Acne (pimples) that starts before the age of 19 is common and may persist into adulthood. It occurs when skin pores become blocked with oil, dead skin cells and bacteria, often influenced by hormones. Treatment depends on how severe your acne is and how your skin responds. Mild acne can often improve with a simple skincare routine, such as washing the face twice a day with a gentle cleanser and avoiding oily products. Over-the-counter creams containing benzoyl peroxide or salicylic acid can help reduce spots. If acne is more persistent, a doctor may prescribe stronger treatments such as topical retinoid creams or antibiotic lotions. For moderate-to-severe acne, oral antibiotics may be used for a few months. In some cases, hormonal treatments such as the combined oral contraceptive pill can help, especially if breakouts are linked to hormonal changes. For very severe or scarring acne, isotretinoin may be considered under specialist supervision. It is also important to avoid picking spots, manage stress, maintain a balanced diet, and reduce intake of high-sugar foods. Please see a dermatologist to find the most suitable treatment plan for you.