Acne is a subcutaneous (under the skin) inflammatory condition, but its root comes down to a 4-step biological process. Understanding these steps is essential to finding tailored treatments that work for you and developing a healthier relationship with your skin. Step 1. Excess Sebum Production Acne often originates when the sebaceous glands (glands in the skin), produce too much sebum (skin oil). The production is largely driven by hormones, genetics and stress. One signific