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Skin & Hair Concerns
Question #12794
222 days ago
266

how pimples come on face - #12794

Nisha

I am really struggling with how pimples come on my face. Like, out of nowhere, I’ll wake up and BAM! There’s a big red pimple on my cheek. It’s not just an occasional thing either, it feels like a disaster zone sometimes. My friends joke that my face is turning into a pizza, and I’m kinda worried cause I haven’t even changed my skincare routine! Last week I had this crazy stress at work, and then I noticed three new pimples popped up! I tried to be more careful with what I eat too—cut down on junk food and greasy stuff but nothing seems to really help. I mean, how do pimples actually come on the face in the first place? Is it the hormones or is it my skin types, or maybe it’s just my bad luck? Also, I heard something about clogged pores or bacteria but like, can someone explain how pimples come on my face with a bit more detail? Ugh, I’m just tired of covering them up with makeup and feeling self-conscious all the time. I really want to understand how this all works. Anyone else feel the same?

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Doctors' responses

Pimples can be pretty frustrating, and it’s understandable you’re looking for some clarity on how they come about. Essentially, a pimple forms when a hair follicle under your skin becomes clogged with oil (sebum) and dead skin cells. The sebaceous glands, which are attached to these hair follicles, produce sebum that helps lubricate your skin. However, when they produce too much oil, combine with dead skin cells, it can block the pore. Now, naturally occurring bacteria on the skin, Propionibacterium acnes, can multiply in and around this blocked pore, and inflammation follows, manifesting as a pimple. Various factors can contribute to this process, including hormonal changes like those related to stress, which can indeed ramp up sebum production. You’re onto something when you mentioned hormones—especially androgen levels which can fluctuate due to stress or other periods like puberty. While you mentioned being careful about what you eat, it’s worth noting that diet can influence acne in some individuals, though it’s not universal. Dairy and foods high in sugar and refined carbs might influence acne outbreaks, so keeping a food diary could help identify any triggers. Skin type matters too; oily or combination skin is more prone to acne due to increased sebum production. Of course, genetics plays a role in determining how prone you are to acne. As for your skincare routine, ensure you’re using non-comedogenic products—those designed not to clog pores. Despite best efforts, sometimes persistent acne may need to be addressed with medication, so seeing a dermatologist could be a wise step if your breakouts don’t improve. Treatments such as topical retinoids, benzoyl peroxide, or even oral medications like antibiotics or hormonal therapies are options that a dermatologist might consider. These can help reduce bacteria, minimize oil, and prevent pores from becoming clogged. Remember to approach any treatment gradually to gauge your skin’s response, avoiding irritation.

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