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Writer's pictureIoana Vimard

The Mystery Behind Acne


Girl with acne and being confident

If you happen to be one of the few lucky people who has not suffered the

irritating consequences of waking up with a new pimple everyday, you might not be

acquainted with the aggravating skin condition that 85% of teenagers experience at

some point during puberty, and that is acne. Acne is a commonly encountered skin

issue that affects millions of individuals worldwide. While its exact origin is complex,

various factors contribute to the development of acne, ranging from genetic

predisposition to lifestyle choices. This essay aims to explore the intertwined nature

of acne formation, focusing on genetics, inadequate dietary choices, lack of exercise

and other influential elements, in order to give you a better understanding of why we

experience acne. 


The production of the well-known pimples, as we commonly call them, is a

fairly easy to comprehend process. Acne-prone individuals experience excessive

sebum production, which is an ideal environment for the bacteria Propionibacterium

acnes to thrive in and for it to lead to inflammation and lesions. Sebum, mixed with

dead skin cells and dirt creates a process called follicular hyperkeratinization, which

means that the hair follicles become plugged with a mixture of oil and cells, therefore

resulting in the formation of pimples. But why do some people suffer from this

condition and others not?


First and foremost, we have to consider our genetic background. If, let’s

assume, our parents had severe acne problems during their puberty, it is almost certain

that we are also predisposed to experiencing the same symptoms at some point in our

lives, as genetic factors play a crucial role in acne susceptibility. Researchers have

suggested that genetics can influence sebum production, follicular hyperkeratinization

and even inflammatory responses, which all contribute to the overall development of

acne lesions. Although, we shouldn’t put the whole blame only on our genetics.

Another factor which is crucial in the development of acne are our hormones,

and especially androgens which experience a spike during puberty. Testosterone is the

one androgen that is predominant in both genders, but others such as androstenedione

and DHEA play a significant role in acne pathogenesis. Increased androgen levels

during puberty stimulate sebaceous gland activity, therefore leading to excess sebum

production, creating  a perfect environment for acne-causing bacteria. So, that means

that puberty is the time window for most cases of acne, but some people experience

the condition as a result of other health concerns such as PCOS (polycystic ovary

syndrome) for women and overall hormonal imbalances caused by stress, diet and

sleep in both genders. 


While the role of diet in acne formation is still debated, there is evidence

suggesting a correlation between certain dietary factors and acne severity, making it

an important factor to be taken into consideration. High-glycemic diets, rich in refined

sugars and carbohydrates, may worsen acne symptoms by increasing insulin levels

and promoting inflammation, meaning that our guilty pleasures for fast food or sweets

may play a significant part in our acne problems. Additionally, dairy consumption has

been associated with acne development, possibly due to hormonal components in

milk, and many dermatologists suggest cutting down on dairy products to see a

reduction in severe acne. 


A sedentary lifestyle can also influence acne through various mechanisms.

Physical inactivity may impact hormonal balance, increasing the risk of acne

development. Moreover, sedentarism is often linked to poor circulation, which can

affect skin health and contribute to acne lesions. Lifestyle choices such as inadequate

sleep and high-stress levels also play a role in acne worsening, possibly through

hormonal fluctuations and immune system dysregulation.


Environmental factors, exposure to pollutants and harsh skincare products are

also linked to acne formation. Pollutants may increase oxidative stress, promoting

inflammation and worsening existing acne. Similarly, aggressive skincare routines or

the use of comedogenic products disrupt the skin barrier and that means our skin is

exposed to additional damage and acne becomes more and more noticeable.

In conclusion, acne formation is a multifactorial process influenced by a

combination of genetic, hormonal, dietary, lifestyle, and environmental factors.

Understanding the intertwining of these factors is crucial for developing

comprehensive strategies for acne prevention and management. And don’t forget,

acne is a normalcy, so don’t feel ashamed of your skin issues!


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