There are many reasons why acne occurs. The underlying problem is the clogging of sebaceous glands attached to hair follices underneath the skin surface with sebum, a type of oil normally produced to maintain healthy skin. This sebum serves as “food’” for bacteria resulting in inflammation which manifests as pimples and cysts on the surface of the skin anywhere there are follicles such as the face, back, and chest. Hormones also play a role in acne by increasing the production of oil in the skin. Successful treatment requires defenses against the clogged sebaceous glands, bacteria, and excess oil production. These treatments may be in the form of topical and/or oral medications as well as, laser and light treatments.