“…The disease in some cases may leave permanent scars on the skin diminishing which causes negative effects on psychological and social well-being in young adolescents such as discomfort, emotional stress [12] anxiety, and embarrassment [13]. In acneprone skin, hyper-proliferation of the keratinocytes occurs and the abnormally desquamated corneocytes accumulate in the sebaceous follicle along with other lipids and debris, which blocks the follicle, and hence a non-inflammatory micro papule is formed [14][15][16][17][18][19][20][21][22]. The pathogenesis of acne is multifactorial and the four main pathological factors involved include sebum production, epidermal hyperproliferation, irregular follicular desquamation, and bacterial proliferation and inflammation [23,24].…”