Four Factors

Acne is by far the longest standing skin condition concern of our profession. It affects all skin types, all ages, all genders, and has a no-holds-barred attitude when it develops. As our environment and lifestyles change, acne conditions have become more prevalent.

This month’s issue offers pages of information on understanding acne and the multitude of options to improve its condition. What is most critical to know is that there are four etiological factors that influence acne in every and all situations. These factors have never changed, most likely will never change, and are the underlying source for the development and lifespan of acne breakouts and conditions. These four factors include hormones, sebum production, altered keratinization. and inflammation.  

Hormonal fluctuations can trigger acne breakouts – while in some cases – can improve them.  Puberty, pregnancy, menopause, dramatic life changes, medications, illness, and stress are all factors that influence hormonal changes.

Increased sebum production leads to an increase in clogging and breakouts. Most often, this is triggered by hormonal changes of an increase in androgen levels.

Altered keratinization in acne conditions is an excess of skin cells that build up within the sebaceous gland, around the hair follicle and within the pore, leading to clogging.

Lastly, but by far not the least, is the inflammatory reaction that fuels the fire. When readers understand the physiological nature of acne, it opens the door to the vast array of amazing professional options that are available to improve it.