How does acne form?
The Department of Health’s Student Health Service sets it out in stages: the sebaceous glands produce oil to lubricate the skin and keep hair from drying out, and production increases during puberty. When that oil cannot drain from a follicle it builds up, hardens and darkens into a blackhead. If the blackhead becomes infected with bacteria it reddens, inflames and becomes a spot.
The sequence matters in practice: a blackhead is not dirt but trapped oil that has darkened, so scrubbing harder does not wash it away. The step from blackhead to inflamed spot involves bacteria, which is why keeping hands clean and away from the area makes a difference.
What makes acne worse?
The factors listed by the Student Health Service are unclean skin, frequently eating oily food, stress and insufficient sleep. In some women hormonal changes before menstruation also increase the likelihood of spots.
| Factor | What the Department says | What it means day to day |
|---|---|---|
| Skin cleansing | Unclean skin may increase acne | Mild soap and warm water are advised — not harder scrubbing |
| Diet | Frequently eating oily food may increase acne; it advises cutting fried food, chocolate, pastries and fatty meat | This is the Department’s advice to students, reported here as given |
| Stress | Stress may increase acne | Consistent with flares during exams or pressured periods at work |
| Sleep | Insufficient sleep may increase acne | Regular sleep and exercise are advised |
| Hormones | In some women, hormonal changes before menstruation | Cyclical flares are a recognised pattern, not a failure of care |