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Main areas affected by nodular acne are the face and back, but it can also occur on other parts of the body such as the neck, chest, upper arms, shoulders, and buttocks, ranging from just a few breakouts to more widespread blemishes.
Acne occurs when the pores of your skin become clogged, most often on the face, neck, back, and chest. No one knows exactly why this happens, but we do know that testosterone plays a part, as does heredity.1-5. Once a pore becomes clogged, it traps skin oil inside.