Acne Types: Inflammatory and Non Inflammatory Acne Lesions

Acne Types
Though pimples all start the same way, they may react differently for different people and can take many forms.

All acne begins with one basic lesion: the comedo, an enlarged hair follicle plugged with oil and bacteria. Invisible to your eyes, the comedo lurks beneath the surface of your skin waiting for the right conditions to grow into an inflamed lesion. As the skin continues to produce more oil, bacteria flourishes within the swollen follicle. The surrounding skin becomes increasingly inflamed as your white blood cells fight against the intruders.


Closed comedones, or whiteheads. If the plugged follicle stays below the surface of the skin, the lesion is called a closed comedo, or whitehead. They usually appear on the skin as small, whitish bumps.

Open comedones, or blackheads. If the plug enlarges and pushes through the surface of the skin, it’s called an open comedo, or blackhead. The plug’s dark appearance is not due to dirt, but rather to a buildup of melanin, the skin’s dark pigment.


Papules. The mildest form of inflammatory acne is called a papule, which appears on the skin as a small, firm pink bump. They can be tender to the touch, and are often considered an intermediary step between non-inflammatory and clearly inflammatory skin lesions.

Pustules. Like papules, pustules are small round lesions; unlike papules, they are clearly inflamed and contain visible pus. They may appear red at the base, with a yellowish or whitish center. Pustules do not commonly contain a great deal of bacteria; the inflammation is generally caused by chemical irritation from sebum components such as free fatty acids.

Nodules or Cysts. Large and usually very painful, a nodule is an inflamed, pus-filled lesion lodged deep within the skin. Nodules develop when the contents of a comedo have spilled into the surrounding skin and the local immune system responds, producing pus. The most severe form of acne lesion, nodules may persist for weeks or months, their contents hardening into a deep cyst. Both nodules and cysts often leave deep scars.

Acne conglobata. This rare but serious form of inflammatory acne develops primarily on the back, buttocks and chest. In addition to the presence of pustules and nodules, there may be severe bacterial infection.

Some lesions which appear to be acne are not acne at all. One skin condition that resembles acne is folliculitis, which occurs when the hair follicles become infected and inflamed. Folliculitis can be treated with BIOSKINCARE..

What To Do About Zits?

IMPORTANT: NEVER pop or squeeze a pimple or rub a lession yourself. You don’t have the sterile instruments that a dermatologist uses to do this and he/she knows the proper technique. This can give you lifelong scars! (see the section below about “Seeing a Dermatologist”), but read the rest of this first please.

Wash your hands before and after caring for skin lesions to reduce the chance of infection. Don’t rest your face on your hands. This irritates the skin of the face. Identify and avoid anything that aggravates acne. This may include foods, lotions and make-up. Avoid comedogenic cosmetics, those which can aggravate acne.

How to get rid of acne
Once you’ve cleaned your skin, it’s time to work on fighting pimples before they start. Pimples begin when oil and dead skin cells get trapped in pores. So you’ve got to use products that work inside the pores to help keep them clear. The key is regular daily usage even when your skin looks great. Only using this stuff when you get a pimple won’t do your face justice.

Doctors and companies selling chemical products for acne will tell your there is no single medicine or acne treatment. They add that treatment should be designed according to your own personal skin type and its needs. The will also tell you that the only way to know for sure which product will work best for your skin is to try it. And they may remind you that no matter what you use the most important thing is to stick with it.

Acne Treatment
Treatment is designed to prevent formation of new lesions and complications and aid the healing of old lesions.

Treatments Include:

  • Reducing sebum production
  • Reducing bacteria on the skin
  • Reducing the inflammation
  • Exfoliation — peeling of the skin which unclogs pores; removes dead skin cells and debris
  • Over-the-counter Acne Medication Treatments (OTC) (Stuff you can buy without a prescription)
  • Our natural acne cream for acne blemishes (acne & scars)
  • Acne remedies – herbal and home remedies
  • Prescription Acne Medicine
  • Hormone-based treatments
  • Acne medicines
  • Acne surgery — by a dermatologist
  • Laser Treatment

Topical medications that dry up the oil and/or promote skin peeling may contain benzoyl peroxide, glycolic acids, sulfur, resorcinol, salicylic acid, tretinoin, or retinoic acid (Retin-A). Many of them have unwanted side effects; they may irritate your skin.

You may have to experiment with acne treatments before you find the right OTC products for you. You are using this product to reduce the bacteria on the skin and to exfoliate. Exfoliation works by applying the lotion or wash to dry up the skin and help the dead cells and debris come off.

Natural home treatments may lessen the effects of acne:
Clean the skin gently but thoroughly with soap and water, removing all dirt or make-up. (Beware of cosmetic acne) Wash as often as needed to control oil, at least daily and after exercising. Use a clean washcloth every day to prevent bacterial re-infection.

  • Use steam or warm, moist compresses to open clogged pores.
  • Shampoo hair daily when possible. Use a dandruff shampoo if necessary.
  • Comb or pull hair back to keep hair out of the face.
  • Use topical astringents to remove excess oil.
  • A small amount of sun exposure may improve acne. However, excessive exposure to sunlight or ultraviolet rays is not recommended because prolonged exposure increases the risk of skin cancer.

Acne often improves in the summer, so some foods that aggravate acne may be tolerated in the summer but not in the winter.

Seeing A Dermatologist
A dermatologist, or his/her associated nurse will use small surgical instruments to open and remove the content of pustules, cysts or pimples directly. This is done before they burst and cause deeper damage and scarring. It is a quick procedure and can result in dramatic improvement in the skin’s appearance after a couple of days of healing. It is not very painful at all. Sometimes it is done on a weekly basis. Talk to your parents about this treatment. It is usually covered by most insurance companies.

Acne medicines

Acne Antibiotics
A doctor or health care provider may provide an antibiotic. Some antibiotics are to be used on only your skin. Oral antibiotics have an antibacterial effect as well as an anti-inflammatory effect. They all have side effects, so talk to the person prescribing these medications about those. If they do not mention side effects… ASK, you need to know, after all you are the one taking them.

IF you are taking birth control pills — antibiotics WILL interfere with the effectiveness of the pill. Tell the health care provider what medications you are on, or if you are taking the birth control pill.

The use of antibiotics for a long time can create bacterial resistance.

Prescription Hormone Treatments
Sometimes your health care provider or a dermatologist may prescribe oral contraceptives for girls to help clear up their skin. Hormones may clear up acne by slowing down sebaceous gland function. They work to treat acne by decreasing androgen (“masculine”) hormone levels and thus decreasing sebum production. Oral contraceptives may be an effective treatment option for women with moderate acne, but it takes three to six months to see their full effect.

Oral contraceptives, including a combination of norgestimate and ethinyl estradiol (Ortho-Cyclen, Ortho Tri-Cyclen, Estrostep), have been shown to improve acne in women. Talk to your parents about this and be sure to ask the dermatologist or your health care provider what they think of the idea. It is very important to discuss this with a medical professional who knows you and your medical history.

Oral contraceptives can be used as long-term acne therapy; however, this medication should not be prescribed to women who smoke, have a blood-clotting disorder, are older than 35 or have a history of migraine headaches—without the advice of a gynecologist.

Spironolactone, a synthetic steroid, may be used in combination with oral contraceptives to treat acne in adult females. Spironolactone inhibits androgen production. Side effects include irregular menstruation, breast tenderness, headache and fatigue.

Acne Drugs and Other medications
Synthetic vitamin A analogues (isotretinoin, Accutane® and other brands of the drug) have been shown to be of benefit in the treatment of severe nodular cystic acne. However, pregnant women and sexually active adolescent females should not take this medication for it can damage your child.


BIOSKINTREATMENT contains enzymes, natural antimicrobial peptides and natural skin repair substances that prevent and heal acne and acne skin lesions and scarring.

With BIOSKINTREATMENT you can avoid acne complications such as cystic acne, skin abscess, permanent facial scars, keloids or abnormal scars and post-inflammatory dark skin pigmentation.


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