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Background

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Breakout Cycle

Introduction

Victim or Aggressor?

Simpson Deposition

Statistics


What’s Going On?

Many Layers

Love the Skin
All About Acne
Epidermis
Next Layers

‘Plugging’ In

Blackheads
Whiteheads
Pimples
Don't Mess

Acne Diagnosis

Nasty Results

Scarring
Skin Pigmentation
Infection
Cancer
Aging
What's Next?

Related Disorders

BDD

Trichotillomania
Psychodermatosis
Acne Excoriee

OCD

Distress

   

BACKGROUND: WHAT’S GOING ON DOWN THERE?

‘Plugging’ In To What Happens Next

So sometimes, sometimes… the pore becomes clogged at the surface and traps the oil underneath. How does this happen? The sebaceous gland duct in the pore becomes clogged because of surface dirt or because the pH balance of the acid mantle is disturbed and is damaged in some way. Most often it's because the sebaceous glands are overactive and the amount of sebum and keratin trying to exit is just too much for this tiny system to handle. This can be caused by numerous reasons including diet and hormones.

The use of typical topical drying agents such as salicylic acid or benzoic peroxide, only encourage the sebaceous glands to produce more oil and a vicious cycle occurs. The other thing that could factor into the vicious cycle is the use of exfoliants, scrubs, or masks. These will all be discussed further in the Chapter entitled "Why Me?"

During the teen years the whole body goes through profound changes, the skin is no exception. In fact, the skin cells that line the opening of the hair follicle undergo significant structural changes during puberty and add to the problem of clogging pores. The body is literally toughening up for the pressures and demands of adulthood.

Most people grow out of acne after adolescence as their systems normalize. But not everybody… One of THE most common skin disorders around is oily seborrhea, simply the skin is working a little too efficiently and producing too much oil. And of course it’s most common where there are an abundance of sebaceous glands.

Acne most often appears on the face, but can be found on the chest, breasts, back legs or other areas of the body. It can occur anywhere there is a hair follicle or pore. And hair follicles cover 95% of the skin’s surface. Ever get a pimple on your behind and wonder how that happened? It’s the same basic skin system that’s working on your face or anywhere else for that matter. You are more prone to get acne on your face, scalp, chest or back however, because the oil glands there are larger and more active. On the face breakouts usually concentrate along the “T” zone - forehead, nose and chin, although other types of acne appears on the cheeks, jawline, neck or behind the ears.

INSERT GRAPHIC - picture of normal pore - microcomedo - blackhead

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