Acne occurs in many pediatric adolescent patients. The initial cause of acne is a “clogged pore” which is keratin and sebum that rises to the surface of the skin. During puberty, androgens are released in the skin that elicits the glands to produce more sebum. The extra sebum mixes with the keratinocytes, plugs the pilosebaceous follicles to produce a “clogged pore” which is obstruction of comedones also known as blackheads and whiteheads (Ball, Bindler, & Cowen, 2015, P 1047). Open comedones known as blackheads are obstructions at the mouth of the follicle that is filled with stratum corneum cells (Buttaro et al., 2017). Blackheads get its color from the “compacted follicular cells, not dirt” (Buttaro et al., 2017, p. 249). When the inflammation
