Inflammatory acne is an infection of the skin that occurs in the shaft of the hair follicle when P.acnes bacteria and oil from the sebaceous gland becomes trapped below the surface of the skin.

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Acne is caused when a healthy hair follicle becomes blocked by skin and hair cells that have not shed properly and have stuck together in the shaft of the hair follicle. When this happens, the oil produced by the sebaceous gland and P.acnes bacteria are no longer able to exit through the surface of the skin. Inflammation occurs and acne is born.

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Increased hormonal activity stimulates the sebaceous gland to produce more oil. The size of the sebaceous gland becomes enlarged because of the increased oil production (similar to our muscles with physical exercise). This allows for more oil production, which in turn, allows for more sebum plugs to develop. When the size of the sebaceous gland increases following hormonal changes, it allows for easier targeting (and shrinkage) with lasers.