The imbalances in sebum and bacteria can be caused by hormonal changes, which is why acne is so common among teenagers. When puberty arrives androgen, the male sex hormone increases among both boys and girls, resulting in the expansion of the sebaceous glands, which generates more sebum, all of which can help to clog up the pores.
Water also helps to promote healthy looking skin, and is what creates a smooth, touchable texture and an even complexion. Keeping moisture in your skin can be difficult because it is constantly being removed by the environment such as wind and sun which in turn can dry out your skin and cause it to become irritated. If you already have acne, irritation can cause a brutal problem to deal with.
Thus you will have people mistakenly attributing their acne to cosmetics, or food, or hormonal changes, or certain drugs, but the truth is that these are merely triggers and not the causes of acne. As Dr Waite says, "People experience hormonal changes at many stages, such as puberty, menstrual periods, pregnancy, or even in times of intense anxiety. Similarly, people who perspire excessively may attribute their acne to sweating, but these do not create acne, they just help bring it out."
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