Acne

Acne

Acne Vulgaris is a common skin condition that occurs when hair follicles under the skin become clogged with oil (sebum) and dead skin cells. These blockages can lead to the development of pimples, blackheads, whiteheads, and, in more severe cases, cysts or nodules. Acne is most commonly found on the face, chest, back, and shoulders.

What is Acne?

Acne Vulgaris is a common skin condition that occurs when hair follicles under the skin become clogged with oil (sebum) and dead skin cells. These blockages can lead to the development of pimples, blackheads, whiteheads, and, in more severe cases, cysts or nodules. Acne is most commonly found on the face, chest, back, and shoulders.

While acne is most prevalent during adolescence due to hormonal changes, it can affect people of all ages. It usually improves with age but can persist into adulthood. In some cases, acne may cause scarring, which can affect a person's confidence and quality of life.

Typical Symptoms of Acne
  • Whiteheads: Small, flesh-coloured or white bumps under the skin
  • Blackheads: Open pores filled with excess oil and dead skin cells that turn black when exposed to air
  • Papules: Small red, tender bumps on the skin
  • Pustules: Pimples containing pus, often with a red base
  • Nodules: Large, painful lumps beneath the surface of the skin
  • Cysts: Deep, painful, pus-filled lumps beneath the skin

Acne can vary in severity from a few spots to a more widespread condition that can lead to emotional distress. The severity of acne and the types of spots can influence the most appropriate treatment method.

Medical Treatment of Acne

Your pharmacist may recommend treating your acne with:

  • Topical treatments like retinoids or benzoyl peroxide
  • Antibiotic creams or oral antibiotics to reduce bacteria and inflammation
  • Hormonal treatments (e.g., birth control pills for women) to regulate hormone levels that contribute to acne
  • In severe cases, isotretinoin, a potent oral medication, may be prescribed by a dermatologist

In addition to these treatments, you can manage acne with:

  • Gently washing your face twice a day with a mild cleanser
  • Avoiding harsh scrubbing, which can irritate the skin
  • Using non-comedogenic (won’t clog pores) skin care products and makeup
  • Keeping hair clean and away from your face to reduce oil transfer

Acne treatment often takes time, and it may take several weeks to notice improvement. For persistent or severe acne, a consultation with a healthcare professional is recommended to determine the most effective treatment plan.

Author

Dr Adam Kirk

Revision 1.0 - 17/06/2025

How it works

  1. Hit book now, create a user account or log in if you already have a My Local Surgery account. Choose a date and time that is convenient for you; a Pharmacy First consultation for acne takes less than 10 minutes
  2. The pharmacist will ask you some questions about your acne to figure out how bad it is. Some treatments can be very strong, so it’s important to understand how serious your acne is before deciding what to use.
  3. Once you’ve signed up and booked an appointment, you will receive an email with a link to access your consultation, or you can access it from your account page on the My Local Surgery website
  4. When it’s time for your consultation, use the link to join and meet your pharmacist. You can join from your mobile phone, tablet, or computer (you will need a webcam).
  5. During the consultation, your pharmacist will discuss your symptoms to determine if you have acne. They will also answer your questions about acne and possible treatments
  6. Your healthcare specialist will make a recommendation, which may include that no medical treatment is required, a referral to a different service, a follow-up appointment to monitor symptoms, or a prescription to treat your acne
  7. If a prescription is necessary, such as for topical treatments or antibiotics, your pharmacist will add this to your basket
  8. At the end of your consultation, you’ll be able to ‘check-out’. If you don’t pay for your NHS prescriptions, there will be nothing for you to pay

Possible Causes of Acne

Acne is primarily caused by hormonal changes, particularly during puberty, which increase the production of sebum. Other factors that can contribute to acne include:

  • Genetics: A family history of acne can increase the likelihood of developing the condition
  • Certain medications: Some drugs, such as corticosteroids or lithium, can trigger or worsen acne
  • Diet: While the relationship between diet and acne is not fully understood, high-glycemic diets and dairy consumption may exacerbate symptoms in some people
  • Stress: Stress doesn’t directly cause acne but can make it worse

Preventing Acne

While it may not be possible to completely prevent acne, certain practices can help reduce its severity and frequency:

  • Wash your face regularly with a mild cleanser to remove excess oil and dirt
  • Avoid picking or squeezing pimples, which can cause scarring and spread bacteria
  • Use non-comedogenic skincare and cosmetic products to avoid clogging pores
  • Maintain a healthy diet and manage stress levels to help minimise breakouts

References

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