Acne is a common, obstinate and recurrent problem that usually begins at puberty. It may stem from a normal increase in levels of hormone that prompts the sebaceous glands to produce oils. Surface oil doesn't cause acne; it is caused by oil in the ducts below the skin surface. When oil ducts in hair follicles become clogged, bacteria on the skin surface can mix with excess oil and cause acne bumps and blemishes. Occasionally, larger cysts develop that need medical attentio

FACTORS CONTRIBUTING TO ACNE:

• Rich moisturizing lotions or heavy or greasy makeup
• Emotional stress
• Foods and diet supplements containing high levels of iodine (beef liver, broccoli, asparagus and white onions)
• Putting pressure on the face by sleeping on one side of your face or resting your head in your hands.
• Drugs such as birth control pills, steroids and anti-seizure medications
• Changes in hormone levels preceding a woman's menstrual period or during pregnancy

WHAT CAN BE DONE?

• Keep the skin clean by washing gently with ordinary soap and water
• Use a fresh washcloth every day. Bacteria thrive in a damp washcloth, reinfecting your pores if re-used
• Wash immediately after strenuous exercise.
• Shampoo hair at least twice a week to eliminate oil buildup that can contribute to acne on your forehead, neck and shoulders
• Men should soften their beard with a warm towel prior to shaving to lessen skin irritation. Shave along the grain of your beard
• Avoid sunlamps and limit time spent in the sun
• Use water-based makeup. Avoid oil-based creams, etc.

Use an over-the-counter acne-drying medication. Be sure to follow instructions on the label. Some people have sensitivities to these medications. If you have any questions, ask your health care professional. Even better for some folks, check out someone who's been there: acne.org