Introduction Acne vulgaris is a skin disorder that is caused by the blockage or inflammation of hair follicles. The availability of sebum, dead skin cells, and bacteria block hair follicles, causing the skin to blemish and show different signs, including blackheads, pimples, cysts, and whiteheads. Acne vulgaris is also called common acne and occurs mainly during puberty because that is the period when hormones are highly released. In this case, the most affected people are teenagers around puberty. The condition primarily affects skin areas with more or populated sebaceous follicles and includes a person’s back, face, and the upper part of the chest. Acne vulgaris is one of the significant common skin conditions in the US, and those with severe acne can experience permanent physical and mental mutilating. Main body The disordered physiological processes associated with acne vulgaris result from the inflammatory mediators released into the skin. Other factors include high production of sebum, follicular hyperkeratinization with follicle complexations, and cutibacterium acne. Sebum is an oil secreted by sebaceous glands to keep the skin moist, and when glands clog, they block follicle hair leading to pimples and cysts on the skin (Venes, 2017). Follicular hyperkeratinization is when skin cells shade near the pores or the uppermost part of the hair follicle. Inflammatory responses are experienced before hyperkeratinization, and it happens when cytokines activate endothelial cells for regulation purposes. The increase in keratinocyte profanation and reduced desquamation leads to high sebum and keratin production. Mediators and receptors, including insulin-like growth factors and peroxisome, are involved in regulating sebaceous glans, which contribute to acne vulgaris. A combination of different components, including hormones, bacteria, and oil, causes acne vulgaris. Sebum is highly produced by sebaceous glands, which combine with dead skin cells on the hair follicles, blocking sebum’s release from the pores and causing acne. The condition is experienced mostly during puberty, but as a person enters adulthood, acne vulgaris begins to disappear because the production of sebum has been reduced. The condition can prolong in women up to their 40s because of varying hormones during pregnancy or the menstrual cycle. Certain types of medications and cosmetics, including lotions, can affect the occurrence of acne vulgaris (Habeshian & Cohen, 2020). Additionally, high humidity, sweating, and polycystic ovary syndrome affect the occurrence of the condition. Some of the medications that can facilitate the development of acne vulgaris include lithium, steroids, and iodides. Backpacks, shoulder pads, and under-wire bras can foster the disorder. Therefore, the degree of using these components affects the development of acne vulgaris, and minimizing their usage and exposure to sunlight can reduce the occurrence of the disorder in a person. In the United States, acne vulgaris is the most common skin disorder that affects many people yearly. Twenty percent of the affected people experience severe acne vulgaris, which has a permanent physical and mental impact on an individual. Different people experience different degrees of acne vulgaris, and persons of