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When the skin produces too much sebum and does not slough off the dead skin cells quickly enough, the hair follicles can build up, causing a plug to form. This plug can cause the follicle to swell and form a white pore or, if the plug is open on the surface, form a dark or black pore. A common misconception is that the black blackhead is due to impure skin and that the black is dirt. This is not the case, but it is simply the skin's pigment (melanin) that oxidizes and turns dark when open pores come into contact with the oxygen in the air.
The reason that the area around the blackhead becomes inflamed is often that bacteria and fungi like the oily environment around the blackhead and grow. This can lead to wart formation and also inflammation of the skin around the pimple (papules/pustules).
A blockage or inflammation that develops deep in the sebaceous glands can form lumps under the surface of the skin called cysts.
Hormonal influence
Testosterone or other androgenic hormones stimulate the sebaceous glands to produce more sebum (sebum) than is necessary. During puberty, hormonal changes occur in both boys and girls, and the sebaceous gland, which is sensitive to these hormonal changes, then produces more sebum. Oily skin is therefore a very common skin condition during puberty or the years after, which increases the tendency to get blackheads and acne.
Hereditary influence
There is some evidence that heredity plays a large role in the development of blackheads and acne. If both parents have suffered from acne during puberty, it is likely that their children will also develop acne.
Although the main causes of acne-prone skin tend to be hormonal or hereditary, there are a few other factors that have been shown to worsen symptoms; this mainly applies to diet and various skin care products. When it comes to diet, a lot is individual, but there are studies that show that certain foods in combination with oily skin give an increased risk of acne. However, we always recommend that you do not change your diet alone, but combine it with a medical treatment if you suffer from acne that requires medical treatment. This is to minimize the risk of scarring.
In addition to hereditary factors, the following factors have been shown to influence acne symptoms.
It is always good to consult a dermatologist, even for mild and early symptoms (to prevent the condition from getting worse), but there are certain rules that are good to follow;
Contrary to what all the myths claim, toothpaste does not help dry out rashes. There is no medical evidence to suggest that they help in any way. In fact, toothpaste contains substances that can irritate and damage the skin.
More information in the Skin Bible
TheSkin Bible contains more tips regarding diet and acne-affected skin.