The Worst Acne In The World: Causes, Symptoms, And Treatments

Personal trainer who had the 'worst acne ever seen' shares her striking


Acne is a common skin condition that affects millions of people worldwide. It occurs when the hair follicles on the skin become clogged with oil and dead skin cells, leading to the formation of pimples, blackheads, and whiteheads. While acne is usually mild and can be easily treated with over-the-counter medications, some people experience severe and persistent acne that can be debilitating and affect their self-esteem. In this article, we will discuss the worst acne in the world, its causes, symptoms, and treatments.

Causes of Severe Acne

Severe acne, also known as cystic acne or nodular acne, is caused by a combination of factors, including genetics, hormonal imbalances, and lifestyle choices. People with a family history of severe acne are more likely to develop the condition themselves. Hormonal imbalances, such as those that occur during puberty, pregnancy, or menopause, can cause the sebaceous glands in the skin to produce more oil, leading to clogged pores and acne. Poor diet, stress, and lack of sleep can also contribute to the development of severe acne.

Symptoms of Severe Acne

The symptoms of severe acne are more pronounced and widespread than those of mild acne. They include:

  • Painful, large cysts or nodules that form deep within the skin
  • Redness, swelling, and inflammation around the affected area
  • Pus-filled pimples that may burst and leave scars
  • Dark spots or hyperpigmentation after the acne has healed

Treatments for Severe Acne

Severe acne requires aggressive and long-term treatment to prevent scarring and improve the appearance of the skin. The following treatment options are available:

  • Topical medications: These include retinoids, benzoyl peroxide, and antibiotics that are applied directly to the skin to reduce inflammation and kill bacteria.
  • Oral medications: These include antibiotics, hormonal therapies, and isotretinoin that are taken by mouth to reduce the production of oil and prevent acne from forming.
  • Procedures: These include corticosteroid injections, chemical peels, and laser therapy that are performed by a dermatologist to reduce inflammation, unclog pores, and improve the appearance of the skin.

Prevention of Severe Acne

While severe acne cannot always be prevented, there are steps you can take to reduce your risk of developing the condition:

  • Maintain good hygiene by washing your face twice a day with a gentle cleanser
  • Avoid picking or squeezing pimples, as this can lead to scarring and infection
  • Eat a healthy diet that is rich in fruits, vegetables, and whole grains
  • Manage stress through exercise, meditation, or yoga
  • Get enough sleep to allow your body to heal and repair itself


Severe acne is a challenging condition that can have a significant impact on a person’s quality of life. However, with the right treatment and preventative measures, it is possible to manage and even overcome the worst acne in the world. If you are struggling with severe acne, consult a dermatologist who can help you develop a customized treatment plan that is tailored to your specific needs.