What are the causes of pimples on the face?

Aug 14, 2024 Source: Cainiu Health
Disease description:

My face has recently started breaking out again. I would like to know what causes acne on the face?

Doctor's answer (1)
Dr. Liu Wenmin

Facial acne, commonly known as "acne vulgaris" or "pimples," is primarily caused by the following factors:

1. Abnormal follicular keratinization: Excessive proliferation of keratinocytes at the hair follicle opening, which fail to shed normally, combines with sebum to form a keratin plug, blocking pores and forming comedones.

2. Hormonal imbalance: During puberty, increased androgen activity or irregular lifestyle habits in adulthood, such as staying up late, can lead to hormonal fluctuations that stimulate increased sebum production.

3. Bacterial infection: Bacterial growth on the face, especially Propionibacterium acnes, is a common cause of acne.

4. Genetic factors: Individuals with a family history of acne are more likely to develop acne themselves.

5. Medication effects: Certain drugs, such as hormonal agents and antiepileptic medications, may also trigger or exacerbate acne.

6. Diet and lifestyle: High-sugar and high-fat diets, along with habits such as staying up late and experiencing high stress levels, can worsen acne.

Treating acne should involve a comprehensive approach including cleansing, exfoliation, oil control, antibacterial measures, and anti-inflammatory strategies. Medical consultation is recommended when necessary.