Acne is one of the major skin concerns that affect both adolescents and adults. To truly treat acne, we must understand some of the factors that may contribute to the development of acne.

1. Increase in production of sebum- Sebum is a cricitcal factor in the development of the disease of acne. During our adolescent years, our androgen hormone contributes to the excess oil production.

2. Bacteria- Propionibacterium acnes, commonly known as P-Acnes bacteria, produces toxic substances that attack the follicle and eventually incite the follicle to rupture.

3. Surface dead skin cells- Accumulation of dead skin cells on the epidermis blocks the follicle and lines the follicle, then the cells begin to stick together and form a kernel of dead skin cells. This is known as microcomedone. This is the start of what is commonly known as blackheads or comedones.