Understanding the Different Types of Acne and When to See an Acne Specialist

Acne can be a frustrating and persistent skin condition that affects people of all ages. From mild breakouts to more severe forms of acne, understanding the different types can help you determine the best course of treatment. Whether you’re dealing with occasional pimples or chronic cystic acne, knowing when it’s time to see an acne specialist can make all the difference in achieving clear skin.

In this blog post, we’ll explore the various types of acne, their levels of severity and when it’s important to seek professional help. Plus, I’ll share a free guide on "6 tips for hormonal acne" to help you on your journey to healthier skin!

1. Whiteheads (Closed Comedones)

Whiteheads are one of the most common forms of acne, characterized by small, flesh-colored or white bumps. These occur when pores become clogged with oil, dead skin cells and bacteria. Because they are closed under the surface of the skin, whiteheads do not cause inflammation.

Treatment: Whiteheads are generally mild and can be treated with acne products containing salicylic acid or benzoyl peroxide. Regular exfoliation can also help prevent new whiteheads from forming.  It's also important to maintain good gut health when you are seeing whiteheads.

When to see a specialist: If OTC treatments aren’t clearing your whiteheads after several weeks, an acne specialist may have a stronger topical treatment or retinoid.

2. Blackheads (Open Comedones)

Blackheads are similar to whiteheads, but the clogged pore is open, causing the trapped oil to oxidize and turn black. They are most commonly found on the nose, chin, and forehead. 

Treatment: Blackheads respond well to salicylic acid and exfoliating cleansers. For stubborn blackheads, professional treatments like chemical peels or extractions by an acne specialist can help.

When to see a specialist: If blackheads are persistent or you notice an increase in the number of blackheads, it might be time to consult an expert for deeper exfoliation treatments.

Papules are small, red, inflamed bumps that do not contain pus. They occur when a clogged pore becomes irritated, leading to inflammation.

Treatment: Since papules can lead to more severe forms of acne, it’s important to treat them with anti-inflammatory ingredients like benzoyl peroxide or clay and sulfur-based treatments. Avoid picking or squeezing papules, as this can lead to scarring and spreading of the bacteria that may cause even more breakouts.

When to see a specialist: If you frequently experience papules and they don’t respond to OTC treatments, an acne specialist may recommend a customized skincare routine to reduce the inflammation and target the papules.

Pustules are similar to papules but contain pus, giving them a white or yellowish head. They are typically red and inflamed, and squeezing them can result in scarring or further infection.

Treatment: OTC products with benzoyl peroxide or salicylic acid can help dry out pustules. A gentle cleanser and spot treatment should also be part of your skincare routine.

When to see a specialist: If you experience frequent pustules or they leave scars, an acne specialist can recommend targeted treatments such as retinoids, acne serums or even light therapy to reduce inflammation and bacteria.

Nodular acne is a more severe form of acne where large, painful bumps form deep within the skin. Unlike pustules, nodules do not come to a head and can last for weeks or even months.

Treatment: Nodules often require a change in diet and professional intervention, as OTC treatments are usually ineffective. An acne specialist can customize a skincare routine to target this type of acne.  If you are wanting to try prescription medications, it would be a good idea to start with a naturopathic doctor who may have other ideas that aren't as harsh as the medications.

When to see a specialist: If you are dealing with nodular acne, it may be beneficial to seek help from an acne specialist to prevent long-term scarring and control the breakouts.

Cystic acne is the most severe form of acne, characterized by large, red, painful cysts deep under the skin. It is often hormonal and can result in significant scarring if not treated properly.

Treatment: Cystic acne typically requires a change in diet and a customize skincare routine to target the cystic acne.

When to see a specialist:  Early intervention is key to preventing permanent scarring and managing the condition effectively.

While mild forms of acne like whiteheads and blackheads can often be managed with over-the-counter treatments, more severe types of acne, such as nodules and cysts, should be seen by an acne specialist. If your acne is causing scarring, pain or emotional distress, or if it doesn’t improve after several weeks of over-the-counter treatments, it’s time to see an acne specialist. My exclusive "Epidermal Repair Method" has helped hundred of teens control their acne. It's not for everyone, but if you'd like to see if a personalized treatment plan using the Epidermal Repair Method with Cellular Turnover to clear your skin and prevent future breakouts can benefit you, just email me at AcneClinic111@gmail.com and we can see if you would be a good fit.

Are you struggling with hormonal acne or looking for more tips to help clear your skin? Don’t miss out on my FREE guide: 6 Tips for Hormonal Acne! Packed with actionable advice, this guide will help you get started on the path to healthier skin. Click the link HERE to grab your copy and take control of your acne today!

Have a fabulous day!

Jean Kelly

Licensed Esthetician

Acne Specialist

PS.

You're invited to join my free Facebook Group "Parents of Teens With Acne", join HERE

If you want to get started right away with some secrets that are easy to implement and don't cost any money, grab the online mini course "Clear Skin Secrets" HERE and start using the secrets today! It's super affordable at only $28 and lots of moms are jumping in before the price goes up.