The real deal on acne formation
If you’ve visited many sites on acne, chances are you’ve seen more than one diagram on how acne forms. The problem is, there are multiple ways this can occur, and if your acne is serious enough that you’re visiting websites about it, those diagrams are most likely not accurate for you.
Most acne diagrams on the net depict acne bacteria clogging up the main shaft of your pore. This is accurate for very mild acne, such as white heads or black heads. In these cases oil, bacteria and dead cells form a “plug” that blocks up your pore, appearing as a small white or black spot on your face. But this is quite different from the traditional “red bump with a white pustule” that many acne sufferers are familiar with.
When you experience redness, irritation or swelling, it’s usually because the acne pustule has formed not in the main shaft of the pore, but in the oil gland that sits off to the side of the pore. I’ve used my awesome photoshop skills to give you an example below:

When your glands pump too much oil too fast, that oil causes the gland cavity to swell, and then becomes pressurized and hardens into an acne pustule. These pustules are often too large to easily fit out into the main pore, which thus results in irritation. Acne of this sort is not a “plug” as described by most diagrams, and cannot simply be dislodged by a surface cleanser.
So while the typical acne graphic is fine for those tiny clogged pores you get on your nose, if you suffer from more serious acne, those images aren’t the real deal, and neither should you place your hopes in treatments intended to treat that kind of mild, surface acne. You need to treat acne not at the level of your pores, but at the level of your oil glands, if you want to get real results. That’s why Accutane works, and it’s why vitamin B5 also works for so many.


