Acne can have a profound psychological effect on sufferers. It is common and affects up to 95% of people at some point in their life. Acne is predominantly seen in teenagers however adults can also be affected into and beyond their 40’s. Acne can appear a number of ways. Papules are small, inflamed lumps that are pink, tender and non-pustular. Pustules which are small, inflamed, tender, pustular red lumps. Nodules are large, spherical painful lumps located in the dermis. Cysts are also large, painful, pustular lumps located deep in the skin and can cause acne scarring.