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acne pimples blackheads whiteheads comedones sebum oily skin clogged pores inflammation breakouts vulgaris lesions scars hormonal teenage adult acneprone treatment medication benzoyl peroxide salicylic acid retinoids antibiotics topical creams cleansers diet stress bacteria triggers areas cysts papules pustules nodules scarring prevention noncomedogenic products exfoliation home remedies spot face masks tips cleanser ingredients skincare routine makeup hormones selfesteem stethoscope text common condition occurs hair follicles oil dead cells typically presents deeper painful neck chest back shoulders acne bacteria shoulders