When this plug of oil and skin cells reaches the surface of the skin, it appears black, and a blackhead develops. The dark color is not from dirt. If the follicle wall breaks further below the skin surface, acne nodules or cysts can form and you get what is called cystic acne. These are much larger, deeper, inflamed lesions in the skin. It is important to treat acne nodules because they usually lead to permanent scars.
Heredity plays a significant role in the development of acne.
It is not uncommon to see brothers and sisters with acne. You may have inherited the tendency to get acne from your mother or father or both. It is important to see your healthcare professional for treatment and for follow up care. Check out your treatment options . Find a Dermatologist near you.