When does acne start? Acne usually starts at the onset of puberty. In girls, this may be almost. a year before true puberty starts and at this stage, acne is so slight that it often passes unnoticed. There are those who remain free of it in later puberty as well. Even so, it is more common to have a mild form of acne during puberty than none at all. Hardly anyone gets through puberty without a single spot.Even so, it is more common to have a mild form of acne during puberty than none at all. Hardly anyone gets through puberty without a single spot.

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Acne also occurs sporadically in young children; this kind usually disappears of its own accord. If a child suffers from some kind of hormonal imbalance, then the acne may become widespread.

Some people do not get acne till their thirties, or even their forties. Contrary to general belief, peoples of all Nationalities and races get acne. There is evidence that it is less prevalent in some parts of the world (such as Japan), but the reasons for this (climate? heredity?) are not known for sure. Acne also seems to be less prevalent in agricultural than in industrial areas.

When does acne stop?Most of us have a mild form of acne during puberty. A few have a very conspicuous form of acne vulgaris.

In most cases, acne passes quite naturally within a couple of years. We still lack any satisfactory explanation for this more or less spontaneous healing.

Roughly one person in six still has acne in their twenties. It lasts longer with some people than with others. Acne usually quietens down as the years pass, which is something of a comfort; acne hardly ever occurs after forty. Very occasionally, acne remains for a long time as a consequence of an endocrinal imbalance (endocrine glands are hormone-producing).

There are strong grounds for believing that the persistence and duration of acne is influenced by heredity. If someone has acne for a long time, there is a fair chance that others in the family have it for a similar period of time.