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Not all pimples are created equally and, sometimes, different skin care tips apply to different pimples. A nodule, for instance, often causes pain and usually requires treatment from a dermatologist. Whiteheads and blackheads, on the other hand, can often be controlled without medical intervention. Here are some of the more common members of the acne family:

• Whitehead: an infected hair follicle that remains under the skin
• Blackhead: that same hair follicle if it breaks through the skin's surface
• Nodule: a solid skin lesion that is often painful and buried deep in the skin
• Pustule: an inflamed, pus-filled area of skin infected by material from a ruptured whitehead (a.k.a. a "pimple")
• Cyst: like a pustule gone bad that goes deep into the skin and can lead to scarring.

Keloid and Acne Scars
Keloid is a common form of scarring. A keloid is an abundance of scar tissue that stands out from the rest of the facial skin. If exposed to excessive sunlight over the first year it forms, a keloid may take on a permanently darker color than the surrounding skin.

Severe scars can give a face a "cratered" appearance, such as the acne scars borne by actors James Woods and Tommy Lee Jones. Some treatments are designed to reduce the chances of scarring. Most mild to moderate acne does not result in scarring or keloids.

Hidden Scars
The disease is so often presumed to be simply physical that its mental effects are often overlooked. Teenagers with severe acne have a high incidence of depression, which can lead to relationship problems, low self-esteem, and, in extreme cases, even suicide. Acne can be mentally devastating, and its ability to cause emotional pain should not be overlooked.

It's Not Just the Face
Acne usually restricts itself to the face and shoulders, but back acne can occur, especially in severe cases. In extreme cases, the disease can spread to the trunk, buttocks and legs. Cystic acne is one of the more common severe types. With the cystic variety, multiple cysts develop, causing widespread scarring. To control and reduce scarring, cystic acne sufferers should seek treatment from a dermatologist.