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During the early teen years, boys and girls are at greater risk for acne breakouts, when the oil glands in the body start over-producing sebum (skin oil that can resemble grease). Adding to the problem, your body sheds dead skin cells constantly * and some people have "sticky" skin cells that don't shed normally * they just remain attached to the skin. In people who have acne, these excess skin cells mixes with the oil and plug up the hair follicles.

The Common Myths

Quite a few myths are floating around out there about what causes acne. Let's straighten some out right now.

- Dirt does not cause acne
- A blackhead may look like dirt plugging one of your pores, but that is not the cause.
- The sebum and skin cells mix together and sometimes rise to the opening of the pore. But the real cause is still deep inside the pore.
- Enjoy your chocolate and French fries. Indulging in these favorites does not increase the production of sebum in the skin.
- Some of you may have been told that sexual activity or masturbation can cause acne. Not true.

Who Gets More Acne?

While both boys and girls can get acne * it's more likely to be worse in boys because their bodies produce more skin oils.

Strangely enough, your immune system can come into play as well * making you extra sensitive to the bacteria that get trapped in the hair follicles.

What Makes Acne Worse?

- If you use makeup, suntan products or hair products that contain oil * they can add to the pore-plugging problem.
- Being under stress * like applying to schools, or struggling with grades, or even dating pressures * can help bring out acne.
- During a girl's period, hormone levels may create more sebum in the skin, which can worsen the breakouts.
- And, beware of the sun * not only can it damage your skin and cause premature aging * it can also cause pimples.

While keeping your skin clean is an important part of treatment, remember to be gentle * no hard scrubbing, no picking or squeezing. You can survive acne.