The 3 Requirements for Acne to Exist: My Acne Story

I was an acne sufferer for years which lead me to reading a lot about anything acne-related. The goal is to be able to create a skincare routine that would keep my acne in remission.

My skincare products now address at least 2 of the following. So far so good.

The 3 requirements for acne to exist:

#1:  P. Acne (Proprionibacterium Acne)

This is the bacteria that causes acne. It feeds on the oils in our skin.

#2:  Clogged Pore(s)

The clogged pore(s) may be caused by comedogenic ingredients. But there are also people like me who have acne-prone pores. This means that the skin cells around our hair follicles becomes sticky and fail to shed as intended. In short, our skins have skin-cell-turnover issues.

It could be a genetic condition. Some journals say that P. Acne, aside from feeding on sebum, also causes the skin cells around the hair follicle to stick together (called sticky cells).

#3:  Over-production of Skin Oils (Sebum)

More often than not, this is genetic (sigh). This could also be caused by a hormonal imbalance: could be genetic, stress-related, or hormone-induced (where you are in your menstrual cycle or whether you have a hormonal imbalance), etc.

It’s important to know these 3 because if you take one out of the equation, acne will NOT exist.

Generally, the acne lifecycle is:
Skin over-produces sebum –> P. Acne swims in and eats sebum –> Sebum gets blocked inside the clogged pore –> The pore expands and expands until the pore-wall explodes –> P. Acne invades adjacent skin cells causing inflammation and sometimes pus.

Here are important things I learned from knowing those 3 requisites and from years of battling with acne:

The first and most important to address is #3.

We can have the most advanced pore de-clogging product or the strongest of all antibiotic creams there is in the market. But if we don’t learn how to manage stress, eat well, and sleep well. All efforts seem futile. There was a time when just merely sleeping the same hour and the same duration each day seemed to have fixed most of my acne problems.

Treating acne takes time and patience.

Firstly, because products and drugs that treat acne take time to work. A good example is Tretinoin. It increases skin cell turnover, eliminating #2. Unfortunately, a week is not enough time for the skin to get to that point where it doesn’t have sticky cells anymore. The least it takes is 3 months (which is true in my experience).

Secondly, because there are pimples already starting to form underneath our skin waiting for their moment to shine. They will come out eventually even after we start acne treatment. We can’t keep them underneath our skin forever and wish that they never come out.

True, there are products that seem to work overnight. But experience with acne tells me that it solves only the inflammation part and not the root cause of the problem.

We can’t address only one of the three causes. It has to be at least 2 or all of the 3.

Solving only the clogged pore problem. Here, I’m not talking about clogged pores we get from cosmetics. I’m talking about acne-prone sticky-celled pores. If our plan of action is merely exfoliating ALONE, whether physical or chemical — it will not work, it DIDN’T work for me. Our pores are sticky-celled down to the hair follicles and it’s impossible to exfoliate down to that level — unless you want to scrub your skin to non-existence.

Solving only the bacteria problem. Bacteria has the tenacity of a cockroach. It doesn’t give up that easily. It will kind of ‘sleep’ after we wipe on antibiotics and if we stop treating a few days after, they come back with a vengeance. It’s as if they’ve become Super P. Acne Bacteria. I have read a few cases of people who ended up with worse acne when they treated themselves with antibiotics alone and stopped without a doctor’s advise.

Solving only the over-production of sebum problem. Of the three, solving this one alone can probably already solve our acne problem. BUT, of all three, this is the MOST difficult to solve because like me, you maybe genetically born with an oil factory operating 24×7 under your skin. Or, you have a serious hormonal imbalance problem causing your oil glands to go haywire.

If you were clinically diagnosed with hormonal imbalance issues, I can only say: consult with a doctor. That’s out of my league.

But, if you are more like me, your over-zealous oil gland condition is likely aggravated by the following (that could cause hormonal changes):

#1 Inability to manage stress well

#2 Erratic sleeping habits to a point where our sleeping habits can not even be considered a habit

#3 Unhealthy eating practices. This, I’m not too sure of. Some professionals argue that acne doesn’t have anything to do with food. But I believe it does, indirectly, because food affects our overall well-being.Fortunately, we can do something about these. But it will require big changes in our lifestyle and outlook in life (I’m still working on these things right now).

Having acne doesn’t mean we have poor hygiene.

It doesn’t matter how often we wash our face. Washing the face can’t do anything against sticky cells and hormonal problems.

Recommended Reading:
Digital Doctor | What causes acne? | Illustration of how acne forms

Disclaimer:
These information came from months of researching and are already available online for free if you’re really keen on looking for it. I don’t claim that I discovered the 3 direct causes of acne.

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