Grade 1 (mild): mostly whiteheads and blackheads, with a few papules and pustules. Grade 2 (moderate, or pustular acne): multiple papules and pustules, mostly on your face. Grade 3 (moderately severe, or nodulocystic acne): numerous papules and pustules, along with occasionally inflamed nodules.
Acne commonly starts during puberty between the ages of 10 and 13 and tends to be worse in people with oily skin. Teenage acne usually lasts for five to 10 years, normally going away during the early 20s. It occurs in both sexes, although teenage boys tend to have the most severe cases.
People may see many blackheads, whiteheads or both when their acne is severe. In severe acne, a single pimple or cyst can stay on the skin for weeks or months at a time. Grade III acne is considered severe acne. 2/3. Severe acne causes breakouts that often extend deep into the skin.
The four stages of acne (comedones, papules, pustules and cysts) are graded 1 through 4.
Grade IV: Grade IV acne is the most severe grade of acne. With grade IV acne the skin will display many pustules, nodules, and cysts. Blackheads and whiteheads are usually numerous. There is pronounced inflammation, and breakouts likely extend to areas other than the face, such as the neck, upper chest, and back.
Determine Your Treatment Plan
The severity of acne is determined by the scope and type of lesions. Moderate acne is characterized by inflammatory (papules, pustules, nodules) and noninflammatory (comedones) lesions. Severe acne consists of numerous or extensive papules and pustules, as well as many nodules/cysts.
Given the increase in oil production, she says your skin will usually look greasier and slightly more inflamed. Zeichner adds that stress acne can also look like a combination of blackheads, whiteheads, red bumps, and pus pimples.
Mild Acne. Acne falls into the "mild" category if you have fewer than 20 whiteheads or blackheads, fewer than 15 inflamed bumps, or fewer than 30 total lesions. Mild acne is usually treated with over-the-counter topical medicine. It may take up to eight weeks to see a significant improvement.
Cystic acne often looks like boils on the skin. Other identifying characteristics include: large pus-filled cyst. large white bump.
Adolescents and young adults between ages 12 and 24 tend to be the most affected group. It usually begins during the start of puberty, affecting girls earlier than boys. Typically people will outgrow acne but about 12 percent of women and 3 percent of men may still have acne even in their 40s.
Adult acne, or post-adolescent acne, is acne that occurs after age 25. For the most part, the same factors that cause acne in adolescents are at play in adult acne. The four factors that directly contribute to acne are: excess oil production, pores becoming clogged by "sticky" skin cells, bacteria, and inflammation.
Why do I still have acne in my late 20s? At its root, adult acne is caused by the same things that cause teen acne: excess skin oil and bacteria. Any changes in hormones, including those brought on by pregnancy and menstruation, can trigger excess oil. Women who smoke also seem to be more prone to acne.
On a positive note, itchiness can be a sign indicating that the acne is getting better. When acne is healing, the red, pustular skin needs to be replaced with new, healthy skin. During this process, your body exfoliates, or sheds old layers of skin to uncover new layers of skin.
Whiteheads (closed plugged pores) Blackheads (open plugged pores) Small red, tender bumps (papules) Pimples (pustules), which are papules with pus at their tips.
Broadly speaking, there are two main types: non-inflammatory acne and inflammatory acne.
You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.
Cheeks. Share on Pinterest Friction or rubbing of the skin may cause acne on the cheeks. Breakouts on the cheeks can occur as a result of acne mechanica, which develops due to friction or rubbing of the skin.
If you haven't gotten enough rest the night before, the telltale sign of sleeplessness could sit on top of your nose. Acne can flare up when you aren't getting enough sleep. In fact, sleep deprivation is considered one of the three main acne triggers, along with stress and sweating.
For example, salicylic acid, which works to unclog pores, is also a “mild chemical irritant.” Kathleen Suozzi, a dermatologic surgeon at Yale School of Medicine explains that this means salicylic acid also works as a drying agent and can cause skin redness and flaking if used too much.
Grade 4 – severe disease as in grade 3 but scarring is not flattened by stretching the skin. Examples include severe boxcar scars, deep divots, ice pick scars, and hypertrophic keloid scarring (very raised/pigmented scars).
Can a licensed esthetician treat acne? In some cases, yes. Estheticians specialize in cosmetic, rather than medical, skincare treatments. While they can't prescribe acne medications or treat some of the more serious forms of acne, they can help you care for your skin and perform professional treatments.