Understanding Acne and The Expert Tips You Need To Control It
Dealing with acne can be incredibly challenging, impacting your skin, self-esteem, and overall quality of life. Various factors, from hormonal changes to lifestyle choices, contribute to this widespread skin condition.
Understanding the different types of acne and what causes them is the first step to building an effective skincare routine. In this guide, we cover the types and causes of acne, then hand over to our expert friends from some of your favourite skincare brands for their best advice.
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Different Types of Acne
Mild Acne
This type is characterised by occasional blackheads, whiteheads, and sporadic red spots, typically affecting less than half of the face. Although less severe, it can still be bothersome and may require targeted treatment.
Moderate Acne
As acne progresses, moderate cases involve more extensive areas of the face, with an increased presence of blackheads, whiteheads, and inflammatory papules and pustules. The skin may appear reddened and inflamed, indicating a more aggressive condition.
Severe Acne
At the severe end of the spectrum, acne can cover most of the face, leading to substantial discomfort and psychological distress. This stage often involves a combination of blackheads, whiteheads, inflammatory nodules, and cysts, causing significant inflammation and scarring.
Causes of Acne
Excess Sebum Production:
One of the primary drivers of acne is the overproduction of sebum, the skin’s natural oil. This excess oil can clog pores, providing a breeding ground for acne-causing bacteria and leading to blemishes.
Pore-Clogging:
Alongside sebum, dead skin cells and environmental debris can accumulate within pores, exacerbating acne. Proper cleansing and exfoliation are essential for preventing pore blockages and minimising breakouts.
Bacterial Colonisation:
Propionibacterium acnes (P. acnes) bacteria often aggravate Acne within the hair follicles. These bacteria contribute to inflammation and the formation of inflammatory lesions characteristic of acne.
Expert Tips and Solutions
1. Know Your Acne Type Before You Buy Anything
Not all acne is the same, and neither are the products designed to treat it. Understanding which type you're dealing with is the single most important step before reaching for anything new.
At Bioderma we understand that biologically in the skin, there are different things going on within each of these acne sub-types and so naturally, they need to be treated differently.
We have Sebium Kerato+ Moisturiser which is specialised in treating mild acne over the counter, an exfoliating and hydrating daily moisturiser. Then we have Sebium Sensitive Moisturiser, which is formulated to treat sensitive skin suffering from moderate acne and that may be starting to feel weakened from using acne-prescribing treatments.
Finally, we have Sebium Hydra Moisturiserwhich is our most nourishing formula to help those with severe acne who may be extremely dry and irritated from taking isotretinoin (Roaccutane) treatments to treat their acne as prescribed by their medical professional.
2. Cleanse Gently and Do It Twice a Day
The foundation of any acne routine is cleansing. But more isn't always better - the goal is to clean the skin without stripping it.
Acne comes down to three main things: overproduction of oil, pore-clogging, and bacterial colonisation.
To treat it effectively: cleanse twice daily to remove impurities, dirt, and oil; choose products with ingredients targeted at blemish management, such as salicylic acid; and build your routine slowly - skin renews roughly every month, so give each new product at least four weeks before judging results. It is completely normal to have acne, and nothing to be ashamed of. If you're experiencing negative thoughts around your skin, please speak to a professional.
Acne Vulgaris is the medical term for common acne. Acne is caused by a combination of factors, including hormonal changes, excessive oil production, and bacteria.
The most common areas for breakouts are the face, chest, shoulders, and back, presenting with comedones, blackheads, whiteheads, papules, pustules, cysts, and nodules.
It can affect all genders of all ages. Keeping your skin clean is an important way to treat and prevent acne. Use a Ph pH-balanced face wash like Alpha H Triple Action Cleanser pH 5.0 / 5.5, which has a soothing, calming action on the skin from Aloe Vera extract, which also has natural anti-inflammatory properties. It will improve skin hydration and reduce epidermal water loss.
breakout, congested, and acne-prone skin can also have a dull complexion, with sometimes an uneven skin tone and texture. A BHA exfoliating treatment is designed to decongest pores, control excess oil, and minimise bacteria that lead to breakouts.
Alpha H purifying tonic with 2% Salicylic acid is enriched with naturally anti-inflammatory ingredients such as eucalyptus, arnica, and thyme to soothe, clear, and rebalance the skin.
To help minimise the appearance of breakouts, I also recommend a deep cleansing mask to target specific areas. Topicrem Purifying Mask with a duo of white and green clay will absorb and correct excess sebum, it has a global action on shine, visible pores, imperfections, and residual marks. Marine algae extract for its anti-inflammatory action.
Microbiome balance is key for breakout-prone skin. Avoid harsh actives that disrupt the skin's barrier. Start with gentle cleansing, then support your skin with probiotic skincare to encourage a clear, calm complexion.
It's not about the water, it's about how gentle your cleanser is on your skin's natural barrier. If you wear foundation, start with a micellar water to remove makeup, then follow with a gentle gel, cream wash, or cleansing balm.
3. Work On Your Stress Levels
Managing stress through relaxation techniques and self-care practices can complement skincare routines in combating acne. Chronic stress can exacerbate acne by stimulating sebaceous gland activity and impairing skin cell turnover.
Acne can be influenced or aggravated by various lifestyle factors — including our diet, stress, sleep quality, and skincare habits — all of which intimately connect to our gut health and microbial balance.
Let’s explore the connections: A diet high in refined sugars, dairy, and processed foods can disrupt the gut microbiome, potentially triggering systemic inflammation that manifests through the skin via the gut-skin axis. Chronic stress affects gut permeability and microbiota balance, fuelling inflammatory pathways that can trigger breakouts. Poor sleep can impair gut repair mechanisms, while harsh skincare routines can further disrupt the skin-gut axis. Supporting a healthy, diverse gut microbiome is foundational for achieving clear, resilient skin. We formulated our Clear capsules with hero probiotic Acusolve, to support healthy gut function and restore balance to the microbiome, for a holistic approach to acne from within.
Chronic stress is a top cause of acne, it sends the skin’s sebaceous glands in overdrive, and slows down cell turnover. Our Clear Start set helps control oil, unblock pores and calm the skin.
4. Use Treatments Correctly - Spot Products Are Not All-Over Products
Active ingredients can make a real difference, but applying them incorrectly is one of the most common, and costly mistakes.
It’s best to kill the problem with kindness: gentle, restorative cleansing, deep hydration (B3 aka Niacinamide is great for this), and using one active ingredient at a time. Is a good rule of thumb. Think: Azelaic acid OR Retinol, but only once your skin barrier is back in balance.
Blemishes and inflammatory skin conditions like acne and eczema have one thing in common: they are made worse by a bacterial imbalance on the skin. Look for probiotic skincare that restores balance; I recommend Kalibiome AGE probiotics.
UV damage can increase inflammation, weaken the skin barrier, and leave post-acne marks darker and longer-lasting. Choosing the right SPF is essential for blemish-prone skin.
Look for non-comedogenic textures that feel breathable without clogging pores, anti-pigmentation technology to target uneven tone and lingering discolouration, and lightweight formulas that absorb quickly - particularly if you have oily or combination skin.
Broad-spectrum UVA and UVB protection helps minimise irritation and prevents further inflammation. And for skin that's already sensitised by acne treatments or acids, a fragrance-free formula is always the safer choice.
Remember, breakouts happen, and there’s no shame in getting help from us, a friend or a dermatologist. With the right approach, you can conquer acne and be skin-confident!
5. Don't Skip SPF — Even With Acne
UV damage can increase inflammation, weaken the skin barrier, and leave post-acne marks darker and longer-lasting.
Choosing the right SPF is essential for blemish-prone skin. Look for non-comedogenic textures that feel breathable without clogging pores, anti-pigmentation technology to target uneven tone and lingering discolouration, and lightweight formulas that absorb quickly, particularly if you have oily or combination skin.
Broad-spectrum UVA and UVB protection helps minimise irritation and prevents further inflammation. And for skin that's already sensitised by acne treatments or acids, a fragrance-free formula is always the safer choice.
Many people overlook the connection between sun exposure and acne, but UV damage can increase inflammation, weaken the skin barrier, and leave post-acne marks darker and longer-lasting. Choosing the right SPF is essential - especially for blemish-prone or sensitive skin.
Ultrasun’s anti-pigmentation range is particularly well-suited to acne-prone complexions because it combines high protection with lightweight, skin-friendly formulas:
Non-comedogenic textures: Designed to feel breathable and comfortable without clogging pores or contributing to congestion.
Helps reduce post-blemish marks: The anti-pigmentation technology targets uneven tone and lingering discolouration left behind after breakouts.
Lightweight daily wear: The Photo Age Control Fluid SPF50+ has an ultra-light texture that absorbs quickly, making it ideal for oily or combination skin types.
Barrier-supportive protection: Broad-spectrum UVA and UVB defence helps minimise irritation and prevent further inflammation caused by UV exposure.
Suitable for sensitive skin: Fragrance-free and gentle enough for reactive skin that may already be compromised by acne treatments or exfoliating acids.
Many people with oily or blemish-prone skin worry that SPF will block their pores — but the right formula won't.
Look for ultra-lightweight, non-comedogenic textures with broad-spectrum protection against UVA, UVB, and High Energy Visible Blue light. Daily UV exposure increases post-inflammatory hyperpigmentation, making marks from breakouts more visible and longer-lasting. The right SPF not only helps prevent that, it can actively leave skin looking brighter and clearer over time.
And one more myth worth busting: the idea that the sun will "dry out" your acne. Sun exposure can temporarily shrink spots — but research suggests this often leads to rebound acne once you're back home, with spots returning in greater force. UV damage also causes the kind of scarring and pigmentation that's much harder to treat than the original breakout. A daily, acne-friendly SPF is non-negotiable.
6. Don't Forget Your Body
Acne isn't only a facial concern. The back, chest, and shoulders are commonly affected too — and they need their own approach.
The back in particular needs special attention due to its larger sebaceous glands and thicker skin, which can lead to more severe and persistent breakouts. Effective body breakout treatment involves regular exfoliation, proper hygiene, and topical treatments with active ingredients such as Salicylic Acid — used consistently to prevent and manage outbreaks, leaving you feeling confident in your skin.
Body acne is not only about active breakouts — it can also leave long-lasting post-blemish marks and uneven skin tone due to ongoing inflammation. That's why both active treatment and prevention are important. Look for formulas that target blemishes while reducing residual redness and marks over time, ideally with keratolytic ingredients and niacinamide. For best results, apply body treatments after showering or after a workout, when the skin is clean and pores are open.
7. Build Good Daily Habits
What you do away from your skincare routine has a bigger impact on your skin than most people realise.
Don't pick. Keeping your hands away from your face prevents bacteria spreading and making things worse.
Shave carefully. Whether wet or dry, be gentle — blemish-prone skin is more easily irritated.
Try steaming. Facial steaming and saunas can help open and clear blocked pores.
Clean your surfaces. Your phone, pillowcase, and towels all harbour bacteria. Wash them regularly.
Prioritise sleep, movement, and nutrition. These reduce stress hormones, support skin cell renewal, and improve overall resilience.
Wear SPF every day. Acne medications increase UV sensitivity — sun protection isn't optional when you're using active treatments.
Pore care is about consistency, not force. Gentle, regular maintenance always outperforms aggressive extraction, and it's far kinder to the skin barrier in the long run.
Your Acne Questions, Answered
Navigating breakouts can feel overwhelming, but understanding your skin is the first step toward clearing it. To help you on your journey, our beauty experts have answered the most frequently asked questions about acne types, triggers, and treatments so you can confidently build a routine that works.
How can I tell the difference between mild acne and severe acne?
Mild acne usually means you deal with occasional blackheads, whiteheads, or small red spots covering less than half of your face. Severe acne, on the other hand, involves deep, painful, inflamed cysts or nodules that spread across larger areas of the face or body and often leave lasting scars.
What is the difference between a blackhead and a whitehead?
It all comes down to whether the pore is open or closed. Blackheads are "open comedones"—the trapped oil and dead skin are exposed to air, which oxidizes and turns black. Whiteheads are "closed comedones"—the pore is completely blocked by a thin layer of skin, keeping the trapped material white or flesh-colored.
Can stress actually cause acne flare-ups?
Yes! While stress doesn't directly create acne bacteria, it causes your body to release cortisol (the stress hormone). Cortisol signals your sebaceous glands to produce more oil, which leads to clogged pores and more frequent breakouts.
Does eating greasy food or chocolate cause acne?
Not directly. Rubbing greasy food on your skin could clog pores, but eating it doesn't automatically trigger a pimple. However, diets high in refined sugars, high-glycemic foods, and sometimes dairy can cause spikes in blood sugar and inflammation, which can worsen acne for some people.
How long does it take to see results from a new acne skincare routine?
Consistency and patience are key. Skin cells take about 28 days to renew, so you should give any new acne routine at least 4 to 6 weeks before expecting noticeable improvements.
Should I pop my pimples if they have a white head?
It’s incredibly tempting, but our experts strongly advise against it. Popping a pimple pushes bacteria deeper into the skin, increases inflammation, prolongs healing time, and significantly raises the risk of permanent scarring or dark marks (post-inflammatory hyperpigmentation).
What are "natural actives" and how do they help acne?
Natural actives are powerful ingredients derived from nature—like tea tree oil, willow bark extract (a natural source of salicylic acid), or dicarboxylic acids. They offer antibacterial, anti-inflammatory, and exfoliating benefits to target acne gently without the intense drying effects of some synthetic chemicals.