Types of Acne Lesions
| Type | Description |
|---|---|
| Comedones (blackheads/whiteheads) | Blocked pores — mildest form |
| Papules | Small, red, tender bumps |
| Pustules | Papules with visible pus |
| Nodules/cysts | Large, painful, deep lesions — higher scarring risk |
Treatment by Severity
| Severity | Treatment |
|---|---|
| Mild | Topical retinoids, benzoyl peroxide, topical antibiotics |
| Moderate | Combination topical treatment; oral antibiotics (doxycycline) if needed |
| Moderate-severe | Oral antibiotics plus topical treatment; hormonal treatment (combined pill) for women |
| Severe/scarring/resistant | Isotretinoin (Roaccutane) — highly effective but requires careful monitoring |
Isotretinoin — Important Considerations
Isotretinoin is highly effective (often clearing acne permanently) but requires strict pregnancy prevention (due to severe birth defect risk), monthly blood test monitoring (liver function, lipids), and awareness of mood changes, which should be reported promptly.Be Patient With TreatmentMost acne treatments take 6-8 weeks to show initial improvement and 3-4 months for full effect — many people stop too early, believing a treatment 'isn't working', when it simply needs more time.
Does diet cause acne?
Evidence suggests high-glycaemic diets and dairy may worsen acne in some individuals, though this varies significantly between people — it's not the primary cause for most, but worth considering if you notice a pattern.
Is adult acne different from teenage acne?
Adult acne (particularly in women) often has a stronger hormonal component and tends to affect the lower face and jawline more than the classic teenage T-zone pattern — treatment approaches may differ accordingly.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.