Overview
Acne is the most common skin condition in the United States, affecting 50 million Americans annually. It is characterized by the development of papules, pustules, nodules, or cysts on the face, chest, or back.
The cause of acne is complex, but we will break it down into two categories: internal and external factors. Both factors contribute to an inflammatory process that creates unwanted acne lesions on the skin. So, how do you determine what is causing this frustrating skin condition? Let us take a look.
Internal Factors
Internal factors are changes inside the body that can increase oil production, inflammation, or a person's tendency to develop clogged pores.
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Hormones
Our hormones fluctuate with different stages of life. During puberty, there is an increase in growth hormones and sex hormones which influences oil production. When sebum increases, it creates a more optimal environment for bacteria to grow, creating acne lesions. Hormonal acne is also common in post-adolescent women and typically presents as painful breakouts along the jawline, chin, and cheeks due to an excessive amount of androgens in the body.
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Inflammation
It is imperative to keep our skin clean and the skin barrier balanced. When this balance is interrupted by sebum, dirt, sweat, comedogenic products, and other disrupting agents, bacteria and dead skin cells can colonize in the pores leading to acne.
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Genetics
Individuals with close family members with acne are at increased risk for the disorder, supporting a genetic component to the disease.
External Factors
External factors are exposures, routines, and habits that can trigger acne flares or make existing breakouts harder to control.
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Diet
Diet can play a role in acne development. Several studies have shown an association between acne and increased milk consumption, specifically low-fat or non-fat milk. The data is limited to milk dairy products, not cheese and yogurt. Research also supports an association between diets rich in simple sugars and acne. Eating a whole food diet, rich in fruits, vegetables, lean protein, nuts, and seeds will not only benefit your health but also your skin.
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Sweat
Sweating associated with exercise is great for your cardiovascular health, plus it is a great mood boost. However, if sweat buildup stays on your skin it can create an ideal environment for bacterial growth, leading to unwanted acne.
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Stress
Stress increases cortisol levels in the body. Increased cortisol increases sugars in the bloodstream. It also increases oil production in the skin, promoting breakouts. Manage stress with restful sleep, a healthy consistent diet, and daily exercise, even just a 20-minute walk.
How Do I Know How to Treat My Acne?
You should find a dermatology provider who will meet with you to understand which factors are causing your acne. Your provider will create a customized regimen that works for you and your lifestyle.
If you are local to the Dripping Springs area, schedule an appointment with Natalie at Sanova Dermatology. She can help guide you toward clearer skin with a plan that fits your actual triggers, goals, and daily routine.
Acne care is not one-size-fits-all. The right regimen depends on the type of acne, sensitivity of the skin barrier, lifestyle triggers, and how quickly the skin needs to respond.
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