Acne what can I do?

On these pages you will find extensive information on the subject of acne.



Acne is the most common skin disease in the world1. Up to 80 percent of Germans between the ages of 12 and 30 suffer from acne - pimples on their face, chest or back2. Due to hormonal changes, acne is a typical side effect of puberty. Almost every teenager suffers from acne occasionally, although the severity and duration of the condition can vary greatly. For most people, the condition subsides when they reach their twenties3.

However, 40 percent of women and 22 percent of men over the age of 25 still struggle with acne4. In women, changes in hormonal levels before menstruation or during pregnancy can often lead to a deterioration in the appearance of the skin5. More and more adults are suffering from adult acne. One in four women between the ages of 25 and 45 struggle with outbreaks of acne tarda6. A third of adult acne cases occur between the ages of 21 and 30, and slightly less than a third of sufferers experience their first outbreak between the ages of 31 and 407.. Many of those affected have never had serious problems with their skin before, and consequently find it even harder to deal with.

A French study anticipates that approximately 1% of the population suffers from acne inversa.  In Germany up to 800,000 people are affected by this condition, most commonly women between the ages of 20 and 298. Acne conglobata, a very severe form of acne, affects mostly men, as it is linked to the formation of male sex hormones9.

The main causes of acne are hormonal changes, psychological strain and stress, smoking, certain medications, and certain nutritional factors. Genetic disposition can also play a role. Approximately 15 to 30 percent of sufferers need to seek specialist treatment10.

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Skin Balance

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Acne has different causes and degrees of severity. This means that treatment can be difficult, because the only way that many sufferers can find the best way of caring for and treating their skin is through trial and error. In severe cases, hormonal preparations or antibiotics can even be prescribed by a dermatologist to alleviate symptoms. However, this is often only a temporary solution, and many people afflicted by acne continue to suffer from inflammatory skin. Acne vulgaris is the medical term for what is commonly known as acne, which consists of the above-described pimples, papules and pustules. Acne comedonica is distinguished from acne papulopustulosa and acne conglobata by taking into account characteristics and degree of severity.

  • Acne comedonica refers to occurrence of open and closed comedos (blackheads). The principal regions affected are the face, nose, forehead and chin.
  • With acne papulopustulosa, inflamed papules and pustules predominate. In addition to the face, it often affects the chest, back and upper arms. In such cases, inflammation often leaves behind small scars.
  • Acne conglobata is a severe form of acne involving large inflamed nodes, abscesses, and crusts. Characteristic acne scars are often left behind once the skin has healed. This form of acne affects men much more frequently than women.

Additional factors can also be the cause of acne. Acne cosmetica occurs after the application of greasy creams or cosmetics. Acne medicamentosa is caused by taking certain medications, for example products containing barbiturates, lithium or corticosteroids. Acne venenata, or “contact acne” affects people who have had contact with chlorine, oil and tar, or cosmetics containing these ingredients. Acne inversa is the (often severe) inflammation of the sebaceous glands and hair follicles, especially in areas such as the armpit, groin and buttock crease.