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Why do some people who have oily skin never get acne?

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There are so many people that always have a huge sheen of oily skin on their face, yet are crystal clear. We've all seen people like that. But why does it happen?

My theory is... that since acne is because of oil AND dead skin cells, they don't get it because their face is free of them, as opposed to ours which isn't due to many dead skin cells from the use of acne products etc?

Am I onto something? What do you think?

Or because their skin is less prone to acne because their skin is more healthy?


Gone out of the country July 5th to August 5th

Finally Clear! < Click link for regimen

People always think the key to fighting acne is to avoid foods, but in actually it's usually what they're NOT eating that's causing it to happen. It made no sense to start with omitting the small things that MAY cause acne for SOME people. Start with the basics of nutrition. You're a human, not an accumulation of minor problems from every person! Not everyone reacts to the same foods. Not everyone has issues with wheat and such foods. Start with the basics of good nutrition and THEN see what happens, omit foods once you feel something is not working, but don't base a diet off of what to avoid, that will make you malnourished and very depressed when you have nothing left to eat! It is true that some people have issues with some foods, but remember, try it for yourself first :)

Get to the root of the problem, because acne has a relentless and endless arsenal on the surface and it is sadistic.

Testosterone is a steroid hormone from the androgen group. Omega 3 fatty acids can also help to keep the production of androgens under control. Androgens are hormones that influence sebum production and are particularly active during adolescence, which is possibly why many teenagers suffer from acne. Androgen excess may provoke or aggravate acne by inducing seborrhea (sebum). In women, androgen disorders are frequently suspected when acne is accompanied by hirsutism or irregularities of the menstrual cycle. In men, however, acne may be the only sign of androgen excess.

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There are so many people that always have a huge sheen of oily skin on their face, yet are crystal clear. We've all seen people like that. But why does it happen?

My theory is... that since acne is because of oil AND dead skin cells, they don't get it because their face is free of them, as opposed to ours which isn't due to many dead skin cells from the use of acne products etc?

Am I onto something? What do you think?

Or because their skin is less prone to acne because their skin is more healthy?

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Oil is only one factor in acne ..... skin cells that don't shed properly are the real culprit, IMO.


Retired from Acne.org


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Oil is only one factor in acne ..... skin cells that don't shed properly are the real culprit, IMO.

Gone out of the country July 5th to August 5th

Finally Clear! < Click link for regimen

People always think the key to fighting acne is to avoid foods, but in actually it's usually what they're NOT eating that's causing it to happen. It made no sense to start with omitting the small things that MAY cause acne for SOME people. Start with the basics of nutrition. You're a human, not an accumulation of minor problems from every person! Not everyone reacts to the same foods. Not everyone has issues with wheat and such foods. Start with the basics of good nutrition and THEN see what happens, omit foods once you feel something is not working, but don't base a diet off of what to avoid, that will make you malnourished and very depressed when you have nothing left to eat! It is true that some people have issues with some foods, but remember, try it for yourself first :)

Get to the root of the problem, because acne has a relentless and endless arsenal on the surface and it is sadistic.

Testosterone is a steroid hormone from the androgen group. Omega 3 fatty acids can also help to keep the production of androgens under control. Androgens are hormones that influence sebum production and are particularly active during adolescence, which is possibly why many teenagers suffer from acne. Androgen excess may provoke or aggravate acne by inducing seborrhea (sebum). In women, androgen disorders are frequently suspected when acne is accompanied by hirsutism or irregularities of the menstrual cycle. In men, however, acne may be the only sign of androgen excess.

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To elaborate a bit on LQ's answer:

There are several factors to acne, and oil is only a contributing factor, not the real cause. The skin of acne sufferers has a specific set of abnormalities - abnormal desquamation and keratinization being foremost imo. Abnormal desquamation means that the cells that line the pore slough off into the pore much too fast, and abnormal keratinization means that the pore produces too much keratin (the substance that makes fingernails hard) and this combines with unusually sticky sebum to produce blockages to form in the pores. This creates an anaerobic (low oxygen) environment under the clog that allows the natural bacterial populations to skyrocket, and this activity produces inflammation. If those clogs didn't happen, the oil would just exit to the surface and no acne would form.

Topical retinoids can help to regulate the abnormalities in the pores (as does Accutane), and chemical exfoliants can help to unclog the blockages from the top. Antibiotics have an anti-inflammatory effect and can decrease bacterial activity, and BP reduces bacteria by introducing oxygen which hampers their reproduction.


Currently - all clear!

Maintaining my last Accutane course (10/05-04/06) click here for log

Yasmin on Seasonale schedule

Green Cream lvl 6

Shiseido White Lucent system

(cleanser, and SPF 16 moisturizer (no way, SPF that doesn't sting!?))


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Seconding (thirding?) what others have said. Acne starts with a clogged pore. Whether it be a papule, pustule, blackhead, whitehead, whatever. The person with the oiliest skin in the world can have perfectly clear skin as long as their pores stay unblocked. IMO, oily skin just compounds the problem and increases the potential for more severe acne. Personally, I do not have oily skin, but I'm prone to comedonal acne. My skin doesn't shed properly (possibly because my skin is naturally on the dry side).

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To elaborate a bit on LQ's answer:

There are several factors to acne, and oil is only a contributing factor, not the real cause. The skin of acne sufferers has a specific set of abnormalities - abnormal desquamation and keratinization being foremost imo. Abnormal desquamation means that the cells that line the pore slough off into the pore much too fast, and abnormal keratinization means that the pore produces too much keratin (the substance that makes fingernails hard) and this combines with unusually sticky sebum to produce blockages to form in the pores. This creates an anaerobic (low oxygen) environment under the clog that allows the natural bacterial populations to skyrocket, and this activity produces inflammation. If those clogs didn't happen, the oil would just exit to the surface and no acne would form.

Topical retinoids can help to regulate the abnormalities in the pores (as does Accutane), and chemical exfoliants can help to unclog the blockages from the top. Antibiotics have an anti-inflammatory effect and can decrease bacterial activity, and BP reduces bacteria by introducing oxygen which hampers their reproduction.


Gone out of the country July 5th to August 5th

Finally Clear! < Click link for regimen

People always think the key to fighting acne is to avoid foods, but in actually it's usually what they're NOT eating that's causing it to happen. It made no sense to start with omitting the small things that MAY cause acne for SOME people. Start with the basics of nutrition. You're a human, not an accumulation of minor problems from every person! Not everyone reacts to the same foods. Not everyone has issues with wheat and such foods. Start with the basics of good nutrition and THEN see what happens, omit foods once you feel something is not working, but don't base a diet off of what to avoid, that will make you malnourished and very depressed when you have nothing left to eat! It is true that some people have issues with some foods, but remember, try it for yourself first :)

Get to the root of the problem, because acne has a relentless and endless arsenal on the surface and it is sadistic.

Testosterone is a steroid hormone from the androgen group. Omega 3 fatty acids can also help to keep the production of androgens under control. Androgens are hormones that influence sebum production and are particularly active during adolescence, which is possibly why many teenagers suffer from acne. Androgen excess may provoke or aggravate acne by inducing seborrhea (sebum). In women, androgen disorders are frequently suspected when acne is accompanied by hirsutism or irregularities of the menstrual cycle. In men, however, acne may be the only sign of androgen excess.

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Then if dead skin is a contributer to acne, wouldn't exfoliating help acne more than cleansing?

Gone out of the country July 5th to August 5th

Finally Clear! < Click link for regimen

People always think the key to fighting acne is to avoid foods, but in actually it's usually what they're NOT eating that's causing it to happen. It made no sense to start with omitting the small things that MAY cause acne for SOME people. Start with the basics of nutrition. You're a human, not an accumulation of minor problems from every person! Not everyone reacts to the same foods. Not everyone has issues with wheat and such foods. Start with the basics of good nutrition and THEN see what happens, omit foods once you feel something is not working, but don't base a diet off of what to avoid, that will make you malnourished and very depressed when you have nothing left to eat! It is true that some people have issues with some foods, but remember, try it for yourself first :)

Get to the root of the problem, because acne has a relentless and endless arsenal on the surface and it is sadistic.

Testosterone is a steroid hormone from the androgen group. Omega 3 fatty acids can also help to keep the production of androgens under control. Androgens are hormones that influence sebum production and are particularly active during adolescence, which is possibly why many teenagers suffer from acne. Androgen excess may provoke or aggravate acne by inducing seborrhea (sebum). In women, androgen disorders are frequently suspected when acne is accompanied by hirsutism or irregularities of the menstrual cycle. In men, however, acne may be the only sign of androgen excess.

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Don't forget that acne is a sign that something's wrong inside your body. It may be an imbalance, sensitivities, etc... That's why some people who are homeless and does not wash or put anything on their face at all still have dirty BUT clear skin. We are all different; different causes for every individual. There are thousands of reasons as to why we have acne and dead skin cells is JUST one of them. <-- some people exfoliates but STILL get acne. But exfoliating is an important method to do whether you are clear or not anyways.

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yes just to prove this..i have oily skin all over my face but i usually just get pimples on my chin and sometimes jawline.


[My Regimen]

- cetaphil cleanser (normal to oily)

- pat dry

- ceraVe moisturizing lotion

I'm done with freakin' topicals.

Daily: Yasmin BC - started 3/25/07

Sunblock - Neutrogena ultra sheer dry-touch sunblock spf 45


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I have acne and very oily face=(. But oil-absorbing sheets can help! But then the oilness just come back again =(... lols =/

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I have acne and very oily face=(. But oil-absorbing sheets can help! But then the oilness just come back again =(... lols =/

Gone out of the country July 5th to August 5th

Finally Clear! < Click link for regimen

People always think the key to fighting acne is to avoid foods, but in actually it's usually what they're NOT eating that's causing it to happen. It made no sense to start with omitting the small things that MAY cause acne for SOME people. Start with the basics of nutrition. You're a human, not an accumulation of minor problems from every person! Not everyone reacts to the same foods. Not everyone has issues with wheat and such foods. Start with the basics of good nutrition and THEN see what happens, omit foods once you feel something is not working, but don't base a diet off of what to avoid, that will make you malnourished and very depressed when you have nothing left to eat! It is true that some people have issues with some foods, but remember, try it for yourself first :)

Get to the root of the problem, because acne has a relentless and endless arsenal on the surface and it is sadistic.

Testosterone is a steroid hormone from the androgen group. Omega 3 fatty acids can also help to keep the production of androgens under control. Androgens are hormones that influence sebum production and are particularly active during adolescence, which is possibly why many teenagers suffer from acne. Androgen excess may provoke or aggravate acne by inducing seborrhea (sebum). In women, androgen disorders are frequently suspected when acne is accompanied by hirsutism or irregularities of the menstrual cycle. In men, however, acne may be the only sign of androgen excess.

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In my experience, during highschool and just after my face was SUPER oily, from about 14-20 years old. I had to use face wipes midday and then my face would be super oily again by the time i got home at 4pm. I always cleansed twice a day with an oil-free cleanser. If i didn't use the wipes or at least rinse my face with just plain luke warm water during the day i would develop more whitehead pimples. Around 21 my face began to reduce oil and when 23/24 yrs old it was great though i would always have the odd one or two pimples a week. Now at 25, over the past six months i have no problem with oily skin but started breaking out in huge sore deep pimples on the lower part of my face and cheeks area, that never came to a head and left scars. Now i am on Isotane, the New Zealand version of Accutane it seems. For me, having oily skin did not mean i was acne free, when i look back now i really should have seen a dermatologist way back then because the amount of oil was not normal. I also recommend Isotane to any other New Zealanders considering this medication for acne. Expect at least a two month wait to get an appointment in NZ, and you will need to be patient as it takes about two months to see Isotane results. See www.isotane.co.nz

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To be honest, I've only seen a handful of people with oily skin (including my self) and only one of them was acne free. It's a question of genetics, as people above have said, and perhaps some people only have oily skin, but not problems with keratinization of the skin.


When I'm clear, I'm on top of the world. When I have acne, I'm lost.


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To be honest, I've only seen a handful of people with oily skin (including my self) and only one of them was acne free. It's a question of genetics, as people above have said, and perhaps some people only have oily skin, but not problems with keratinization of the skin.

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Physical exfoliation (scrubbing) really only removes dead skin at the surface and can cause irritation which can exacerbate acne. That's why products like retinoids are recommended, it is active deeper in the pore and can help to normalize desquamation and keratinization.


Currently - all clear!

Maintaining my last Accutane course (10/05-04/06) click here for log

Yasmin on Seasonale schedule

Green Cream lvl 6

Shiseido White Lucent system

(cleanser, and SPF 16 moisturizer (no way, SPF that doesn't sting!?))


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The problem with topical medications such as retinoids is it only "masks" the problem from the inside. I know this from my experience with retin-a, it took me 2 months to clear me up and I stopped using it after being clear.. then like a week later, all hell broke lose! I started getting severe acnes on both of my cheeks where it should only be mild in the first place! My skin transformed from mild to severe! I wouldn't rely on my retinoids ever again!! So if retin-a, etc. is working for you, then I suggest don't stop it too soon. We have problems with skin's desquamation and something is causing that internally.

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I use retin-a for a couple of days every once in a while and I stay clear for weeks after.

Note: only reason I got acne is cause of my oily skin and clogged pores, so retin-a is basically my salvation since it does

exactly that to stop my acne.

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it took me 2 months to clear me up and I stopped using it after being clear.. then like a week later, all hell broke lose!

Currently - all clear!

Maintaining my last Accutane course (10/05-04/06) click here for log

Yasmin on Seasonale schedule

Green Cream lvl 6

Shiseido White Lucent system

(cleanser, and SPF 16 moisturizer (no way, SPF that doesn't sting!?))


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Yeah, I've noticed some people who have somewhat oily complexions are clear of acne. It's really weird.

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