Two Types of Acne, Two Treatment Paths: A Dermatologist's Guide

Welcome to Skin Insights by YSBB.

Have you ever looked in the mirror and noticed tiny white bumps or painful red pimples on your face? These are two very different types of acne—commonly known as whiteheads and inflammatory acne. They may look similar at a glance, but their causes, treatments, and risk of scarring are quite distinct.

Today, let’s take a closer look at both types of acne and how to treat them effectively from a dermatologist’s perspective.

---

1. What Is Whitehead Acne (Comedonal Acne)?

Whitehead acne is a non-inflammatory form of acne caused by sebum becoming trapped in pores. It appears as small, firm bumps that are white or slightly yellow, typically without redness or swelling. This is considered an early-stage form of acne.

• Excess sebum production
• Poor exfoliation causing clogged pores
• Hormonal changes (puberty, menstrual cycle, etc.)
• Improper cosmetic use or inadequate cleansing

Treatment Options:

• Exfoliating agents (AHA, BHA, tretinoin)
• Professional acne extraction and skincare treatments
• Sebum-reducing treatments like laser or oral isotretinoin if needed
• Proper moisturizing and sun protection

With early care, whitehead acne can often be resolved without scarring.

---

2. What Causes Inflammatory Acne?

Inflammatory acne occurs when whiteheads become infected with Cutibacterium acnes bacteria and trigger an immune response. This leads to redness, swelling, pain, and sometimes pus. If left untreated, it can damage the deeper layers of skin and leave scars.

• Untreated whiteheads becoming inflamed
• Excess oil production combined with bacterial overgrowth
• Poor habits such as picking or squeezing pimples
• Overactive immune response

Treatment Options:

• Topical or oral antibiotics
• Anti-inflammatory injections (e.g., triamcinolone)
• Anti-redness lasers such as Clarity II

Prompt treatment is essential to prevent dark spots and pitted scars.

---

3. How Do Scarring Risks Differ?

• Whitehead Acne: Minimal skin damage, low risk of scarring if treated properly
• Inflammatory Acne: Can damage the dermis, leading to high risk of pigmentation and scarring
• Recovery Speed: Whiteheads heal quickly, while inflammatory acne often needs more time and treatment

Whitehead acne rarely causes permanent damage if addressed early. But inflammatory acne can affect deeper skin layers, often requiring additional treatment for scars.

---

Final Thoughts

Not all acne is the same. Whiteheads and inflammatory acne differ not just in appearance, but in how they should be managed. Ignoring early-stage acne or neglecting inflamed breakouts can lead to pigmentation and permanent scarring.

At YSBB Skin Clinic, we:

• Accurately diagnose your acne type and stage
• Offer personalized treatments including extraction, medication, laser, and injections

Early treatment can prevent scars and help you achieve healthy, clear skin. If you're dealing with stubborn breakouts, don’t wait—come see us for a professional evaluation.

YSBB Skin Clinic, Seoul, Korea