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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.
Why does it occur. Acne occurs when glands (called sebaceous glands) in the follicles of the skin become overactive. These glands produce sebum, an oily substance that helps to stop the skin drying out.Someone with acne produces too much sebum, which forms a plug with dead skin cells and blocks the follicle.If the blocked follicle is close to the skin surface, it balloons outwards and forms a whitehead.everal factors can cause acne to get worse: 1  Changing levels of hormones in teenage girls and women, usually two to seven days before their period starts. 2  Oil from skin products, such as moisturisers and make-up, or grease in the workplace (such as a kitchen with fryers).