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test the team - Dermalogica Business Center

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6. List <strong>the</strong> four main contributory factors that lead to <strong>the</strong> development of acne:<br />

• Follicle<br />

• Skin cells<br />

• Sebaceous gland and sebum<br />

• Bacteria<br />

7. Explain, in client language, how <strong>the</strong> four factors contribute to acne formation:<br />

Follicle<br />

In a normally functioning skin, <strong>the</strong> hair within <strong>the</strong> follicle acts as a wick to draw oil and dead skin cells up and out of <strong>the</strong> follicle onto<br />

<strong>the</strong> surface of <strong>the</strong> skin where it can be cleansed away. However, in an acne skin, follicles are often missing a hair. This means that oil<br />

and skin cells can build up within <strong>the</strong> follicle and cause congestion.<br />

Skin cells<br />

In a normally functioning skin, skin cells are developed in <strong>the</strong> lowest layers of <strong>the</strong> skin and work <strong>the</strong>ir way through a series of layers.<br />

When <strong>the</strong> skin cells reach <strong>the</strong> uppermost layers of <strong>the</strong> skin, enzymes are activated to allow <strong>the</strong>m to shed. In acne skin this process<br />

is affected because of a lack of <strong>the</strong> enzymes needed to facilitate <strong>the</strong> shedding process. In addition, acne skins over produce skin<br />

cells by 4-5 times! This adds to <strong>the</strong> build up of skin cells on <strong>the</strong> skins surface and contributes to <strong>the</strong> congestion of <strong>the</strong> skin.<br />

Sebaceous gland and sebum<br />

In a normally functioning skin, <strong>the</strong> skin’s natural oily substance (called sebum) has a consistency of olive oil. In acne skin <strong>the</strong><br />

consistency of sebum is more like butter <strong>the</strong>refore it is more likely to become stuck within <strong>the</strong> follicle and lead to congestion.<br />

Sebaceous activity is under <strong>the</strong> control of hormones, in particular <strong>test</strong>osterone. Testosterone within <strong>the</strong> skin reacts with an<br />

enzyme (called 5 alpha reductase.) This leads to <strong>the</strong> formation of a more aggressive type of <strong>the</strong> <strong>test</strong>osterone hormone (called<br />

dihydro<strong>test</strong>osterone) which in turn directly increases sebum production.<br />

Bacteria<br />

While follicles remain uncongested, bacteria that reside within <strong>the</strong>m remain dormant. As soon as oxygen is restricted within <strong>the</strong><br />

follicle (due to congestion from dead skin cells and sebum) bacteria becomes active.<br />

Bacteria within <strong>the</strong> follicles stimulate an enzyme (called lipase) which leads to a process of inflammation and potentially <strong>the</strong><br />

stimulation of white blood cells, this is when we would see a pustule.<br />

8. List as many acne triggers as you can:<br />

• Heredity<br />

• Cosmetics<br />

• Environment<br />

• Medication<br />

• Hormones<br />

• Friction<br />

• Picking<br />

• Industrial oils<br />

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