Acne may occur on a person's face, neck, chest, back, shoulders, scalp, and upper arms and legs. Comedones, or clogged pores, are the first signs of acne. There are 2 types of comedones:
A comedone may also break through the pore wall underneath the skin and release its contents. This causes a pimple or pustule. If this substance is released deep into the skin it will cause a cyst, which is a small, pus-filled bump beneath the skin.