Dirt does not cause acne. That is one of the very basic concepts that most acne sufferers need to accept. Keeping the face clean will help to make acne outbreaks happen less frequently and be less severe when they do happen but the fact that your face gets dirty is not the cause of acne.
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Acne is a kind of catch-all term that basically refers to eruptions on the skin that are caused by the effects of hormones on sebaceous glands. Specifically, in the human body, there are pilosebaceous units (made up of a hair follicle, sebaceous gland, and a hair) everywhere except in the palms of the hands, the soles, the top of the feet, the lower lip; and anywhere there are pilosebaceous units, a pimple or a blackhead can develop.
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