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Severe cases may not only be treated with topical medications as well as antibiotics. It may require a stronger medication and/or using it more frequently throughout the day. Everyone's skin is different and therefore needs a different form of treatment. Some people may have allergic reactions to blemish treatments if they have very sensitive skin. It may also take a few different medications to find the one that works best for you. These deep blemishes if not treated can cause unwanted scars on the surface of your skin.
The face and upper neck are the most commonly affected, but the chest, back and shoulders may have acne as well. The upper arms can also have acne, but lesions found there are often keratosis pilaris, not acne. The typical acne lesions are comedones and inflammatory papules, pustules, and nodules. Some of the large nodules were previously called "cysts" and the term nodulocystic has been used to describe severe cases of inflammatory acne. True cysts are rarely found in acne, and the term should be abandoned and the term severe nodular acne used instead.
Avoid makeup that contains any fragrance because this could cause your skin to have an allergic reaction or just irritate it in general. Instead, choose makeup that is fragrance-free or hypoallergenic. If you are already using makeup that contains a fragrance, and your skin has not had a reaction, you are probably ok to continue using it.
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