Acne: Causes and Solutions for High School Students - Dermatology

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Acne


Doctor! May I ask why I keep getting acne? My skin was always good before I entered high school, but after the second semester of my freshman year, I started breaking out consistently.
Although the situation has improved somewhat in the second semester of my sophomore year, I still have a lot of acne on my face.
Why is this happening? Please let me know what I can do to reduce my acne.
I have already cut down on fried foods and sugary drinks.
Thank you!

Sheng, 10~19 year old female. Ask Date: 2008/01/02

Dr. Hong Zhengsheng reply Dermatology


Hello, the possible causes of acne include genetics, hormonal imbalances, dietary habits, sebaceous gland abnormalities, and Propionibacterium acnes.
The most effective way to prevent acne is to maintain a normal lifestyle.
If you still experience breakouts, the best advice is to consult a trusted dermatologist.
I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county and consult with a dermatology specialist.
All of our physicians are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2008/01/02

More Info


Acne is a common skin condition that affects many adolescents, particularly during the transition from middle school to high school. The onset of acne can be attributed to several factors, including hormonal changes, increased oil production, and the presence of certain bacteria on the skin. Understanding these causes can help you manage and reduce breakouts effectively.


Causes of Acne
1. Hormonal Changes: During puberty, the body undergoes significant hormonal changes, particularly an increase in androgens (male hormones present in both males and females). These hormones stimulate the sebaceous (oil) glands in the skin, leading to increased oil production. This excess oil can clog pores, resulting in acne.

2. Excess Oil Production: The skin naturally produces oil to keep it moisturized. However, when the sebaceous glands produce too much oil, it can mix with dead skin cells and clog hair follicles, leading to the formation of acne.

3. Bacterial Growth: The skin is home to various bacteria, including *Propionibacterium acnes*, which can proliferate in clogged pores. This bacterial growth can lead to inflammation and the formation of pus-filled pimples.

4. Dietary Factors: While you mentioned reducing fried foods and sugary drinks, other dietary factors can also influence acne. Some studies suggest that high-glycemic-index foods (like white bread and sugary snacks) and dairy products may exacerbate acne in some individuals.

5. Stress: High school can be a stressful time, and stress can trigger hormonal changes that may worsen acne. Stress management techniques, such as exercise, meditation, or hobbies, can be beneficial.

6. Skin Care Products: The use of certain cosmetics or skin care products that are comedogenic (pore-clogging) can contribute to acne. It's essential to choose non-comedogenic products, especially if you have oily or acne-prone skin.


Solutions and Management
1. Consistent Skincare Routine: Establish a daily skincare routine that includes gentle cleansing, exfoliation (1-2 times a week), and moisturizing. Look for products containing salicylic acid or benzoyl peroxide, which can help reduce acne.

2. Avoid Picking or Squeezing: It can be tempting to pick at acne, but this can lead to scarring and further inflammation. Try to avoid touching your face and keep your hands clean.

3. Dietary Adjustments: Continue to limit fried foods and sugary drinks. Incorporate more fruits, vegetables, whole grains, and lean proteins into your diet. Staying hydrated is also crucial for skin health.

4. Consult a Dermatologist: If your acne persists or worsens, consider consulting a dermatologist. They can provide personalized treatment options, which may include topical treatments, oral medications, or other therapies.

5. Stress Management: Engage in activities that help you relax and reduce stress. This could be through sports, arts, or spending time with friends and family.

6. Patience and Consistency: Acne treatment can take time, and it's essential to be patient and consistent with your skincare routine. Improvements may not be immediate, but with time, you should see positive changes.

In summary, acne is a multifactorial condition influenced by hormonal changes, oil production, bacteria, and lifestyle factors. By understanding these causes and implementing a consistent skincare routine, making dietary adjustments, and managing stress, you can effectively reduce the occurrence of acne. If necessary, seek professional advice for tailored treatment options. Remember, you're not alone in this, and many high school students experience similar challenges with their skin.

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