What Your Spots Mean: A Step-By-Step Break Down Of Your Breakouts

Breakouts Worse Than Ever? Here's What Your Spots Mean...
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Girl squeezing zits on chin
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Whether they're popping up on your nose, cheeks, forehead or around your mouth; zits and pimples are without a doubt the bane of our existence.

"The appearance of spots may not necessarily mean you have acne," says Dr Firas Al-Niami, Sk:n Group medical director. "At times, the location and type of spots on the face can point toward a particular diagnosis."

For example, spots on your chin and jaw could signal hormonal changes in your body (such as stress), while spots around your mouth might be a sign of a condition called peri-oral dermatitis.

Intrigued? Here's what your spots mean...

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"Certain hair styling products such as oils and waxes can cause forehead acne, particularly blackheads or whiteheads (comedones)," says Dr Anjali Mahto, consultant dermatologist and British Skin Foundation spokesperson.

"The products themselves block pores resulting in acne.

"Forehead acne can also occur if you have a fringe. Hair will rub against the forehead skin causing irritation and potentially contributing to break-outs (acne mechanica).

"The same applies for regularly wearing hats, caps, and helmets. If your hair is oily, this may further aggravate the problem."

According to a blog by Sk:n clinics, the forehead is linked to the bladder and digestion system. "The recommended treatment for spots in this area is to drink more water and eat more whole foods," the site says.

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"Think about your smart phone use," says Dr Anjali Mahto. "Touch screens contain large numbers of bacteria on their surface. Placing your phone against your cheek creates pressure that may activate your oil-producing or sebaceous glands.

"Combine this with heat generated from the phone and bacteria on the phone surface, and acne can result. In men, shaving and in-grown hairs can commonly cause acne or folliculitis in the cheek, jawline and neck area."

Sk:n Group medical director Dr Al-Niami adds that spots on the cheeks can simply be due to acne, "but if found more in the central part of the face and associated with redness, flushing and sensitive skin then it may be a condition called rosacea".

"Sometimes spots on the cheeks appear due to dietary (in particular dairy) consumption," Dr Al-Niami adds. "Though not really well-understood, again it is believed that the sebaceous glands here are more sensitive to growth-factor receptors which are stimulated by a protein found in some dairy products."

According to Sk:n clinics' blog, the cheeks are linked to the respiratory system, so smokers might be more prone to spots in this area.

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"Isolated spots around the mouth can be due to a diagnosis called 'peri-oral dermatitis', particularly if an eczema-like appearance is present too," says Dr Al-Niami.

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"Acne affecting the lower half of the face has often been linked to hormonal changes, particularly in women that develop spots at a later age (adult onset acne)," says Dr Anjali Mahto.

"This can often manifest as deep, red painful cysts under the skin rather than blackheads or whiteheads. However not all data backs this finding. This type of acne may also be present in those without any underlying detectable hormone imbalance."

Basically if you're stressed or ovulating, this area of your face might be prone to breakouts.

"It is believed that this is the case due to the presence of hormone-sensitive sebaceous (also known as grease) glands on that part of the face," adds Dr Al-Niami.

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"Breakouts around the neck area suggest that your body is fighting an illness," says Sk:n Clinics' blog. To combat this, "it is important to rest and drink lots of fluids".

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Natural And Simple Acne Treatments
Lemon(01 of17)
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This citrus fruit is a powerhouse when it comes to treating and preventing acne. The citric acid in lemon exfoliates skins and dries up acne, while its antibacterial properties help prevent it from coming back. It can also reduce the appearance of acne scars by lightning skin. Just soak a cotton swab in fresh lemon juice and apply it directly to infected areas after washing your face. Or create a lemon toner by combining 1/2 cup water, 1 tbsp lemon juice and 2-3 drops tea tree oil. Apply the toner across acne-prone areas. (credit:Kristoffer Winther Balling/Flickr)
Apple Cider Vinegar(02 of17)
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Apple cider vinegar is a popular natural acne treatment among celebrities, including Scarlett Johansson, for maintaining their clear and glowing complexions. It kills acne-causing bacteria with its antibacterial properties, balances the pH of the skin and breaks down oil and dirt to unclog pores. Just like lemon juice, you can apply apple cider vinegar directly to clean skin on your face, neck and back, or dilute it with water if you notice the vinegar is drying your skin. (credit:Shutterstock)
Tea Tree Oil(03 of17)
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Unlike harsh over-the-counter acne treatments, tea tree oil will not leave your skin dry and stripped of its natural oils. You can use a cotton swab to apply the oil directly to your blemishes. If you find the undiluted tea tree oil to be too powerful (or the scent too overbearing), you can dilute it with water or add a few drops to your store-bought or homemade face wash, toner, moisturizer or scrubs. You can also find many natural skincare lines containing soothing tea tree oil and its antibacterial and anti-fungal properties. (credit:Lucie Rihova)
Salt Water(04 of17)
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There is no need to book an ocean-side vacation to get the skin-clearing benefits of salt water. Apply salt directly to damp skin to exfoliate, or create a salt water toner by mixing salt and warm water in a bowl, and dabbing it over your face with a cotton ball. Add the salt water to a spray bottle to spritz your face throughout the day to reduce oil production. (credit:Getty Images/Fuse)
Honey (05 of17)
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This sticky sweet stuff is delicious and soothing in tea, but its antibacterial properties will also help soothe and heal pimples faster by fighting acne-causing bacteria. Apply a high-quality honey, such as manuka honey, directly to pimples and allow the honey to sit on your face for at least 15 minutes before rinsing it off. Or add it to your favourite homemade face mask or scrub. (credit:Shutterstock)
Yogurt(06 of17)
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You've probably heard about the many health benefits of eating yogurt, but did you know that it can also be used topically to treat acne-prone skin? Yogurt contains lactic acid (used in some chemical peels) and antibacterial properties that work to prevent breakouts with the added bonus of moisturizing your skin. Apply plain whole yogurt directly to acne-prone areas for at least 20 minutes before rinsing off. Add this creamy mask to your regular beauty regime to help keep breakouts at bay. (credit:Shutterstock / andersphoto)
Aloe Vera(07 of17)
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The same gel you use to soothe your sunburns, can also help soothe and reduce the inflammation of acne. The herb also contains antibacterial properties that will help prevent acne sores from becoming infected and allow them to heal faster. It can also extract the dirt and oil from your pores that cause acne in the first place. Apply the gel directly to your face and neck, leave overnight and rise off in the morning. Or add it to your facial mask or scrub. (credit:bdspn)
Clay(08 of17)
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Clay-based masks are all the rage lately -- and for good reason. The masks draw out oil and dirt from your pores that cause acne. Find out how to prepare a simple mask using clay and apple cider vinegar here. (credit:Shutterstock)
Green Tea (09 of17)
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You’ve probably heard about the many health benefits of drinking green tea, but it can also be applied on skin to soothe and treat acne by reducing oil production. Just dip a cotton ball or washcloth into cooled green tea and hold on infected areas for a few minutes. (credit:Shutterstock)
Willow Bark Extract(10 of17)
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Willow bark, known as “nature’s aspirin,” is a natural source of salicylic acid, which is found in many acne treatments and is proven to treat acne better than benzoyl peroxide. It removes dead skin cells that clog your pores, while also soothing and rejuvenating your skin. (credit:Andy Hares/Flickr)
Activated Charcoal(11 of17)
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There's a reason activated charcoal has been popping up in more and more skincare products -- the same black substance used to induce vomiting to rid your system of toxins is believed to work like a magnet on your skin, drawing out impurities from your pores. Find out how to make your own charcoal face mask here. (credit:Shutterstock)
Papaya(12 of17)
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The vitamins, lycopene and antifungal, antibacterial properties in this tasty fruit can be work to remove excess oil and dead skin cells from your skin’s surface, leaving your face clean, smooth and less prone to acne. All you have to do is cut up and mash a bit of the fruit, spread it onto clean skin and let it sit for at least 15 minutes. (credit:rclassenlayouts)
Banana Peel(13 of17)
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The next time you eat a banana, don’t be so quick to toss the peel. Banana peels contain the antioxidant lutein, which can help reduce the inflammation of acne. Simply rub the peel on clean skin and let is sit for as long as possible before rinsing. Repeat regularly for optimal results. (credit:Shutterstock)
Sandalwood Oil (14 of17)
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Sandalwood is another powerful acne treatment with its antimicrobial properties that battle bacteria and oil that clog pores and cause pimples. Apply the oil directly to infected areas, or dilute it first with water or base oil, such as evening primrose oil. Find out how to make a sandalwood acne paste here. (credit:Shutterstock / AppleZoomZoom)
Sodium Bicarbonate(15 of17)
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Better known a baking soda, this versatile product removes excess oil, dirt and bacteria on your skin, while also exfoliating. Just combine water and baking soda to create a paste, and massage over your skin. Let the paste sit on your face for at least 15 minutes. (credit:Geo-grafika)
Garlic(16 of17)
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Garlic isn't just for boosting the flavour of your food -- it also has many medicinal purposes, including fighting acne-causing bacteria with its powerful antioxidants. Before heading to bed, mince a few cloves and set in water for about 10 minutes. Use a cotton pad to apply across infected areas. (credit:Ls9907)
Oatmeal(17 of17)
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Remember having a warm and soothing oatmeal bath when you had the chickenpox? Well, oatmeal can also be used to reduced the inflammation of acne. Next time you cook yourself up a pot of oatmeal, apply some to your face as well to help soothe and reduce the redness of acne (just be sure to let it cool first). (credit:Shutterstock / matka_Wariatka)

Dr Mahto says there are a wide variety treatment options available to help curb breakouts:

  • Cleanse your face twice a day with a face wash designed for acne-prone skin. Products that contain salicylic acid and zinc may be beneficial.
  • Exfoliate your skin weekly – this will remove the upper layer of skin cells, resulting in a brighter complexion and help reduce blackheads.
  • Try over-the-counter acne treatments such as benzoyl peroxide or salicylic acid to apply directly onto spots.
  • Avoid heavy cosmetics and products that will block pores and choose items that are oil-free and non-comedogenic.
  • See your GP or a dermatologist if your acne fails to respond to these measures, if you notice scarring, or it is starting to affect your self-esteem.