6th June 2020

Acne 101: Different Types of Acne Explained

Last Modified: August 9, 2024

We might associate acne with those awkward teenage years, but the condition affects a lot of adults too.

It can be difficult to know where to start when dealing with acne since there are various types of adult acne. There are also various grades of acne.

If you're feeling overwhelmed, don't worry. We'll explain everything you need to know about adult acne.

Types of Acne

There are three different forms of acne. We've outlined them all here, so you can find out about each of them below.

Comedonal Acne

When you think of acne, this is probably what you'll imagine. Comedonal acne presents itself as small bumps on your skin, which we often refer to as 'blackheads' and 'whiteheads'. They occur when your pores get clogged up by dead skin cells and oil.

There are slight differences between blackheads and whiteheads to bear in mind. Blackheads have open comedones, whereas whiteheads have closed comedones. On a blackhead, the pore's surface is open, whereas on a whitehead, the pore is completely closed.

Cystic Acne

This involves bumps under the surface of the skin and they have no head. Cystic acne often occurs in people with particularly oily skin, as oil, dirt and dead skin all get stuck in pores.

Cystic acne is one of the more painful types of adult acne and can also cause post-inflammatory hyperpigmentation, which leaves scars. As a result, it's important to treat cystic acne promptly. 

Inflammatory Acne

Inflammatory acne isn't completely different from comedonal acne, but it involves more bacteria. Essentially, the mixture clogging your pores combines with bacteria, causing infections which leads to swelling and, as the name suggests, inflammation.

This type of acne manifests in two different ways. Pustules are red and filled with white pus, and they're created when clogged pores get infected. As they contain bacteria, popping them isn't recommended - it can cause the acne to spread.

Moving on to papules, the main difference here is that they don't contain any pus. Despite this, however, they do contain bacteria so topical acne medication is ideal.

Grades of Acne

As well as giving an overview of the different types of adult acne, it's worth looking at the grades of acne too. There are three grades to remember, so we've explained them below.

Mild

The less serious form of acne. For acne to be mild, you should have fewer than 20 comedones and 15 lesions. This is easier to treat and the least serious form.

Moderate 

Moderate acne is more widespread than its mild counterpart. If you have moderate acne, you'll have between 20 and 100 comedones and 15 and 50 lesions.

Severe

The criteria for severe acne is a little more complex. As well as having over 100 comedones and 50 lesions, your dermatologist will also consider whether you have any cystic lesions. To be categorised as severe acne, your acne must incorporate at least five pseudocysts.

Managing My Acne

Dealing with your acne will be different depending on the types and grades of acne you are affected by. For comedonal acne, you can try over-the-counter medications containing salicylic acid or benzoyl peroxide.

These medications can also help in treating inflammatory acne, although it's also worth using a daily cleansing solution to help improve your skin. Meanwhile, if you have cystic acne or acne that's more severe, your best bet is to leave it to a dermatologist, although you can also try other methods such as microneedling.

Grades of acne

Hopefully, you now feel more confident in managing acne. If you're looking for more advice, feel free to check out our other posts or contact us to talk to our clinic in Birmingham.

Post Reviewed by: Dr Baldeep Farmah
Medically Reviewed on: 6th June 2020
Dr Baldeep Farmah is the Medical Director and lead Doctor of Dr Aesthetica, a Medical Aesthetic Clinic.

"We want to empower everyone who walks through our clinic doors, to be able to look in the mirror and see a happier, brighter version of themselves."

For everyone that walks through our clinic doors, you may think you are alone, but you are not. Our patients all have a different story to tell but all come from a similar place.
Make An Appointment

Related Posts

18th October 2023
Addressing Acne Scars with Advanced Skin Treatments

Acne scars can be a distressing reminder of past breakouts, leading to feelings of self-consciousness and inhibiting an individual's confidence. Effectively addressing these scars requires tailored, advanced solutions that target scarring and promote the growth of smoother, more even skin. At Dr Aesthetica, a multi-award-winning medical aesthetic clinic in Birmingham, our skilled professionals offer a […]

Read More
28th July 2020
Have You Tried Everything to Treat Your Cystic Acne? We Can Help

Acne affects 80% of people aged 11 to 30. Cystic acne affects fewer people but is the most severe form of acne one can have.  Your hormones, medications, cosmetics, and your genes can all cause cystic acne. Fortunately, there are many routes you can take to start the treatment process. Keep reading for the best […]

Read More
26th February 2020
How to Treat Adult Acne: 7 Things You Need to Know

The face wash that you used when you were fifteen isn't going to cut it these days. Your life has evolved, now its time for your skincare routine to grow up. So what should you use? The specific types of treatments you will use depends on the severity of your acne, as well as your […]

Read More
birmingham medical spa practitioner

Book Your Treatment Today

Dr Aesthetica offers professional Botulinum Toxin and Dermal Filler treatments in the Birmingham area. We aim to solve your cosmetic related issues with non-surgical interventions.
Book Now
We want to empower everyone who walks through our clinic doors, to be able to look in the mirror and see a happier, brighter version of themselves.
Dr Aesthetica, Unit 1, 1431 -1433 Bristol Rd S, Birmingham, B31 2SU
calendar-full linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram