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Skin Problems


Aka pimples, inflammatory acne, breakouts, blemish, acne prone skin, severe acne, acne vulgaris, pustules, nodules, cysts, acne cysts, papules

Acne is the most common skin problem happens to almost everyone, and usually begins with skin congestion or commonly known as comedones. When comedones become infected, it can break out and cause acne, open pores and eventually scars.

Comedones or blackheads and whiteheads are the first lesion of acne in non-inflammatory form. Acne happens when the blockage inside pores becomes anaerobic; and hence promotes the growth of bacteria Propionibacterium acnes (bacteria P.acnes) within. This infection results the skin becomes inflamed, heat, swollen, pain and red. 

This problem may further develop to:-

Skin Problem



• Over usage of harsh acne treatment or oil control products
Scars • Squeezing and picking on acne lesion leads to tissue damage
• The skin natural wound healing weaken


• Over usage of harsh acne treatment or oil control products
• During inflammation, the skin protection barrier is weaken and more sensitive to allergens and irritants


Cellnique solutions on curing acne and severe acne:-


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First trial

Skin Action Gel Plus

The Expert Kit

Acne Terminator Kit

Complete Solution

View our complete solution from cleanser, toner, serum, booster, moisturizer, sun protection and masque.


1. Medical term for acne is acne vulgaris.
2. Acne is a skin condition that affects up to 80% of people in their teens and twenties. Many patients on age 25 and above have either late onset or persistent acne vulgaris. At older ages, more women than men have acne.
3. Many people recover from acne without any permanent effects, some people are left with disfiguring acne scar.
4. There are 4 levels of acne:-



Level 1 acne

Level 2 acne

Level 3 acne
Pustules / zits

Level 4 acne


Open comedones (blackheads)
Appear as black bumps on the surface of the skin
Close comedones (whiteheads)
Yellowish gross pus remain underneath the skin

A solid, dome-shaped, flat-topped, irregular-shaped lesion which is slightly elevated above the surface of the skin. 

A fragile, blister-like, pus-filled and dome-shaped lesion.

Nodule: like a papule, a solid, dome-shaped or irregularly-shaped lesion.
Cyst: A fragile, sac-like, pus-filled lesion.


Smallest among 4 levels of acne

Varying in size from a pinhead to 0.5 cm

Greater than 0.5cm and not greater than 1 cm in diameter

Nodule: greater than 1 cm, slightly smaller than cyst.
Cyst: greater than 1 cm in diameter, slightly bigger than nodule





Nodule: No
Cyst: Yes


Non inflammatory

Mild inflammation

Mild inflammation

Severe inflammation


No without squeezing

No without picking or squeezing

No without picking or squeezing


Cellnique best solution

Skin Action Sebum Gel

Skin Action Sebum Gel

Skin Action Gel Plus

Skin Action Gel Plus


The exact causes of acne are unknown; a combination of factors can predispose a person to develop it. It is important to remember that acne has both internal and external causes, here are some important factors we need to understand:-

1. Blackheads and whiteheads.
  When blackheads and whiteheads become inflamed, they can break and cause acnes
  Whiteheads are more likely lead to the red inflammation, known as zits.
2. Bacteria P.acnes (bacteria Propionibacterium acnes)
  Bacteria P.acnes, the regular resident in all skin types; it’s part of the skin natural sebum maintenance system that protects the skin from being invaded by harmful bacteria. It uses sebum as nutrient for growth.
  When sebum is trapped in the follicles, it forms an anaerobic environment which promotes the growth of bacteria P.acnes
  Bacteria P.acnes produce chemicals (free fatty acids) that alter the composition of the sebum, which makes it more irritating and causes inflammation
3. Inflammation
  When body encounters unwanted bacteria (the over production of bacteria P.acnes), it sends an army of white blood cells to attack the intruders. This process is called chemotaxis, an inflammatory response which causes acne to become red, swollen and painful
4. Internal causes – hormones and genetics
  Acne normally begins at puberty, when the body begins to produce hormone called androgen.
  Androgen may over stimulate the sebaceous glands to produce excessive sebum
  In adulthood, androgen is also responsible for acne flare-ups associated with the menstrual cycle or pregnancy.
  Acne might in part is a genetic or inherited disease.
  Twins that develop from one fertilized egg, if one twin had acne, 97% of the other co-twins had acne as well.
  80% of acne sufferers had a brother or sister similarly afflicted, and in 60% one or both parents had experienced acne, while growing up.
5. Improper skin care routine
  Poor cleansing after the use of greasy or petrochemical based skin care products
6. Insufficient sleep
  It contributes to hormonal imbalance and irregular production of sebum
  It leads to metabolic imbalance which turns the healthy acidic skin into alkaline condition, an alkaline skin is prone to skin problems
7. Other environmental factors such as over exposure to the sun, air pollution, high humidity and etc.
8. Squeezing or picking at acne may result in skin irritation and inflammation.


Acne usually begins with comedones (blackheads and whiteheads). Start preventing acne by solving skin congestion.

1. Proper skin care routine
  Choose products that are non-comedogenic and free from:-
    - Lanolin: A fatty substance obtains from sheep’s wool. It has moisturizing properties, but pore clogging capabilities as well.
    - Fragrance: Artificial fragrance contributes to acne infections
    - Mineral Oil: This oil has been shown to cause pore clogging and exacerbate acne.



1. Deep Cleansing 

Always remember to use a makeup remover to thoroughly remove all makeup

Use a face wash designed for oily skin and pat dry the skin gently without vigorous rubbing. Avoid over drying cleanser with SLS (sodium laurel sulfate)

2. serum & moisturizer & masque

Look for products that have excellent anti-inflammatory, anti-bacterial, and at the same time able to control skin oiliness and dry up the skin without causing skin irritation. Common used ingredients include tea tree oil, peppermint oil, benzoyl peroxide, isotretinoin, salicylic acid, licorice root, sulfur and etc.

3. Sun Protection

Choose a light weight sun protection with at least SPF 15 and PA++

4. Foundation

Keep makeup as light as possible. Oil free foundation or makeup products will be a good option.

2. Do not squeeze the acnes which may further irritate the skin and possibly damage the skin tissue.
3. Limit the use of bloater. Overuse of bloater giving the sebaceous glands wrong information of skin dryness and causing excessive sebum secretion.
4. Promote a healthy lifestyle
  Lessen the pressure of life
  Regular exercise helps flush out toxins in our body.
  Drink at least 8 glasses of water daily.
  Get sufficient and quality sleep for 8 hours
5. Be patient, clear skin may take time. No product or treatment works overnight. You will see faster results if you have a level 4 acne problem, the more serious your problem, the faster you should see results.
6. Use your acne product or treatment consistently and appropriately.
7. Continue to use your treatment products even after the acne has been cleared, as acne treatment products do not cure acne, they control it. (an exception to this rule is Accutane – an oral consumption medication to control hormone imbalance).


Frequently Asked Questions

What is bacteria P.acne?

Propionibacterium acne is a major inhabitant of adult human skin, where it resides within sebaceous follicles, usually as a harmless commensal although it has been implicated in acne vulgaris formation.

Why do I still get acne when I wash my face several times a day?

Acne is not caused by poor hygiene. Washing alone will not clear up or prevent acne. Many people use all kinds of cleansers and scrub vigorously, only to irritate the skin further and worsen their acne.

I never had acne as a teenager, why am I now getting acne as an adult?

Usually acne begins at puberty and is gone by early 20s. In some cases, acne may persist into adulthood. Such acne is more likely to affect women than men. As women get older, the pattern of changes in hormones may itself change and acne associated with the menstrual cycle in female as well. Ovarian cysts and pregnancy may also cause hormonal changes that lead to acne. Some women get acne when they discontinue birth control pills that have been keeping acne at bay.

What is the best way to treat acne?

Acne must be treated individually. If you have no gotten results from the acne products you have tried, consider seeing a dermatologist.

How long will I see result of treating my acne?

The time for improvement depends upon the product being used and how intensive is the product, but in almost all cases it is more a matter of weeks or months instead of days.

I do not have acne on my whole face, do I need to apply my acne treatment on whole face?

Topical applied treatments are made to be used on all acne-prone area, not just individual lesions. Part of the goal is to treat the skin before lesions can form and to prevent formation, not just to treat existing lesions. You are advised to treat all areas that tend to break out rather than just individual lesions.

Does eating or drinking certain foods cause acne?

There is little evidence to support certain foods or drinks have effect on the development or the cause of acne. So whether or not to avoid certain foods or drinks is really just an individual preference. If you find your skin reacts negatively to certain foods, then just avoid it.

Can a facial treatment help with acne problem?

The results you get from facial treatments depend on many factors, most importantly the severity of your problem. You may indeed find regular facials help reduce the amount of acne. Besides the esthetician will also perform extractions to remove all acne without causing skin irritation.

Will extraction help in curing my acne problem?

If the skin is at all inflamed, extraction should be held at minimum. No one, not even an esthetician, should attempt to extract deep inflamed acne such as nodules and cysts.

Is acne curable?

Acne is not curable but it can be controlled and prevented.

Why does my acne stop responding to my current treatment?

Treatments can become less effective over time as your body and skin builds a resistance to them. It might be necessary to use acne treatment routine on a rotational basis for optimum effectiveness.

Cellnique complete skin care routine that helps in acne problems?

I would like to try one of your products first, please advice which one should I use?

Cellnique Skin Purifying range is specially formulated for acne prone skin. It is recommended using the complete range for better result. Anyhow, if you would like to try for a single product, use Skin Action Gel Plus on spot area only to dry out your acne while leaving no acne scars or marks.

What should I use if I suffer from acne on my shoulders and backs?

Skin Action Gel Plus is suitable for application wherever on the body the affliction is.

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