Sinchon Acne Dermatology Clinic,
Why It Keeps Recurring Even After Treatment
Department: Dermatology

홍대신촌 유앤아이의원
"I had extractions and took medication,
so why does the acne keep coming back?"
"I thought it had calmed down,
but a few weeks later, it appeared in the exact same spot."
You may have felt reassured because your skin seemed to have cleared up, only to notice that acne had appeared in the same spot again when looking in the mirror.
You may have been under a great deal of stress because acne kept gradually coming back despite already receiving various treatments.
Acne coming back does not necessarily mean that you received improper treatment or that your skin is particularly unhealthy.
This is because acne itself has this kind of characteristic.

Acne
Once you understand why this happens, the vague frustration may feel considerably lighter.
Today, at Sinchon Acne Dermatology Clinic (Department: Dermatology), we will explain why acne recurs, why it can be difficult to resolve with extractions alone, and what is important to consider during treatment.^^
Sinchon Acne Dermatology Clinic
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Why does it keep recurring?
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Why extractions alone cannot resolve it
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What should you consider during treatment?
Sinchon Acne Dermatology Clinic (Department: Dermatology)
Why Does It Keep Recurring?

Recurring acne
It is easy to think of acne simply as a “temporary skin problem that appears on the surface.”
However, it is not merely a problem on the skin’s surface; it is closer to a chronic inflammatory condition that begins in small structures within the skin.
Let me explain this in a little more detail.^^
Our skin has small openings called pores, where hair grows, and attached to the inside of each pore is a gland called a sebaceous gland that produces oil, or sebum.
Together, these are called the pilosebaceous unit, and acne can be considered to begin here.
When sebum production increases due to hormonal and other stimuli, and the dead skin cells at the pore opening become thicker, the path for sebum to escape becomes blocked, trapping it inside.

Sebum trapped inside the pore
Afterward, acne-causing bacteria multiply by feeding on the trapped sebum and release substances that irritate the skin.
As the body responds to this irritation, it can lead to inflammation that becomes red, swollen, and filled with pus.
The problem is that this process does not simply go through one cycle and end.
As long as sebum continues to be produced and the pores become blocked again, this process keeps repeating like a hamster wheel.
This is why acne repeatedly appears in the same spots.
Sinchon Acne Dermatology Clinic (Department: Dermatology)
Why Extractions Alone Cannot Resolve It

Many people ask, “Why does acne keep coming back even after I had an extraction?”
An extraction is the process of removing and clearing out contents such as sebum or pus that have accumulated inside a pore.
Because it empties out the clogged, raised area, the skin may look smoother and cleaner afterward.
However, an extraction addresses “what has appeared right now”; it does not stop the process by which acne forms in the first place.
As mentioned earlier, the cycle of increased sebum, clogged pores, and bacterial growth continues.

That is why I view extractions as one part of treatment, not the whole treatment.
While clearing what has appeared, it is also necessary to examine the underlying reasons for the repeated recurrences in order to slow this cycle.
Therefore, rather than simply increasing the number of extractions, treatment should be tailored to each individual while examining the causes of the acne.
Sinchon Acne Dermatology Clinic (Department: Dermatology)
What Should You Consider During Treatment?
This is the point I would especially like to emphasize in this post.
If your acne keeps recurring, it may be helpful to check the following two factors together during treatment.
- What type and stage of acne do you currently have?

Comedone -> Papule -> Pustule -> Nodule
Acne does not have just one appearance.
The early form that appears like tiny grains because the pores are clogged is called a comedone. When the opening is closed and it appears white, it is called a whitehead; when the opening is open and it appears black after contact with air, it is called a blackhead.
When bacteria and inflammation are added, it becomes a red, swollen papule or a yellow, pus-filled pustule. If it becomes deeper and firmer, it can progress to a nodule or cyst.
Different stages require different approaches.
Therefore, you should first identify which stage the acne currently appearing on your skin is in.
- Is there a risk of it leaving scars or hyperpigmentation?

Acne scars
Many people experience stress not because of the acne itself, but because of the marks it leaves behind.
Brown marks or redness may remain where the inflammation has subsided, and deep inflammation may also leave indented scars in the skin.
Therefore, it is important to check in advance whether your current condition is at a stage that is likely to leave marks and to take an approach that minimizes irritation.

So far, Sinchon Acne Dermatology Clinic (Department: Dermatology) has reviewed why acne recurs and why it cannot be resolved with extractions alone.
What matters is not how many extractions you have had.
What matters is examining what type and stage of acne you have now and whether a treatment plan suited to it has been established.
We hope you will discuss it thoroughly with your medical provider before making a decision.
Thank you. This was 홍대 신촌 유앤아이.^^
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