What are the main causes of acne on the skin?

Approved by Dr. Majid Mohammad Hosseini

The content of this article is merely to raise awareness of yours and in no way should be taken as professional advice or recommendations, specialized to be considered. Our goal is to provide general information and to help you in better understanding of various topics.

Acne is not just a skin problem, but a complex problem with deep roots in the body's physiology, lifestyle, and mental health. Every pimple and inflammation on the skin carries a hidden message from within the body; sometimes it's a message of hormonal imbalance, sometimes a sign of unhealthy diet or chronic stress. But the cause of acne is not just one fixed and simple factor. This condition can result from changes in the skin microbiome to the body's immune responses.

Many people resort to temporary treatments without knowing the exact cause, unaware that the real solution lies in a deeper understanding of the answer to the question of what causes acne. Understanding the underlying mechanisms of the disorder, such as blocked follicles, increased sebum production, or the activity of specific bacteria, can provide transformative insight into the path to treatment.

If you're looking for a way to permanently get rid of acne, awareness is a vital first step. In this article, we'll take a scientific and rigorous look at the causes of acne and take a step towards true skin health. Now is the time to take a fresh look at the causes and choose the right treatment path.

What causes acne?

In today's fast-paced world, skin health is not only an aspect of appearance but also a part of people's peace of mind and self-confidence. Acne, as one of the most common skin disorders, can affect people's social, personal and even professional lives. But why do some people live without skin problems, while others struggle with inflammatory pimples, blackheads or whiteheads for years? The answer lies in a fundamental question: What causes acne?? Effective and lasting treatment for this disorder can only be found when its causes are properly identified. Without identifying the cause, any treatment will only provide temporary relief and acne will return.

Before we turn to prescription medications, skincare products, or beauty treatments, we must first understand what causes acne in each individual. The skin acts as a mirror to the body’s internal functions; any imbalance in the internal systems can manifest itself on the skin. Therefore, a scientific, cause-based approach to acne treatment yields much more lasting results.

Below, we will examine the most common causes of acne and provide a comprehensive, scientific explanation for each. These sections will include hormonal, nutritional, lifestyle, genetic, environmental, psychological, and medical factors to provide a comprehensive view of the answer to what causes acne.

Hormonal imbalance and its role in causing acne

Hormonal imbalances occur when levels of vital hormones like androgens, estrogen, progesterone, and even insulin are out of balance. In such situations, the skin quickly reacts, producing more sebum (oil), clogged pores, and inflammation. This chain reaction not only changes the appearance of the skin, but also makes superficial treatments ineffective, because the root cause of acne lies deep within the body.

Although many people think of acne as a problem only for teenagers, hormonal acne is now also common in adults, especially women during menstruation, pregnancy, menopause, or those with polycystic ovary syndrome (PCOS). This type of acne often appears on the lower face, jaw, and neck and is difficult to treat with topical treatments.

Understanding the link between the cause of acne and hormonal imbalances is an important step towards achieving a sustainable and systematic treatment. Properly regulating hormones can not only help eliminate the cause of acne in the body, but also prevent it from recurring. Choosing a balanced diet, managing stress, regular physical activity and, in certain cases, hormonal drug treatments can play an effective role in restoring this vital balance. The main causes associated with hormonal imbalance and acne:

Increased androgen levels and stimulation of sebaceous glands
Decreased estrogen and skin disorders
Progesterone fluctuations in the menstrual cycle
Insulin resistance and systemic inflammation
Chronic stress and increased cortisol
Polycystic ovary syndrome (PCOS)
Menopause and sudden hormonal changes

Each of the above is directly or indirectly related to the cause of acne and can play a decisive role in planning effective treatments. In another article, comprehensively and completely, Zero to One Hundred About Acne and Everything You Need to Know About It We have reviewed it. In that article, we discuss everything from identifying the types of acne to the causes of its occurrence and prevention methods. It is recommended that you include it in your study plan for a better understanding and more accurate information.

What is the role of sebum as the cause of the acne cycle?

To answer the question of what causes acne, sebum must be looked at as a central factor. Regulating the secretion of this natural substance through proper care, proper nutrition, stress management, and medical treatments can pave the way for acne prevention and treatment. In fact, one of the main players in this invisible field is sebum, or the skin's natural fat. This oily substance, which is naturally secreted by the sebaceous glands, plays a key role in protecting and maintaining skin moisture; but when its level is out of balance, it will cause inflammation, clogged pores, and cause acne in the body. The role of sebum in the formation of acne will be examined below:

Excessive sebum secretion: When the sebaceous glands become overactive, the skin is exposed to an excessive amount of oil. This increase, usually caused by hormonal, genetic, or nutritional factors, causes the skin's surface to become excessively oily.
Clogged pores: Excess sebum, combined with dead skin cells on the surface of the skin, clogs pores. This blockage disrupts the skin's natural breathing and provides a breeding ground for bacteria.
The right environment for acnes bacteria to grow: Propionibacterium acnes bacteria naturally live on the skin, but in the oily, oxygen-free environment caused by clogged pores, it begins to multiply, stimulating the immune system and causing skin inflammation.
The inflammatory process begins: A combination of oil, bacteria, and an immune response leads to inflammation, redness, and the formation of pus or cystic lesions. This stage is often accompanied by pain and indicates the severity of acne.
Reduced effectiveness of topical treatments: Skin that has excessive sebum secretion is often less responsive to topical creams or medications because excess oil prevents effective absorption of therapeutic agents and causes resistance to treatment.
Impact on mental health: The shiny, pimple-like appearance of the skin due to excessive sebum can negatively affect a person's self-confidence and cause anxiety or depression.

What role does clogged skin pores with dead cells play in causing acne?

Clogging of skin pores with dead skin cells is a key and very influential factor in the occurrence of acne, which plays a prominent role especially in people with oily and acne-prone skin. Naturally, the skin is constantly renewing and replacing old cells with new cells, but the lack of proper cleansing and the accumulation of these dead cells on the skin's surface causes the pores to gradually become blocked.

This blockage prevents the natural release of oil, or sebum, from the sebaceous glands and creates conditions for the growth of bacteria and inflammation. Therefore, the blockage of pores with dead cells can be recognized as a major reason in the cycle of acne formation and skin lesions. This is of great importance in understanding the cause of acne in the body, especially the cause of acne on the cheeks, and helps us to apply more effective treatment and care methods. The role of the blockage of skin pores with dead cells in the cause of acne is as follows:

The accumulation of dead cells causes skin pores to become clogged.
Clogged pores prevent the natural release of oil or sebum and provide a suitable environment for bacteria to grow.
The accumulation of fat and dead cells leads to stimulation of the immune system and inflammation.
Clogged pores are one of the major factors in causing blackheads and whiteheads.
Failure to clear pores of dead cells can exacerbate the cause of acne on the cheeks and other areas of the body.
Clogging of pores reduces the effectiveness of topical treatments and prolongs the healing period.
The accumulation of dead cells in pores causes chronic inflammation and the formation of purulent lesions.
Preventing clogged pores with regular skin care is key to effectively controlling and treating the cause of body acne.
Understanding this process in detail can help us provide more targeted treatment solutions and accelerate the skin's healing process.

Bacterial overactivity is the hidden cause of acne.

Human skin is home to billions of microorganisms that are part of its natural flora. One of these bacteria is called Cutibacterium acnes, a bacterium that, although harmless under normal conditions, can become one of the most important factors in the cause of acne if overactive.

When skin pores become clogged with sebum and dead skin cells, an anaerobic and moist environment is created for the bacteria to grow. Cutibacterium acnes multiplies rapidly in such an environment, secreting enzymes and stimulating the body's immune response, causing inflammation, redness, and ultimately acne. This reaction can lead to the appearance of whiteheads, blackheads, inflamed or even purulent pimples. Therefore, it can be said that one of the important answers to the question of what causes acne lies precisely in the excessive activity of this bacteria.

Understanding this hidden factor allows us to use scientific and targeted methods to prevent the occurrence and exacerbation of acne and pursue more effective treatment. Preventing unbalanced bacterial growth not only requires regular skin care, but is also directly related to lifestyle modification and choosing the right products. We will mention the ways to prevent and treat excessive skin bacterial activity below:

Daily cleansing of the skin with mild, antibacterial cleansers
Using astringent toners to reduce excess oil on the skin
Avoid excessive use of comedogenic cosmetics.
Using topical antibiotics as prescribed by a doctor
Adjusting your diet and reducing your sugar and dairy intake
Maintain skin's natural moisture with non-greasy moisturizers
Avoid squeezing pimples and mechanically irritating the skin.
Examination and treatment of hormonal imbalances by a specialist
Topical use of products containing benzoyl peroxide or salicylic acid
Using supplements containing zinc, vitamin A, and probiotics to strengthen the skin's defense barrier

Understanding the role of bacteria in the cause of acne is not only a key step in identifying the deep roots of the problem, but also opens up new horizons in acne care and treatment. If you are looking for a complete and accurate understanding of all effective acne treatments, read this article that comprehensively All the scientific and practical ways to treat acne Check it out, it's a smart choice.

How much are comedogenic cosmetics to blame for causing acne?

People with more sensitive skin or those who use heavy, comedogenic products are at a significantly higher risk of developing acne. But are comedogenic cosmetics really a major contributor to acne?

First of all, in order to prevent and treat acne, we need to know what causes acne and how certain cosmetic ingredients can contribute to this damaging process. Comedogenic products are substances that tend to clog the skin's pores. This blockage causes sebum (natural skin oil), dead cells, and excessive bacterial growth. The result? Inflammation, pus-filled bumps, blackheads, and even chronic skin ulcers. In such cases, the cause of acne on the cheeks, forehead, or chin could easily lie in the use of these same cosmetic products.

Now imagine that your skin is constantly exposed to heavy creams, oily foundations, or pressed powders every day, which directly contribute to clogging hair follicles. This can become a cause of body acne, especially in areas like the cheeks or back, where there is less ventilation due to prolonged contact with clothing or masks.

But the image of a life with healthy, acne-free skin is not out of reach. You can significantly reduce your risk of acne by making smart choices. Preventing acne from cosmetics is possible by following a few simple but key principles:

Reviewing product ingredients and eliminating ingredients such as lanolin, isopropyl myristate, and concentrated silicones
Using products labeled “Non-Comedogenic”
Maintain skin oil balance by using light moisturizers
Thoroughly remove makeup before bed with gentle cleansers.
Regular exfoliation to prevent the accumulation of dead cells
Avoiding daily and frequent use of heavy creams

Ultimately, understanding what causes acne and what factors contribute to its exacerbation gives us more control over our skin health. True beauty begins with awareness.

Acne: A sign of chronic stress and cortisol secretion

One of the common and often overlooked consequences of stress is acne; a skin problem that may at first glance be considered merely a superficial condition, but can actually be a sign of hormonal imbalances caused by emotional and psychological stress.

A hormone called cortisol, known as the stress hormone, is secreted by the adrenal glands when we are in stressful situations. If this secretion is chronic and continuous, it disrupts the body's hormonal balance and affects several physiological processes, including the activity of the skin's sebaceous glands, which is directly related to the cause of acne. In such conditions, the skin becomes a prone environment for inflammation, clogged pores, and as a result, acne.

If you haven't yet found the exact cause of your acne and skin inflammation, the root may lie not in your nutrition or skin hygiene, but in the depths of your psyche. The following are some of the most important mechanisms of the effect of chronic stress and cortisol secretion on the skin, and especially the appearance of acne:

Increased skin oil secretion: Cortisol stimulates the sebaceous glands, leading to excessive production of sebum (natural skin oil), which leads to clogged pores and ultimately acne.
Weakened skin immune system: Chronic stress reduces the body's immune response and impairs the skin's ability to fight bacteria. This condition can cause acne on the body, especially in less common areas like the chest or back.
Systemic inflammation: Ongoing stress can increase levels of cytokines (inflammatory proteins), which can exacerbate chronic inflammation in various tissues of the body, including the skin. This inflammation is one of the contributing factors to the development of inflammatory acne.
Disrupted sleep and cellular repair: Insufficient and poor-quality sleep, which is often a direct result of stress, slows down the skin's repair process and creates the conditions for acne to develop and persist.
Acne in specific areas of the face: One of the tangible results of disorders caused by high cortisol is the cause of acne on the cheeks, where it is highly sensitive to hormonal and neurological changes.

Achieving healthy, clear skin is not possible without understanding the psychosomatic roots of skin problems. It’s time to take a deeper look at the mind-skin connection. If you’re struggling with chronic, stubborn acne, the answer may lie within you, in your cortisol levels and stress levels. Now is the time to review your lifestyle, manage stress, and consult with a dermatologist or mental health professional.

Dairy and high sugar: Causes of increased acne

This complex skin condition often stems from a combination of internal and external factors. But among these factors, two dietary components have particularly caught the attention of dermatologists and nutritionists: excessive sugar and dairy consumption.

Contrary to popular belief that acne is solely due to poor hygiene or hormonal imbalances, new research suggests that modern dietary patterns, with their high sugar and dairy intake, play a central role in the cause of acne. When exposed to these substances, the body reacts in a complex manner that directly leads to increased sebaceous gland activity, clogged pores, and skin inflammation; a set of conditions that provide a favorable environment for acne to develop. The characteristics of this type of acne include:

Scattering in specific areas of the face: One of the obvious symptoms is the appearance of swollen and inflamed pimples in the cheek area. This condition can be an important clue to answering the question of what is the cause of acne on the cheeks.
High levels of inflammation: Simple sugars and dairy products cause a sudden increase in insulin and insulin-like growth factor-1 (IGF-1) in the body. This increase accelerates sebum production, making the skin a fertile environment for acne-causing bacteria to thrive.
Resistance to topical treatments: When the cause of acne is not properly identified and the consumption of irritating foods continues, even specialized skin treatments lose their effectiveness.
Gradual onset and long-term persistence: Unlike transient acne, acne caused by poor nutrition usually appears slowly but persists for months or even years, especially if lifestyle changes are not made.
Accompanying digestive symptoms and mood swings: Refined sugars and processed dairy products not only damage the skin, but also disrupt the functioning of the digestive system and hormonal balance, which in itself can be a more complete answer to the question of what causes acne.

Understanding the hidden effects of these two food groups is the first step towards improving your skin health. Limiting your intake of artificial sugars and dairy products can not only reduce acne, but also improve metabolic function, hormonal balance, and increase skin clarity. Now is the time to take a closer look at your daily diet and consider its impact on your appearance and inner health.

Puberty hormonal fluctuations; a common cause of teenage acne

Puberty is a sensitive stage full of biological changes that, especially in adolescents, can lead to the emergence of numerous problems, including acne. One of the common causes of acne at this age is complex hormonal fluctuations that, by increasing the production of androgen hormones, greatly stimulate the activity of the sebaceous glands. This natural process of the body, by increasing the production of sebum and clogging the skin pores, leads to the development of inflammatory and non-inflammatory acne. But the important question is how can we prevent the occurrence and exacerbation of acne in adolescence by better understanding these changes?

Understanding the cause of acne in the body and the effects of hormonal fluctuations is the first step to controlling and reducing skin complications. When adolescents and their families are familiar with this process, they can adopt targeted strategies to reduce the severity of acne and improve their quality of life. Maintaining skin hygiene, choosing a proper diet, managing stress, and using specialized skin products are among the effective strategies that, along with medical advice, can make a significant difference. The following are ways to prevent acne caused by hormonal fluctuations during puberty:

Maintain skin cleanliness with gentle daily washing
Using oil-free and non-comedogenic products
Avoid touching and squeezing pimples.
Adjusting your diet to be rich in antioxidants and low in sugar
Regular water consumption to maintain the skin's natural moisture
Stress management through relaxation techniques
See a dermatologist if acne worsens.
Using topical and oral medications prescribed by a doctor
Adequate and regular sleep for skin repair and regeneration
Avoid excessive consumption of dairy and processed foods.
Regular exercise to improve blood flow and hormonal balance
Avoid prolonged exposure to sunlight and use sunscreen.
Avoid using heavy and substandard cosmetic products.
Parental supervision of adolescent daycare
Informing and educating adolescents about the importance of skin health

By taking these steps, you can manage the natural biological processes of puberty in a way that minimizes the cause of acne and maintains healthy skin. These measures will not only help reduce skin lesions but also improve the self-confidence of teenagers, as healthy, clear skin is an important part of overall health and personal satisfaction. Now is the time to successfully navigate this challenge of puberty with accurate understanding and smart prevention.

How does PCOS cause resistant acne?

Polycystic ovary syndrome (PCOS) is one of the most complex and widespread hormonal disorders in women, which can affect physical and mental health in many ways. One of the most common and distressing problems experienced by patients with this condition is persistent and recurrent acne, which is a serious challenge for doctors and patients to treat. This is so important that understanding the disorder and how PCOS causes persistent acne can be key to providing effective treatment strategies.

In fact, the cause of acne in PCOS patients is closely related to hormonal imbalances. In this condition, the overproduction of androgen hormones, including testosterone, causes the sebaceous glands to become overactive. This overactivity leads to excessive sebum production and clogged pores, which directly causes and exacerbates acne. Acne caused by PCOS is often resistant to conventional topical treatments, making treatment more complicated.

On the other hand, metabolic abnormalities associated with PCOS, such as insulin resistance, chronic inflammation, and changes in the immune system, contribute to the development of acne. These factors work together to create a cycle of inflammation and overproduction of sebum, which makes the skin a highly susceptible environment for the growth of acne-causing bacteria. As a result, this type of acne tends to be deeper, more painful, and longer-lasting than regular acne.

Understanding this complex and multifaceted relationship between PCOS and resistant acne is crucial in determining targeted treatment strategies. A combination of hormonal medication, lifestyle modifications, and specialized skin care can help significantly improve the condition and improve the quality of life of patients. The following is a summary of the key factors that indicate how PCOS causes resistant acne:

Increased levels of androgen hormones and stimulation of the sebaceous glands
Excessive sebum production and clogged pores
Chronic systemic and cutaneous inflammation caused by metabolic disorders
Insulin resistance and its effects on hormonal balance
Disorders in the immune system that exacerbate inflammatory reactions
Poor response to conventional topical treatments and need for specialized treatment
The role of genetic and environmental factors in the severity and persistence of acne
The effect of hormonal fluctuations on skin inflammation
The need for comprehensive and combined management in the treatment of resistant acne caused by PCOS
The importance of lifestyle and dietary changes in controlling symptoms

Understanding these factors can be a valuable guide for patients and professionals to effectively combat resistant acne caused by PCOS with a scientific and precise approach and take steps towards healthier skin and a better quality of life.

How does lack of sleep cause recurrent acne?

Getting enough sleep is no longer a privilege, but a vital necessity for maintaining physical and mental health. One of the most overlooked effects of sleep deprivation is its direct and profound impact on skin health, especially the development of recurring acne. While there are many reasons for acne and skin inflammation, one of the most important and least considered factors is sleep cycle disruption, which can be the cause of chronic and resistant acne.

Sleep is not only a time for the body to rest, but also a time for skin cells to repair and regenerate. When a person doesn’t get enough sleep, cortisol—the stress hormone—increases, and these hormonal fluctuations directly lead to increased oil production, clogged pores, and the growth of acne-causing bacteria. Lack of sleep can also impair the immune system, making the skin more vulnerable to inflammation and external damage. As a result, the skin doesn’t have enough time to regenerate, and this unbalanced cycle creates a fertile ground for recurring breakouts.

Scientific studies have shown that the quality of sleep plays a decisive role in the physiological balance of the body. Without quality sleep, even the best diets and skin care will have limited effectiveness. Here are some reasons why lack of sleep can cause recurring acne:

Increased cortisol levels and stimulation of sebaceous glands
Reduced ability of the skin to repair itself overnight
Disruption of hormonal balance and biological cycles
Weakening of the immune system and increased skin inflammation
Increased oxidative stress and premature aging of cells
Stimulates the growth of acne-causing bacteria on the skin surface
Decreased natural skin moisture and dryness accompanied by inflammation
Increased skin sensitivity to pollutants and environmental factors

Paying attention to sleep quality and maintaining a regular circadian rhythm not only improves the overall health of the body, but can also be considered an effective strategy for reducing and controlling the cause of recurring acne. This shows that the beauty and clarity of the skin begins at night. If you Facial acne If you are struggling and looking for effective solutions, we recommend reading the related article.

The role of genetics in the cause of acne; unwanted family inheritance

Sometimes, for no apparent reason, acne remains with a person from adolescence to adulthood; even though the lifestyle, nutrition, and skin care are completely balanced. In these cases, genetic and hereditary traces should be sought among the reasons. The cause of acne can lie in the family history. Below are the answers to the most common questions about this type of condition:

Do genes play a role in acne? Yes. Scientific studies have shown that heredity can influence the severity, type, and persistence of acne.
What role does family history play in the cause of acne? People who have one or both parents with a history of severe acne are more likely to develop chronic acne.
How does the genetic mechanism work? Certain genes that control the production of skin oil (sebum), pore size, and the body's inflammatory response are inherited from parents and can predispose the skin to acne.
What causes acne when environmental factors are low? In the absence of external triggers such as unhealthy diet or stress, genetics may be the sole cause of acne and explain why it persists and recurs frequently.
Why is acne more difficult to treat in genetic cases? Genetic acne usually responds less well to superficial treatments and requires deeper treatment approaches such as hormonal medications or specialized skin treatments.
Where does hereditary acne most commonly occur? Usually on the face, especially on the cheeks, chin, and forehead, which are areas with high sebaceous glands.
Is it possible to prevent genetic acne? While genes cannot be changed, the occurrence and severity of acne can be controlled with targeted care, a proper diet, and visits to a dermatologist.

Understanding the role of genetics in the cause of acne is the first step towards effective treatment. If you have a family history of acne, you should know that your treatment path may be different from others. Understanding this hidden legacy is the key to smartly managing your skin health.

Causes of acne in summer; the role of excessive sweating and washing

With the onset of summer, many people experience changes in their skin; excessive sweating, increased humidity, and increased exposure to pollutants all combine to create the perfect conditions for acne to develop. Although summer is a season of freshness and vibrancy, it can also be a season of inflammation, chronic breakouts, and clogged pores for the skin. Among these, one of the most important and often overlooked aggravating factors is excessive sweating and improper or insufficient skin washing. In fact, the cause of acne on hot days of the year often lies not in the heat but in the body's reaction to the heat.

When the body increases the rate of sweating to regulate the temperature, the pores of the skin become more clogged with salt, oil, bacteria and dead cells than ever before. If the skin is not washed properly and at the right time, these elements can easily accumulate in the pores and create the basis for the development of acne. This is why in the hot months, even people who do not have any skin problems in other seasons suddenly face persistent pimples and skin inflammation. The reasons for the exacerbation of acne in the summer are as follows:

Increased sweating: Hot weather causes overactivity of sweat glands, which, if not cleaned, makes the skin prone to pollution and acne.
Over-washing or improper washing: Some people wash their skin too little, while others wash it too much. Both behaviors can disrupt the skin's balance and increase the cause of acne.
Sunscreen or makeup left on sweaty skin: The combination of oil, sweat, and chemical compounds, if not washed off, leads to clogged pores and acne.
Increased bacteria on the surface of the skin: The hot and humid summer environment provides a suitable environment for the growth of acne-causing bacteria.
Using contaminated towels or shared handkerchiefs: These items increase the transmission of infection and inflammation if they come into contact with sweaty skin.
Dehydration of the body and skin: Drinking too little water reduces the skin's defense function and increases sebum secretion, which is one of the important factors in causing acne.

To prevent acne in the summer, it is essential to be aware of how the body reacts to heat, pay attention to the principles of proper skin washing, and maintain moisture and personal hygiene. You can get through the summer with healthy skin; provided you act smartly and carefully.

Constant use of masks; cause of facial acne

With the emergence of the Covid virus and the need for continuous use of protective masks, a new phenomenon called "mask acne" or acne caused by prolonged use of masks has emerged. This condition has not only negatively affected the quality of life of people, but has also become one of the common skin problems that has faced many people with numerous skin problems. In fact, continuous use of masks provides an ideal environment for skin irritation, clogged pores, and the growth of acne-causing bacteria, which leads to the appearance and exacerbation of acne. The cause of acne in this situation, unlike the usual factors, is mostly due to friction and moisture accumulation under the mask, which makes the skin more vulnerable and prone to inflammation.

Under the pressure of the mask, the skin suffers from a lack of ventilation and increased humidity. This accumulated humidity, combined with the skin's natural oil and environmental pollutants, creates a suitable environment for the growth of microbes and skin inflammation. Also, the repeated friction of the mask with the skin of the face causes sensitivity, irritation and weakening of the skin's defense barrier. As a result, the skin pores quickly become blocked and red, inflamed and sometimes purulent pimples appear. These events ultimately lead to the appearance of resistant and recurrent acne that is difficult to treat. In general, the causes of acne can be stated as follows:

Creating a humid environment under the mask that facilitates bacterial growth
Frequent friction of the mask with the skin and damage to the skin's natural protective barrier
Clogged skin pores due to accumulation of oil and dead cells
Reduced ventilation and air exchange, which prevents the skin from breathing naturally
Excessive sweating under the mask, which aggravates inflammatory conditions
Using unsanitary or repetitive masks without proper washing
Using heavy cosmetics under the mask at the same time, which exacerbates the problem
Changes in humidity and temperature under the mask that can irritate the skin
Skin allergies caused by the type of mask or cleanser
Lack of adequate hygiene and regular washing of facial skin

By carefully understanding these factors and following health and care tips, you can minimize the negative effects of mask-induced acne and maintain skin health. Knowing how to properly use and care for yourself while wearing a mask is the key to preventing and dealing with this skin challenge.

Taking certain medications and increasing the cause of acne on the skin

What causes acne and why do some people still struggle with it despite following good hygiene and care tips? The answer to this question is more complex than just environmental or lifestyle factors. One of the hidden and less-considered causes is the use of certain medications that can directly or indirectly increase the severity and frequency of acne. These medications, by affecting hormonal processes, the immune system, or the structure of the skin, provide a platform for the development of acne, and as a result, exacerbate this unpleasant skin phenomenon.

How can medications cause acne?

Medications are often prescribed as therapeutic tools to treat health problems, but they can sometimes have unwanted side effects. These side effects can include skin changes, the most obvious of which is the appearance or worsening of acne. The process of acne formation in the skin is influenced by several factors, including excessive sebum production (the skin's natural oil), clogged pores, bacterial activity, and inflammatory reactions. Medications that disrupt the body's hormonal balance or stimulate the sebaceous glands can directly affect this process. The use of medications that cause acne is listed below:

Corticosteroids (corticosteroids): One of the most well-known acne-causing medications is corticosteroid drugs. These drugs, which are commonly prescribed to control inflammation and autoimmune diseases, cause inflammatory and cystic acne by increasing skin oil production and altering immune activity.
Androgens: This group of hormones, taken as medication or supplements, directly affect the sebaceous glands and increase sebum secretion. This leads to clogged pores and the appearance of stubborn acne.
Lithium: A popular medication used to treat mental disorders such as depression and bipolar disorder, one of the side effects of which is the development of persistent and recurrent acne. Lithium plays an important role in the development of acne by altering skin cellular processes and increasing inflammation.
Topical and systemic antibiotics: Although some antibiotics are prescribed to treat acne, their prolonged or incorrect use may cause bacterial resistance and skin irritation, leading to increased acne.
Antiepileptic drugs: Some antiepileptic drugs can cause hormonal and skin changes that ultimately increase the severity of acne.
Birth control pills with certain ingredients: Some birth control pills that contain male hormones can cause acne in some women.

The use of certain medications can be an important and often overlooked factor in the cause of acne. A deep understanding of this connection and paying attention to the side effects of medications is the key to achieving effective treatment and maintaining healthy skin. Familiarity with acne-causing medications, including corticosteroids, androgens, lithium, and others, can help patients and doctors find more appropriate solutions to combat this skin problem and ultimately improve the quality of life. Accurate and timely recognition of these factors is the first step on the path to healthy, acne-free skin.

Take the connection between chronic constipation and acne seriously!

The human body is a complex and ordered system, and the slightest disruption in one of its components can lead to a chain of problems. One such disorder is chronic constipation, a seemingly digestive problem that affects more than just the intestines and stomach. In fact, chronic constipation can be a hidden and lesser-known factor in the development of skin problems, especially acne. When the body is unable to properly cleanse itself of waste and toxins, these toxins find another way out; often through the skin. And this is where acne, as a biological alarm, presents itself.

Have you ever wondered why, despite following good hygiene, using expensive skin care products, and even changing your diet, you still struggle with chronic, stubborn acne? The answer may lie somewhere deeper than the surface of your skin: in your intestines. When regular bowel movements are disrupted, toxins begin to accumulate in your body. These toxins, entering your bloodstream, cause inflammation under the skin and lead to stubborn acne. So, one of the causes of acne may lie precisely in the poor functioning of your digestive system.

The key is to understand that our skin is a reflection of our internal health. And constipation is not only a sign of digestive problems, but also a warning sign for other organs, including the skin. The link between chronic constipation and acne is well-documented, due to the overproduction of free radicals, reduced elimination of toxins, and a weakened immune system.

To control this hidden chain, you need to start from within. Cleaning out your digestive tract, regulating your sleep patterns, getting enough fiber, drinking enough water, and reducing stress are all important steps in preventing acne caused by constipation.

What's Causing Your Acne? A Look at Vitamin A and Zinc Deficiencies

In today's world, where skin care has become an integral part of our lifestyle, many questions have occupied our minds. One of the most common questions is: What causes frequent and chronic acne? Why do pimples still appear despite maintaining good hygiene, eating a balanced diet, and using expensive skin care products? The answer to this question may not be far away, but rather hidden deep in nutritional deficiencies; somewhere between low levels of vitamin A and the vital element zinc in the body.

Vitamin A deficiency, a fat-soluble vitamin, can disrupt the normal functioning of the skin. This vitamin plays an important role in cell regeneration, regulating sebum secretion, and maintaining the integrity of epidermal tissue. When the body’s stores of this vitamin decrease, the skin becomes prone to inflammation, clogged pores, and ultimately acne. On the other hand, the less-talked-about element zinc plays a key role in regulating immunity, reducing inflammation, and repairing damaged tissues. Decreasing levels of this mineral in the body can lead to a variety of skin disorders and make acne a long-term challenge. Why should you suspect a vitamin A and zinc deficiency?

If your diet lacks rich sources of these two substances.
If acne does not improve despite medical and care treatments.
If your skin is dry, flaky, and inflamed at the same time.
If you constantly feel tired, have hair loss, or brittle nails.

Acne is not just caused by hormonal or environmental factors; many new studies have shown that the balance of nutrients in the body is the foundation of healthy skin. According to clinical studies, patients who were deficient in vitamin A and zinc experienced a significant reduction in the severity and recurrence of acne after adjusting nutritional supplements and a targeted diet. What to do now?

Consult a doctor or nutritionist to check your vitamin and mineral levels.
Blood tests to assess vitamin A and zinc levels
Adding food sources such as liver, carrots, eggs, almonds, pumpkin seeds, red meat, and fortified dairy products
If necessary, take supplements under the supervision of a doctor.

Contrary to popular belief, beautiful skin is not achieved with creams and lotions alone. Sometimes your body screams from within and makes its needs known through symptoms like acne. If you’ve been struggling with this skin condition for years, it’s time to take a deeper look at the cause of your acne. The answer may lie in your nutritional balance.

Supplement Zinc Plus Superabion, one of the reputable products of Exxon Pharmed Iranian Company under the license of DSM Switzerland, with a complete combination of zinc and B vitamins, is a smart choice for maintaining healthy skin, hair and nails. With 10 mg of zinc per tablet, this supplement plays an effective role in preventing and treating zinc deficiency; a problem that can be the cause of acne, hair loss, brittle nails and a weak immune system.

One of the most important uses of Zinc Plus is to help improve inflammatory and hormonal acne. Low levels of zinc in the blood are directly related to the occurrence of acne; therefore, taking zinc supplements can reduce skin oiliness, control acne-causing bacteria, and accelerate the healing of pimples. To learn more about the cause of acne and the role of zinc in its treatment, we recommend that you also read the comprehensive article "Benefits of Zinc for the Skin."

In addition to zinc, this supplement contains biotin, pantothenic acid, nicotinamide, folic acid, vitamins B1, B2, B6 and B12, which together promote the growth of thick and shiny hair, increase skin vitality and strengthen nails. Also, in people with diseases such as chronic diarrhea, Wilson's disease, ADHD and acrodermatitis enteropathica, Zinc Plus supplement helps improve symptoms by regulating zinc levels.

Hidden Food Allergies and Their Relationship to Acne Causes

When it comes to persistent, annoying breakouts, few people think about the hidden culprit of hidden food allergies. But you'd be surprised to learn that some seemingly harmless foods can trigger severe inflammatory responses in the body and reveal what's causing your acne.

These allergies operate in complete silence, without causing classic allergy symptoms like hives or shortness of breath. They disrupt the immune system, affect the digestive tract, and result in increased inflammation on the skin's surface. Chronic inflammation is exactly the mechanism that many experts identify as the cause of acne on the body.

Acne that consistently appears on certain areas of the face, especially the cheeks, can be a sign of a dietary problem. If you’re constantly wondering why you’re getting acne on your cheeks, it might be time to get to the root of the problem with a food allergy test. Here’s a list of 20 common foods that can trigger hidden allergies and, as a result, trigger and worsen acne. These ingredients are often found in people’s daily diets, but they may be contributing to acne without us even realizing it:

Cow's milk
Cheese and processed dairy products
Gluten (wheat, barley, rye)
Egg
Soybean and its derivatives
Chocolate
Refined sugar
Processed foods (sausages, hot dogs, chips)
Tomato
Corn
Peanut
Nuts (walnuts, almonds, pistachios)
Spicy foods and special spices
Coffee
Soft drinks and carbonated beverages
Alcohol
Oysters and seafood
Industrial vinegars
Dried fruits with sulfites
Artificial food colors and additives

Dirty pillowcases and cell phones: two hidden causes of acne

In a world where skincare has become a daily concern, many people still struggle with recurring and persistent acne, unaware that its origins lie in the simplest of their daily habits. Have you ever wondered if your pillowcase or the cell phone you talk on for hours every day could be the cause of your acne?

The invisible dirt on your pillowcase and cell phone collects a mix of oil, dead skin cells, makeup, and bacteria. Every time this dirty surface comes into contact with your face, it gives your pores a fresh chance to clog. As a result, inflammation and pimples appear that seem untreatable. In fact, ignoring these simple but harmful sources is one of the most important answers to the question of what causes acne for many people.

If you're looking for clear, healthy skin, it's time to take a fresh look at your habits. Regularly washing your pillowcases and disinfecting your cell phone is a simple but effective way to prevent a recurring cycle of acne. Now that you know that part of the answer to the question of what causes acne lies in your personal belongings, it's time to save your skin from these everyday pitfalls.

What causes acne? Understanding the impact of thyroid disorders

Thyroid disorders are complex diseases that have profound effects on various body functions, and one of the less studied but very important areas is their direct connection to skin problems, especially the cause of acne. Many patients with thyroid disorders report experiencing increased acne, which may seem unexpected at first glance, but is justified from a biochemical and hormonal perspective. Thyroid hormone imbalance can cause changes in skin oil levels and inflammatory responses, which directly contribute to the cause of acne in the body.

This complex and multifaceted relationship between the thyroid and acne has attracted the attention of dermatologists and endocrinologists. Hormonal fluctuations caused by hypothyroidism or hyperthyroidism can disrupt the body's immune system, making the skin more sensitive and prone to breakouts and inflammation. In addition, the reduced metabolism caused by thyroid disorders disrupts the process of skin cell renewal, leading to the accumulation of dead cells and clogged pores. All of these factors are involved in the formation and exacerbation of acne.

If you're looking for a definitive answer to the question of what causes acne and why some thyroid patients still suffer from acne despite regular skin care, this article will be your key. Below, we'll take an in-depth look at hormonal mechanisms, the effects of the thyroid on skin metabolism, and effective treatment strategies so you can gain a more complete understanding of how thyroid disorders are linked to acne.

The relationship between excessive consumption of protein supplements and the cause of acne

Protein supplements, especially whey and creatine, have become very popular among athletes and fitness enthusiasts. But have you ever wondered how this excessive consumption can appear as a cause of acne on your skin? An often overlooked point is the direct impact of these substances on hormonal balance and skin health. Although protein supplements are effective in increasing muscle mass and improving athletic performance, their excessive consumption can lead to skin problems, including acne.

An increase in protein in the diet affects the metabolic processes in the body abnormally. The overproduction of hormones such as insulin and IGF-1 increases, which in turn stimulate the skin's oiliness and clog the pores. This condition is the best environment for bacteria to grow and acne to appear. Therefore, the cause of acne in this case is not only the supplements themselves, but also the hormonal imbalances caused by their excessive consumption.

Additionally, excessive consumption of keratin can also increase sebum production and disrupt the skin's natural balance. These factors work together to create a cycle of inflammation and persistent acne. People who take protein supplements without the supervision of a doctor or nutritionist are at a higher risk of developing chronic and acute acne.

Strategies to deal with acne caused by smoking and hookah use

Smoking and hookah smoking are one of the hidden and lesser-known factors in causing skin problems, including acne. But what causes acne? Nicotine and other chemical compounds in cigarette and hookah smoke stimulate the skin's sebaceous glands, increasing excessive oil production. This excess oil clogs the skin's pores and provides a suitable environment for bacteria to grow. The result of this process is inflammation and ultimately the appearance of pimples and the cause of acne on the body.

In addition, smoking reduces blood flow to the skin, disrupting the healing process and slowing down the healing process. This makes problems like acne more persistent and long-lasting. On the other hand, smoking and hookah use destroy collagen and elastin in the skin; two proteins that play a vital role in maintaining the skin's freshness and health. The reduction of these substances makes the skin more vulnerable and less able to fight infections and inflammation caused by acne. Therefore, when it comes to the cause of acne, ignoring the effects of smoking and hookah can make treatment ineffective.

In the rest of this article, we will discuss the most important methods of dealing with the cause of acne caused by smoking and hookah use:

Complete cessation of tobacco and hookah
Increase your intake of antioxidants to strengthen your skin.
Visiting a dermatologist for specialized and medicinal treatment
Maintaining a healthy diet and avoiding skin irritants
Using the right moisturizers to regenerate the skin
Avoid touching your face frequently to reduce the transfer of bacteria.
Specialized treatments such as laser or peeling if necessary
Managing stress and increasing sleep quality to improve skin health
Taking vitamin and mineral supplements that help strengthen the skin
Careful, daily skin care using anti-inflammatory and oil-controlling products

By following these steps, you can reduce the negative effects of smoking on your skin and treat acne more effectively. A deeper understanding of the cause of acne and its associated factors is the key to success in maintaining healthy and beautiful skin.

Why does using inappropriate vegetable oils cause acne?

Incorrect or excessive use of unsuitable vegetable oils may disrupt the natural oil balance of the skin and cause an increase in sebum production. This excess oil is also known to be one of the main causes of acne in the body. As a result, instead of healing and improving, the skin condition worsens and skin problems become more chronic.

For those looking for natural and effective solutions to maintain healthy skin, knowing what type of oil to use and how to use it is vital. Choosing the right plant-based oils, with light, anti-inflammatory, and non-comedogenic ingredients, can speed up the healing process and prevent acne from occurring. Here are some of the most common oils:

Jojoba Oil: Oily, acne-prone skin. Jojoba oil has a structure similar to the skin's natural sebum and helps balance the skin's oil. Massage a few drops onto clean skin morning and night.
Argan Oil: Great for dry and sensitive skin. Contains vitamin E and fatty acids that deeply moisturize and strengthen the skin. Apply a few drops before moisturizer or alone to dry skin.
Sweet Almond Oil: Sensitive and dry skin, strong anti-inflammatory and emollient, helps reduce redness and irritation. Use daily as a massage after bathing.
Coconut Oil: Dry and normal skin (not suitable for oily skin) Strong antibacterial and moisturizer, but may clog pores on oily skin. Use sparingly and topically.
Rose oil: Dry, sensitive skin. Has antioxidant and anti-inflammatory properties and helps regenerate the skin. Apply a few drops to clean skin before bed.
Tea Tree Oil: Oily, acne-prone skin. A powerful antiseptic and anti-inflammatory, it is very effective for controlling acne. Diluted with a carrier oil (such as jojoba), apply topically to acne.
Lavender Oil: Sensitive and inflammation-prone skin. Soothing and anti-inflammatory, helps heal wounds and reduce redness. Use topically, diluted with a carrier oil.
Grapeseed Oil: Normal to oily skin. Lightweight and fast-absorbing, it is a non-greasy moisturizer. Can be used daily alone or with moisturizer.
Avocado Oil: Dry and very dry skin. Rich in vitamins and fatty acids that deeply nourish and repair the skin. Use as a mask or moisturizer after cleansing.
Sesame Oil: Normal to dry skin. Has anti-inflammatory and antioxidant properties and helps retain moisture. Use as a massage oil or as an additive to creams.

Oil name	Suitable skin type	Short explanation	How to use
Jojoba oil	Oily and acne-prone skin	Sebum-like structure, skin oil balance	Massage a few drops onto clean skin morning and night.
Argan oil	Dry and sensitive skin	Contains vitamin E and fatty acids, moisturizing and strengthening	Apply a few drops before moisturizer or alone.
Sweet almond oil	Sensitive and dry skin	Anti-inflammatory and emollient, reducing redness and irritation	Use as a massage daily after bathing.
Coconut oil	Dry and normal skin	Strong antibacterial and moisturizer, may clog pores	Use in small amounts and topically.
Rose oil	Dry and sensitive skin	Antioxidant and anti-inflammatory, helps regenerate skin	Apply a few drops to clean skin before bed.
Tea tree oil	Oily and acne-prone skin	Disinfectant and anti-inflammatory, effective for controlling acne	Diluted with a carrier oil, apply topically to pimples.
Lavender oil	Sensitive and inflammation-prone skin	Soothing and anti-inflammatory, heals wounds and reduces redness	Diluted with a carrier oil, apply topically.
Grape seed oil	Normal to oily skin	Lightweight, fast-absorbing, non-greasy moisturizer	Use daily alone or with moisturizer.
Avocado oil	Dry and very dry skin	Rich in vitamins and fatty acids, deep nourishment and repair	After cleansing, as a mask or moisturizer
Sesame oil	Normal to dry skin	Anti-inflammatory and antioxidant, maintains skin moisture	Use as a massage oil or an additive to creams.

What is facial wax and its effect on acne?

Facial waxing is a common way to remove unwanted hair and improve the appearance of your skin, but this cosmetic procedure can have unintended effects on your skin that are often overlooked. One of the main concerns is the link between facial waxing and acne. Many people experience inflammation, redness, and even breakouts after using facial waxing, which raises the question: What causes acne and how can facial waxing contribute to it?

This action causes irritation to the skin, some of which we have briefly mentioned below:

Inflammation and redness of the skin after waxing
Damage to the surface and protective layers of the skin
Clogged skin pores
Increased secretion of fat and its accumulation under the skin
Bacterial growth and skin infections
Skin sensitivity and allergic reactions
Stimulation of hair follicles and the appearance of inflammatory acne
Dryness and peeling of the waxed area
Creating micro-wounds and introducing contaminants
Disruption of the natural balance of the skin microbiome

Climate change and the cause of acne: What you need to know

The skin, as the first line of defense against external factors, exhibits inflammatory responses under the influence of fluctuating temperature and humidity, which can lead to increased sebum production, clogged pores, and ultimately acne. Rapid and severe changes in weather conditions, especially in areas with low or high humidity, disrupt the skin's natural balance, and the cause of acne increases significantly in these conditions. In addition, environmental pollutants and airborne particles play an important role in irritating the skin and causing inflammation, all of which can lead to the formation of stubborn and resistant acne.

To protect the skin from the negative effects of climate change and prevent acne, it is very effective to follow a few key tips:

Keeping the skin moisturized: Using moisturizers appropriate for your skin type, especially in dry weather, helps maintain the skin's natural moisture and prevents skin irritation and dryness.
Use sunscreen with a high protection factor: Sunlight, especially on sunny days or in areas with high pollution, can irritate the skin and aggravate the acne process.
Gentle and regular skin cleansing: Cleansing the skin with appropriate, non-irritating cleansers removes excess oil and impurities from the skin's surface and prevents clogged pores.
Use anti-inflammatory and anti-acne products: Ingredients like niacinamide, salicylic acid, and anti-inflammatory plant extracts can help reduce redness and inflammation.
Avoid skin contact with pollutants: Protect skin from dust, smoke, and other airborne pollutants by wearing appropriate coverings or washing promptly after exposure.
Maintain skin oil balance: Use oil-regulating products, especially in humid or hot weather conditions, which can increase sebum secretion.
Adequate hydration: Drinking enough water is very important for maintaining overall skin health and improving its function.
Lifestyle adjustments: Getting enough sleep, a balanced diet, and reducing stress can help boost your immune system and improve your skin condition.

Following these tips can significantly prevent the cause of acne caused by climate change and keep the skin healthy and fresh in extreme weather conditions.

Conclusion

In this article, we have attempted to examine the most common causes of acne in a scientific and practical manner. From hormonal factors and chronic stress to poor nutrition, climatic conditions, the use of certain medications, inappropriate cosmetic products, and even tobacco, all of which can play a role in the onset or exacerbation of acne.

Understanding the exact cause of acne is the first step to choosing an effective and lasting treatment. In addition to examining the causes, we have also introduced one of the most commonly used topical treatment options: Acnemis gelThis gel is a combination of clindamycin phosphate (a topical antibiotic) and tretinoin, a vitamin A derivative, designed to reduce inflammation, inhibit acne-causing bacteria, and regulate the skin's cell cycle. The combination of these two ingredients can be effective in treating both inflammatory and non-inflammatory acne.

But one very important note for pregnant women: The use of Acnemis gel during pregnancy is strictly prohibited. The tretinoin composition in particular can pose risks to the fetus. Therefore, pregnant women or those who are planning to become pregnant should definitely consult a specialist before using any topical medication.

Please note that using Acnemis Gel or any other drug treatment is not a substitute for medical advice. Be sure to consult a dermatologist before starting use and choose the right treatment for your acne type and severity.