What is acne?

Pimples, medically known as acne, are a common skin condition. They form when oil-secreting ducts in the middle layer of the skin become blocked. This generally results from overproduction of sebum, which moisturizes and protects the skin, combined with pores blocked by dead skin, dirt and other pollutants. Although bacteria play a role in its development, acne is not caused by bacteria. It most often appears on the face, neck, shoulders, back and chest.

Acne can develop at any age but is much more common in teenagers and young adults, affecting 80% of adolescents. During development it is more common in females and generally results from hormonal changes. As far as is known, the only people unaffected are a few isolated traditional tribes.

Although acne is not considered a major health problem, it can leave permanent marks on the skin, affecting appearance and triggering serious psychological problems, especially in adolescents.

What causes acne?

The principal cause is genetic predisposition. Hormonal changes, health problems, unsuitable cosmetics, poor diets and stress can also cause acne or worsen symptoms. Despite popular myths, chocolate and greasy foods such as pizza have no effect on acne formation. Some research, however, has identified milk and dairy products as contributing factors.

Products containing sweeteners, certain baked goods and sugary drinks may also contribute. Research has additionally reported acne rates above 40% among smokers but below 10% among nonsmokers.

Acne treatment and CBD oil

Some research findings suggest that CBD oil may be effective and useful in acne treatment. To understand how CBD affects the skin, however, we first need to identify the endocannabinoid system's relationship with acne. CBD affects the body through this system.

Sebaceous glands responsible for sebum production contain CB2 endocannabinoid receptors. Through these receptors, naturally occurring endocannabinoids regulate sebum secretion. The endocannabinoid system is very important in organizing the skin's secretion of oily substances. Phytocannabinoids such as CBD in cannabis are chemical compounds that can bind to endocannabinoid receptors. They may act similarly to our own endocannabinoids or block their actions.

A 2014 study investigated CBD's effects on sebocytes, the cells producing sebum. Researchers found that CBD prevented these cells from producing excessive oily sebum. CBD oil also triggered an anti-inflammatory response in the cells and prevented inflammatory cytokine activation. Reducing cytokines that trigger acne may help prevent more pimples from developing.

A 2016 study investigated the cannabis plant's antibacterial and antifungal effects. The research suggested that its cannabinoids might help reduce infections arising from dirt and other external pollutants on the skin.

CBD is not the only anti-inflammatory cannabinoid. Many lesser-known cannabinoids, including CBC, CBN and CBG, have such properties. CBDV, which is structurally very similar to CBD, is particularly promising for acne control. Its anti-inflammatory effect specifically targets the skin. Research into lesser-known phytocannabinoids is available here.

A summary of CBD oil's benefits in acne treatment

Reducing inflammation

CBD oil helps soothe irritation caused by acne, reduces overall redness and makes pimples appear smaller.

Controlling oil production

CBD oil reduces skin oil production. Existing research suggests cannabis cannabinoids regulate sebum production by acting on CB2 receptors.

Antioxidant content

CBD oil is rich in powerful antioxidants that may help protect skin from environmental damage and improve its texture and tone.

How can CBD oil be used for acne?

Although purchased CBD oil is already blended with a carrier oil, it can be mixed with a second carrier oil previously used or beneficial for your skin type and applied to the affected area. Because studies applied CBD directly to sebum-producing skin cells, topical application may be the best option. Oral use under the tongue may also be beneficial because anti-inflammatory compounds remain active when they enter the body.

Possible carrier oils include:

  • Coconut oil
  • Olive oil
  • Argan oil
  • Shea butter

Topical products containing CBD are also available. It is useful to assess their ingredients for your skin type to avoid irritating substances. Remember to request third-party laboratory tests to verify their CBD content. Finally, full spectrum CBD oil may contain a small amount of THC, 0.2–0.3%. Although unlikely, THC may irritate or cause discomfort if your skin is very sensitive. In such cases, broad spectrum CBD products may be preferred.

Click to read our article “Full spectrum CBD, broad spectrum CBD and CBD isolate.”

At the time of this article, selling and producing CBD and CBD-containing products in Turkey was prohibited. The article described ordering from overseas online platforms with a doctor's prescription and presenting that prescription at customs to collect the product.

Click to read our article “What should I consider before buying CBD oil?”

Wishing you good health.