No one knows exactly what causes acne. Hormone changes, such as those during the teenage years and pregnancy, probably play a role. There are many myths about what causes acne. Chocolate and greasy foods are often blamed, but there is little evidence that foods have much effect on acne in most people. Another common myth is that dirty skin causes acne; however, blackheads and pimples are not caused by dirt. Stress doesn't cause acne, but stress can make it worse.
In other words if all you do is apply topical treatments and nothing else how effective do you think that treatment would be over time. This would be like an alcoholic continuing to drink everyday, then take a pill that helps him to perform adequately the next day such as showing up for work and doing what he needs to do. Overtime the lack of respect for his body will come back to haunt him.
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