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Understanding Acne: Causes, Treatments & When to See a Dermatologist

Jan 20, 2026

Understanding Acne: Causes, Treatments & When to See a Dermatologist

Acne is one of the most common skin conditions in the United States, affecting people of all ages—not just teenagers. At Redwood Empire Dermatology, we diagnose and treat acne every day across our Healdsburg and Santa Rosa offices, helping patients regain confidence and achieve clearer, healthier skin.

Whether you're dealing with occasional breakouts or persistent cystic acne, understanding the cause of your acne is the first step toward effective treatment.

What Causes Acne?

Acne forms when pores become blocked by a combination of:

✔ Excess oil production

Hormonal changes—especially during puberty, pregnancy, and perimenopause—can stimulate oil glands.

✔ Dead skin cell buildup

Skin naturally sheds cells, but when they accumulate inside pores, they create blockages.

✔ Bacteria (C. acnes)

Once a pore is clogged, bacteria can multiply and lead to inflammation.

✔ Hormonal fluctuations

Androgens can increase oil production and worsen breakouts. Adults—especially women—commonly experience hormonal acne around the jawline and chin.

✔ Genetics

Acne often runs in families.

Environmental factors like stress, heavy cosmetics, occlusive clothing, and certain hair products can also contribute.

Types of Acne

Acne isn’t one-size-fits-all. Different types require different treatments.

  • Whiteheads & Blackheads (Comedonal Acne)

These occur when pores are clogged with oil and skin cells.

  • Papules & Pustules (Inflammatory Acne)

Red bumps or pimples with or without visible pus.

  • Nodules & Cysts (Severe Acne)

Painful, deep acne lesions that often lead to scarring if untreated.

If you're unsure which type you have, our dermatology providers can help evaluate your skin and tailor a treatment plan.

Acne Treatment Options

At Redwood Empire Dermatology, we offer a full spectrum of evidence-based acne treatments for teens and adults.

Topical Treatments

  • Retinoids (tretinoin, adapalene) to unclog pores
  • Benzoyl peroxide to reduce bacteria
  • Antibiotic creams
  • Azelaic acid for redness and pigmentation

Oral Medications

  • Topical or oral antibiotics for inflammation
  • Hormonal therapy for women (spironolactone, oral contraceptives)
  • Isotretinoin for severe cystic acne

Procedures Available in Our Offices

  • Chemical peels (coming soon)
  • Acne extraction
  • Light & laser treatments for acne and redness
  • Steroid injections for painful cysts

Our providers build customized plans based on skin type, age, goals, and acne severity.

Can Acne Cause Scarring?

Yes—especially nodules and cysts. Early treatment is the best prevention. If scarring has already developed, we offer cosmetic dermatology options, including:

  • Microneedling
  • Potenza RF microneedling
  • Laser resurfacing
  • Chemical peels
  • Subcision

These treatments can significantly improve texture and confidence.

Lifestyle Tips for Clearer Skin

While acne is a medical condition, small daily habits can support clearer skin:

✓ Use non-comedogenic makeup and skincare
✓ Cleanse twice daily
✓ Avoid picking or squeezing pimples
✓ Change pillowcases frequently
✓ Reduce heavy hair products around the face (“pomade acne”)
✓ Wash after workouts

When to See a Dermatologist

You should schedule a visit if:

  • Breakouts are painful or worsening
  • Over-the-counter products aren't helping
  • Acne is affecting your self-esteem
  • You’re noticing dark spots or scarring

Our Healdsburg and Santa Rosa dermatology teams are here to help you find long-term relief.

Book an Appointment

If you or your teens are struggling with acne, effective treatment is available.
Schedule a dermatology appointment today at our Healdsburg or Santa Rosa clinics.

Clearer skin is possible—with expert care, the right plan, and consistent follow-up.