Grade III (severe acne): Blackheads, whiteheads, and deeper pimples are present; inflammation is more pronounced.

Grade IV (very severe): The outbreak is widespread and frequently involves the neck, shoulders, chest, and back. Many pustules and deeper cysts are found. Scarring is also frequently present.

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Acne Effects

Acne blemishes can range from mild to severe. In order to help dermatologists select the appropriate treatment for each patient, they have developed a way of grading the severity of a person's acne condition:

Grade I (mild acne): People with grade I acne generally have blackheads and/or whiteheads; pimples are not present.

Grade II (moderate acne): Blackheads, whiteheads, and small pimples are present, but they are usually confined to the face; inflammation is minimal.