Our skin has sebaceous glands which produce oil to moisturize the skin. Bacteria that form on our skin from acne metabolize this oil, and the by-product of this action leaves the skin irritated. As the skin becomes irritated, the tiny hair follicles become clogged and begin to collect debris, such as dirt, oil, and dead skin cells. When this dirt and oil is not cleaned properly, either by the body's own natural defenses, or by general cleansing, it can travel down into deeper tissue causing very severe acne.
I'm not a fan of acne products, I've used some good ones, but I found natural treatments helped my skin disease more effectively. I've bought my fair share of acne products though, some cheap and nasty ones, and some expensive ones. I'll tell you right now, you have to spend a lot of money for these top products that do help your skin, sure you can buy those cheap acne creams, but will they get rid of your acne? I very much doubt it. So if you want to get rid of your acne that bad, I think it's better to spend that extra bit of money for the top products.
As for other forms of acne, the real cause of back acne is unknown, but it is certainly not caused by eating fatty foods or chocolate. It tends to occur after puberty, and is common among athletes, which is why it has the alternative name of athletic acne. It is believed by some to be caused by a combination of sweating and friction of the clothes on your back, but it is highly likely that these conditions only make an existing condition worse.
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