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Most of the time acne is caused by the sebaceous glands at the base of the hair follicles of the skin secreting too much sebum - an oily substance released from the pores to keep the skin lubricated and healthy. When too much sebum is produced or it gets clogged it can form hard plugs that block the pores and produce pimples. A localized bacterial infection can develop when these oil plugs rupture beneath the skin's surface. What causes an overproduction of sebum? Hormonal imbalances are a common cause of an overproduction of sebum. This is common