HI-TIPS: What Are Acnes?

Hi everyone! It's David, the Aussie medical student again!

With all the questions from their customers, Hikoco wanted to inform everyone about acnes and the type of acnes that we can get. I know it seems like we will forever suffer from these nasty troubles, but trust me, they'll go away sooner or later.


Acne, also known as acne vulgaris or pimples is a common chronic skin disorder which occurs in both males and females of all races and ethnicities. It is most prevalent in young adults, affecting up to 85% of 16-18 year olds. However it can often persist until the 30s and even 40s. Acne presents in varying types and severity, therefore it is important to recognise the different acne types you are struggling with.


Types of acne

1. Open and closed comodones (blackheads / whiteheads)

These are considered to be the early stages of acne. Sebum and dead skin material accumulate in the hair follicle (forming whiteheads) which overtime gets densely packed and oxidised (forming blackheads). This lipid-rich environment provides a good growth medium for P.acnes, key bacteria responsible for acne formation.

2. Papular and Pustular acne

Continued proliferation of P.acnes results in triggering inflammatory response in the skin (papules). They appear red and can often be painful. If left untreated, these lesions can become pus-filled (pustules). At this stage, with proper care, inflamed lesions can be healed without leaving any scarring.

3. Nodular acne

This is a severe form of acne involving deeper layers of the skin. Once acne involves deeper layers of the skin, the lesion is more likely to cause scarring and is irreversible.

4. Cystic acne

Cysts are lumps which are formed under the skin containing fluid filled with pus and dead tissue. They do not come to a head like pimples do. Cystic acne can often cause scarring, pitting and uneven skin colour. Early and effective management of acne is the best means to minimise and prevent acne scarring.

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