What causes acne ?

The exact cause is unknown. One theory is that when hormone levels increase during puberty, the skin of the acne- prone person reacts by producing excess sebum (oils). The bacteria on the skin alter these oils to produce substances that cause acne. The hair follicle, the site of acne may get plugged with dead skin cells. Sebum and bacteria may accumulate and cause pimples.

What are the types of acne ?

These include blackheads, whiteheads (comedones), the larger papules (pimples) and later, pustules and large cysts. Scars occur after papules, pustules and cysts. They are permanent.

What should I do when I have acne ?

Consult your doctor early. Waiting to 'outgrow ) acne can be a serious mistake, since medical treatment can improve your appearance and prevent the development of scars.

Your doctor will prescribe treatment depending on the type and severity of the acne. Follow the doctor's instructions.

Some antibiotics (tetracycline or erythromycin), which are effective for acne need to be taken on an 'empty stomach, to improve absorption. Some lotions or creams may make the skin red or flaky but usually this effect is temporary . Go back to see your doctor if the lotions or creams cause excessive redness and itchiness. Do not squeeze or scratch pimples. Do not attempt to cover pimples on the forehead with a fringe.

Can 'diet' cause acne ?

There is no concrete evidence that food causes acne. Following the strictest diet will not by itself clear your acne.

On the other hand, a few people find that their acne seem to worsen when they eat certain foods, particularly chocolates, fried food and chillies. These people should avoid the foods that clearly aggravate their acne.

How should I clean my face ?

Remove surface oil from the face by washing with soap and water or with medicated cleansers. There is no need to use special soaps. Ordinary toilet soaps will do. Wash frequently when the face is oily, about three times a day. Continue washing even when you acne is cured. Do not wash with harsh soaps or brushes.

Can I use cosmetics when I have acne ?

Avoid oily and greasy cosmetics. Use water-based, oil-free cosmetics sparingly. You can use eyeliners, eyeshadows and lipsticks.