Although the exact cause is unknown, some closed comedones may rupture, resulting in an inflammatory reaction caused by leakage of follicular contents (e.g., sebum, keratin, bacteria) into the dermis. This inflammatory response may result form the action of certain bacteria, such as proprionibacterium acnes, that live in the hair follicles and break down the triglycerides of the sebum into free fatty acids and glycerin. The resultant inflammation is seen clinically as erythematous papules, inflammatory pustules, and inflammatory cysts. Mild papules and cysts drain and heal on their own without treatment. Deeper papules and cysts may result in scarring of the skin. Acne is usually graded as mild, moderate, or severe, based on the number and type of lesions (e.g., comedones, papules, pustules, cysts).
Getting facials on a regular basis can also be an efficient acne treatment. Facial skin care is important for 'waking up' the skin, getting rid of dead skin cells, and handling blackheads and whiteheads, particularly if you have a busy schedule and do not get much rest. Facials are also an excellent way to lower stress, stress and lack of sleep are elements that can contribute to adult acne.
A blemish begins approximately 2–3 weeks before it appears on your skin's surface. It starts in your sebaceous hair follicles — the tiny holes commonly called pores. Deep within each follicle, your sebaceous glands are working to produce sebum, the oil that keeps your skin moist and pliable. As your skin renews itself, the old cells die, mix with your skin's natural oils, and are sloughed off. Under normal circumstances, these cells are shed gradually, making room for fresh new skin.
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