Causes of Acne – Comedones
Comedones are the starting point of all acne. They begin as very small blockages in the pores. At this stage a blockage is referred to as a microcomedone - the comedone is too small to be seen. Microcomedones can progress to become larger comedones, or they can burst (rupture) internally, causing different types of spots. They burst because of the build-up of pressure and the damage that the inflammatory process does to the wall of the duct. The best acne treatment for this condition is any good cleanser that will kill the bacteria that erupts from the spot.
Whiteheads (closed comedones)
Some people think of whiteheads as a type of pus-like spots, but they are not. As the microcomedone gets larger, because swelling is building up behind the blockage, it becomes visible. If the initial blockage is quite deep in the pore, the opening onto the skin will remain closed; this causes the typical whitish lump that can be seen and felt on the surface. In this case, the best acne products are ones that will exfoliate the skin to help keep the pores clear.
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