Acne is caused when the pores which contain the hair follicles in our skin get clogged. No one yet understands why exactly these blockages occur, why they are more common in some people, or why they appear in varying degrees of severity. It is also not entirely understood why acne usually occurs during puberty, though during this time hormones are out of control and the sebaceous glands grow rapidly, both of which are probably the primary contributors to acne. When the hair follicles are clogged sebum, a naturally occurring skin oil, gets trapped in the pores. Normally, sebum is beneficial to the skin, helping prevent it from drying and fighting off skin rashes and infections. However, when sebum cannot drain because the pores are clogged, it wells up and become a Petri dish for growing bacteria.
In other words if all you do is apply topical treatments and nothing else how effective do you think that treatment would be over time. This would be like an alcoholic continuing to drink everyday, then take a pill that helps him to perform adequately the next day such as showing up for work and doing what he needs to do. Overtime the lack of respect for his body will come back to haunt him.
Though the severity can vary from person to person, the discomfort won't. Whether it is one small pimple or a more serious break out, it is simply unpleasant for the person dealing with it.
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