In adolescence, oily skin can easily become acne-prone skin with blackheads and spots. The biological cause of this change is an increase in the quantity of sebum (hyperseborrhoea), combined with a change in sebum quality (dysmenorrhoea).
Thickened skin, clogged pores, blocked sebum, bacterial growth... a vicious circle sets in and comedones turn into inflamed red spots.
Environment and diet also play a role in acne. Adult women can also suffer from acne.