples.


Pimples differ according to your skin type. So not all acne and acne in everyone are the same. If you have a combination, oily or acne-prone skin type, you are in the segment with a high probability of acne, as the amount of sebum produced by the sebaceous glands will increase. Those with dry skin are the lucky ones. In the absence of hormonal disorders, dry skin is much less likely to develop acne than other skin types.


Pimples can settle on the back, chest, face and shoulders, in this sense they are not picky at all. In which area acne occurs, these are important clues that provide important information about the factors that cause acne, and can help you find the answer you are looking for to the problem of acne. Comedones, more commonly known as blackheads, are formed as a result of the pores being clogged with excess oil, dirt and dead skin, and if a bacterial attack occurs in this area, this comedon becomes inflamed and becomes a blister. These blisters can form as papules, known as reddish, raised, hard formations. Although the name of the papule sounds cute, in the next stage, it is the part of the papule that turns into pus-filled, raised skin formations and pustules. The last step of the problem that starts with blackheads is fluid-filled, red and painful cystic acne.


There are many environmental, hormonal and psychological factors that cause the spread of acne in certain areas of the face. Acne occurs when the pores on the facial skin are clogged with oil, dead skin and bacteria.

Basically, acne formation is observed under the following conditions:

  • Excessive sebum production by the sebaceous glands

  • Clogging of pores with sebum and dead skin

  • Bacteria increase in pores

Now let's come to the curious part and examine the causes of acne formation in different parts of the face in more detail.


For individuals with combination, oily and acne-prone skin, the problem of forehead acne is quite common. University of Rochester Medical Center Dermatology Specialist Weinstein Velez draws attention to the following about the formation of acne on the forehead;

  • Your hairstyle can exacerbate acne on your forehead. Especially bangs can cause dirt, oil and hair product accumulation here. In such a case, acne gradually worsens.

  • In cases where there is too much sweat and oil accumulation on the forehead, the pores become clogged. A rash-like problem, which is not technically acne, occurs and makes the forehead skin rough.


Acne can also occur in the mouth, chin and chin. Acne in this area of the face can mostly be caused by changes and fluctuations in the hormone level. Acne in this area of the face can often be caused by hormonal irregularity, but it can also be caused by consuming processed and refined fatty foods, which take a toll on your health in many ways.


Your cheeks are the most touched part of your face. Therefore, it is constantly faced with dirt and oil that can cause acne. Needless to say, you are more likely to touch your cheeks when your hands are dirty. Let's say you don't touch your face with your hands. Even then, there are situations that you can't get rid of. For example, pillow cases, makeup brushes that you neglect to wash for a long time and use again and again, and the little devil in your pocket; your phone. Do you realize how close you hold your phone to your face? Our cell phones are notorious for carrying germs, and the more we use our phone, the more oily and make-up our screen becomes. Then we hold it in our hands, and when the phone rings, we bring it back to our face. Need more reasons for acne breakouts? Actually there is. Another potential cause of acne on the cheeks is hormones. Hormone fluctuations caused by pregnancy, menstruation, testosterone therapy, stress, or other sources can trigger increased oil production or trigger an inflammatory response, leading to acne breakouts in the U-zone or typically non-oily areas. In addition to these, the problem of acne on the cheek may be partly due to daily habits. Any product that you apply to your face for a long time can also cause bacteria and dead skin cells, and therefore acne, if you do not clean it properly. In this context, your phone, your pillowcase, the napkins you use, and even your hands that you rub on your face may be the closest enemies that cause acne on your cheek. Acne on our face is like a picture of the sweets we eat. Because if you can't get rid of acne on your face, you may be consuming too much sugary food. You should not forget that excessive sugar consumption can cause acne formation in the face area, especially on the cheeks. Don't be too hard on yourself though, it can't be the sugar we all love to blame.


Although the acnes on the nose are relatively smaller, inflamed pustules may also develop. Large cystic lesions are not common in the nose. The most common form of acne on the nose is blackheads and can develop in almost any skin type. However, oily and combination skin is more prone to acne in this area as well. There are more oil glands around the nose than other parts of the face, and this situation makes the nose area more oily, especially in people with oily skin, and increases the formation of blackheads. After nose surgeries, when using a mask for a long time or when this area is left without air, lubrication on the nose skin increases and acne formation accelerates.


We are more moderate towards facial acne. Maybe because they visit us all the time. Therefore, acne on the body can be much more annoying. These pesky acnes tend to form on parts of the body that are more sensitive to heat, pressure, or friction. If you have a balanced hormonal system, acne in any part of your body is a normal acne and can be easily prevented with the right care for the right skin type as well as paying attention to your personal hygiene. This type of acne usually manifests itself in the form of comedones, and when care is taken in the early stages, its transformation into acne and its spread can be stopped immediately. On the other hand, when the hormonal balance of the body is disturbed, the sebum, whose structure is disturbed, becomes sticky and increases the risk of clogging first of the channels and then of the pores. Thus, the necessary negative conditions are created for our insidious acne friend.


As on the face, there are sebaceous glands and hair follicles on the back that secrete sebum to keep the skin moist. As a result of increased sebum production, the clogged channels become a fresh canvas for acne formation on the back with the increase in the number of bacteria. Although athletes have an important place among those who suffer from acne on the back, it is not only athletes who experience this problem. Acne formation can also be caused by friction caused by carrying a backpack or by wearing very tight clothes, especially in humid weather. In patients with normal hormonal balance, if there is genetically oily skin, the back area will also be oiled. The presence of hair follicles, especially in the back area, facilitates the formation of blackheads. Oily massages, using a very hard scrub, waxing, razor or laser on the back hair easily lead to the development of both acne and hair follicle inflammation, which is very similar to acne. Pimples on the back are usually caused by genetics; If your parents have acne problems on the neck, shoulders and back, you probably and unfortunately experience this situation too. While the genetic predisposition for back acne isn't something you can change, there are several ways to limit and treat back acne. Similar to facial acne, acne on the back can occur more frequently during puberty, menstruation and pregnancy. In the same way, hormonal back acne may occur in men due to increased testosterone levels.

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