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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 on your skin become blocked with oil, dead skin, or bacteria. Each pore on your skin is the opening to a follicle. The follicle is made up of a hair and a sebaceous (oil) gland. The oil gland releases sebum (oil), which travels up the hair, out of the pore, and onto your skin.