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Different Types of Acne Explained

Acne comes in several forms. Knowing which type you have can help you choose the right treatment.

1. Whiteheads

Closed comedones — pores become clogged with oil and dead skin cells, but the opening remains closed. They appear as small, flesh-colored or white bumps.

2. Blackheads

Open comedones — the pore is clogged but open to the air. The dark color comes from oxidation of the material in the pore, not dirt.

3. Papules

Small, red or pink, raised bumps caused by inflammation. Unlike whiteheads, they generally don’t contain visible pus.

4. Pustules

Inflamed pimples containing visible white or yellowish pus, usually surrounded by redness.

5. Nodules

Large, firm, painful lumps that develop deep beneath the skin. They can be more likely to leave scars.

6. Cysts

Deep, painful, pus-filled lesions. Cystic acne can cause significant inflammation and has a higher risk of permanent scarring.

Quick guide

Type Typical appearance Inflammation
Whitehead Small closed bump Low
Blackhead Dark open pore Low
Papule Red raised bump High
Pustule Red bump with pus High
Nodule Deep, hard lump Very high
Cyst Deep, painful pus-filled lump Very high

One important distinction: not every bump is acne. Folliculitis, irritation, rosacea, and other skin conditions can look similar.

If you’re dealing with painful deep acne, frequent breakouts, or scarring, a dermatologist can help determine the exact type and most appropriate treatment.

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