The factors that lead to the formation of acne lesions are

  • Increased sebum production by the sebaceous gland (androgens plays a major role).
  • Inflammatory reaction (begins before hyperkeratinization of the follicle).
  • Microcomedo enlarges into comedo, because of the hyperkeratinization of the follicle.
  • Propionibacterium acnes colonizes the follicle.


Acne or pimples is the most common chronic inflammatory skin problem that affects many people all around the globe. Many teens, women, and men are affected by severe acne and breakouts that can affect their face, jawline, neck, chest, shoulder, and back.

In acne, the skin pores get clogged with dirt, bacteria, and oil. Clogging of the pores causes inflammation and pimples formation. Multiple factors are responsible for causing acne such as hormonal imbalance, improper diet, sebum production in excess, and the invasion and growth of bacteria. Severe acne extends deep into the skin and tends to be painful. Cysts, nodules, blackheads, whiteheads are seen when the acne is severe. Acne is diagnosed and graded on the type and basis of lesions.

Living with acne can be tough and can also lead to developing anxiety, depression, and poor self-esteem. Therefore, acne has also been recognized as a psychosocial problem.

Acne treatment can help to achieve

  1. Clear acne free skin.
  2. Prevent scars and new breakouts.
  3. Boost confidence, mood, and self-esteem

Teenage acne is common but unlike the popular belief one must seek help from a dermatologist to do away with it. Treatment helps in preventing further breakouts as well as the formation of scars. Also, visiting a dermatologist will help determine the exact cause of acne and treat it accordingly.

Proper dermatological treatment becomes even more important in case of adult acne as it commonly occurs due to hormonal imbalance or other underlying chronic diseases.

At Dermaworld Skin Clinics, we provide a combination of acne treatments in Delhi. Basis the cause and severity of acne our acne specialists may suggest a single treatment or a combination of treatments for quick and long lasting results.

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The individuals suffering from acne must take following precautions

  • 1Protect the skin from the sun as ultraviolet rays may worsen acne.
  • 2Always wash face and hands with warm water and mild soap to keep the skin clean and bacteria free.
  • 3Always take a shower after performing any strenuous activities, as the oil and sweat can lead to new breakouts.
  • 4Avoid touching and picking the acne and problem areas, as it can lead to further infection and scarring.
  • 5Avoid irritants such as greasy cosmetics, acne concealers, and hair styling products. The products labelled as non comedogenic (less likely to cause acne) must be used.
  • 6One must also intake antioxidants, drink plenty of water, green tea, Vitamin C, low-glycemic food, yogurt, in their diet as they all help to fight acne.

Following are some of the commonly prescribed acne treatments:

1. Antibiotics and medicines

Antibiotics helps to reduce inflammation and redness of acne. The medicines that are applied are beneficial to kill the harmful bacteria and reduce the clogging of pores.

2) Anti-androgen agents

Helps in balancing the hormones.

3) Combined oral contraceptives (COCs)

Prescribed to female patients to treat acne vulgaris.

4) Laser & LED light therapies

Quite effective in treating cystic acne, blackheads, whiteheads and thick nodules. The results are long lasting but may need a few maintenance sessions. Different frequencies of light can be used depending on the main concern and type of acne. These are generally used in conjunction with topical creams and antibiotics for great results.

5) Chemical peels
Salicylic, retinoic, and glycolic acid peels are helpful in acne treatment.

6) Retinoids and benzoyl peroxide.

7) Comedone extractor

This involves manual extraction of comedones by the skin specialist in a sterile environment which decreases the chances of scars

Frequently Asked Questions

Acne is a chronic inflammatory skin condition, and it starts with the onset of puberty because of hormonal imbalance. Change in hormonal level results in more production of skin oil (sebum), and causes acne formation. The lesion of acne starts with inflammation, when more secretion of sebum, dirt, dead skin cells, makes the skin pores clogged. Acne causing bacteria also replicates inside the pore, and it further causes the acne to spread.

Acne is further categorized as:

Non-inflammatory acne:

  • Whiteheads
  • Blackheads

Inflammatory acne:

  • Cyst
  • Nodule
  • Pustule
  • Papule

Various factors cause acne. This includes:

  • Hormonal imbalance
  • Open pores
  • Dirt
  • Pollution
  • Excessive use of makeup
  • Accumulation of white blood cells
  • Clogging of pores
  • Genetics
  • Stress
  • Bacteria
  • Unhealthy food
  • Lack of sleep
  • Dirty pillowcases
  • Liver issue
  • Face touching
  • Smoking
  • Starch diet
  • High Blood pressure

Acne is more likely to occur in people with oily skin and can occur in any part of the body that contains tiny hair follicles and skin pores (except palms of the hands and soles of the feet). Acne mostly occurs anywhere on the face and upper body areas like back, chest, shoulders. The areas contain many pores, and the overproduction of oil makes the skin more oily and leads to acne production.

The skin doctor first analyses the skin condition and then determines the type of acne affecting the skin. Various effective treatments that help to treat acne are:

  • Topical creams
  • Antibacterial creams
  • Oral antibiotics
  • Chemical peels
  • Manual extraction
  • Laser treatment
  • Carbon laser peel
  • Hydrafacial MD

Step 1: Clean the face in the morning and night. This removes impurities from the skin surface and opens the clogged pores.

Step 2: Never pop up the pimples, this can cause pushing of the bacteria further down into the skin and can worsen blemishes and causes scarring.

Step 3: It is always recommended to apply moisturizer and sunscreen.

Step 4: Stay hydrated, eat a healthy and nutritious diet, and have sufficient sleep.

Dr. Rohit Batra, an MD (Dermatology,
Venereology & Leprology), is an adult,
pediatric and cosmetic dermatologist
& dermato-surgeon based at New Delhi.






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Disclaimer*- The information, text, images, videos present on this website are for awareness purpose only and is not intended as a substitute for medical advice. (Dermaworld) and its associates do not intend to encourage any person to undergo any treatment or surgery without any proper consultation. Always seek advice from a qualified doctor or medical professional for treating any medical condition or disease.