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Why do people get different types of acne? What happens inside the clogged pore determines the type of acne we see. A blackhead appears when sebum and dead skin cells clog the pore. While the pore is clogged, its surface remains open. This lets us look into the pore and see a black colour. Your dermatologist may call a blackhead an open comedo [co-me-dough]. A whitehead forms when the excess oil and dead skin cells clog the pore and block the opening of the pore. Because the pore closes, dermatologists call this type of acne a closed comedo. Acne develops where we have the most sebaceous glands. These glands make sebum and are found in the greatest number on our face, neck, chest, back, shoulders, and upper arms The excess oil does more than clog pores. Bacteria that normally live on our skin, P. acnes, thrive in this excess oil. Immersed in excess oil, the bacteria can rapidly increase in number. As the bacteria multiply in a clogged pore, the por...