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Is my acne as bad as I think it is?

Published in Acne Severity 3 mins read

Determining whether your acne is "as bad" as you perceive it to be is subjective, as personal feelings about appearance vary greatly. However, dermatologists use objective criteria based on the number and type of lesions to classify acne severity.

While I cannot know your personal perception or see your skin to count lesions, I can provide the objective standards used by medical professionals. By comparing your acne to these criteria, you can get a better understanding of how your situation aligns with clinical classifications like "moderate" or "severe."

Understanding Acne Severity: Objective Criteria

Dermatologists classify acne into categories like mild, moderate, and severe based on the types and number of breakouts. This provides a standardized way to assess the condition and recommend appropriate treatment.

Based on the provided reference, specific lesion counts are used to define moderate acne:

According to the reference, acne is considered moderate if you have:

  • 20 to 100 whiteheads or blackheads (non-inflamed lesions)
  • 15 to 50 inflamed bumps (papules and pustules)
  • 30 to 125 total lesions (combined whiteheads, blackheads, and inflamed bumps)

Dermatologists typically recommend prescription medication for acne that falls into the moderate to severe categories.

Moderate Acne Criteria Summary

Here is a quick summary of the criteria for moderate acne:

Lesion Type Count Range
Whiteheads/Blackheads 20 - 100
Inflamed Bumps 15 - 50
Total Lesions 30 - 125

Note: The reference specifically defines these ranges for moderate acne.

How to Assess Your Acne Severity

To see how your acne compares to these objective standards, you can try counting your lesions. This isn't always easy or precise, especially for non-inflamed bumps, but it can give you a rough idea.

  1. Count Non-Inflamed Lesions: Estimate the number of whiteheads (closed comedones) and blackheads (open comedones) on affected areas.
  2. Count Inflamed Lesions: Count the red, raised bumps (papules) and pus-filled pimples (pustules). Avoid counting deep, painful cysts or nodules separately for this specific moderate classification, though their presence usually indicates more severe acne.
  3. Calculate Total Lesions: Add the numbers from steps 1 and 2.

Once you have estimated your counts, compare them to the ranges listed above. If your numbers fall within or exceed these ranges, your acne meets or exceeds the criteria for moderate severity based on this classification system.

Comparing your personal experience and perception with these objective criteria can help you understand if your acne is considered medically significant, potentially requiring professional treatment like prescription medication, as suggested for moderate to severe cases.

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