Acne vs Pimples: What’s the Difference?

Updated on: 17th May, 2025

We’ve all suffered from acne and pimples at one time or another, haven’t we? And many of us are still suffering from it. 

It’s worse when they choose to make an appearance just before a big day, but stubborn repeated breakouts are equally bad. They are unappealing, affect your self-esteem and confidence, and it is high time we got the better of them.

Acne is one of the most common skin conditions, affecting lots of people worldwide. It occurs when hair follicles become clogged with oil (sebum) and dead skin cells, resulting in a buildup that blocks pores. This can lead to various types of lesions, including blackheads, whiteheads, papules, pustules, nodules, and even painful cysts. Acne can range from mild breakouts to severe forms that may cause inflammation, pain, and scarring. Left untreated, severe acne can have lasting physical and emotional effects.

Acne is often a chronic condition, meaning it can persist for years or recur over time, especially during periods of hormonal fluctuation, such as puberty, pregnancy, or menopause. Proper management is key to minimizing its impact.

Pimples, on the other hand, are a specific symptom of acne. They occur when clogged pores become inflamed, usually due to the growth of bacteria such as Cutibacterium acnes (formerly known as Propionibacterium acnes). Pimples can appear as red, tender bumps and often contain pus, creating a raised appearance on the skin.

Unlike acne, which encompasses a range of skin concerns, pimples are isolated lesions. While they are a hallmark of acne, not all acne involves pimples. For example, non-inflammatory forms of acne, like blackheads and whiteheads, do not involve redness or swelling. Pimples are usually inflammatory in nature and may vary in size and severity.

Understanding these differences can help you identify your specific skin concerns and address them appropriately.

Both acne and pimples share common causes, such as clogged pores, but their development is influenced by several factors:

• Hormonal Changes: Hormonal fluctuations during puberty, menstruation, pregnancy, or periods of high stress can increase sebum production, leading to clogged pores and breakouts.
• Diet: Some studies suggest that high-glycemic foods, sugary snacks, and dairy products may exacerbate acne in certain individuals. Monitoring your diet may help reduce the frequency or severity of breakouts.
• Genetics: A family history of acne increases your likelihood of developing the condition. This genetic predisposition may influence how your skin reacts to hormones and bacteria.
• Skin Care Products: Using comedogenic (pore-clogging) products can trap oil and debris, leading to acne and pimples. Non-comedogenic or oil-free products are better choices for acne-prone skin.
• Environmental Factors: Humidity, pollution, and even frequent use of masks (maskne) can contribute to clogged pores and breakouts.

For Pimples:

• Topical Treatments: Over-the-counter products containing benzoyl peroxide or salicylic acid are effective for reducing redness and inflammation. These ingredients work by killing bacteria, unclogging pores, and promoting cell turnover.
• Proper Hygiene: Regularly cleansing your face with a gentle, non-comedogenic cleanser can help prevent pimples. Avoid picking or squeezing pimples, as this can lead to scarring and further inflammation.
• Spot Treatments: Products like tea tree oil, sulfur masks, or hydrocolloid patches can be used directly on pimples to speed up healing.

For Acne:

Acne Treatments Explained

Dermatologists often prescribe topical treatments like retinoids (e.g., tretinoin or adapalene) to manage acne. The type of treatment depends on the severity and type of acne. Over-the-counter (OTC) options may also help.

Common OTC Acne Medications:

• Differin (adapalene 0.1%): A mild retinoid available without a prescription.
• Benzoyl peroxide: Helps reduce acne-causing bacteria.
• Salicylic acid: Sometimes used but less common in Acne treatment plans.

Prescription Topical Medications for Acne:

• Antibiotics: Like clindamycin, to reduce bacteria and inflammation.
• Azelaic acid: Helps unclog pores and reduce redness.

Prescription Oral Medications for Acne:

• Anti-androgen agents: For hormonal acne (e.g., spironolactone).
• Antibiotics: Such as doxycycline, to reduce inflammation.
• Combined oral contraceptives: For hormonal balance.
• Isotretinoin: A powerful treatment for severe acne.

Other Acne Therapies:

• Chemical peels: Exfoliates and improves skin texture.
• Light therapy: Includes photodynamic or intense pulsed light (IPL) to target acne-causing bacteria.

Always consult a dermatologist to find the best treatment for your skin.