There are internal and external causes for acne breakouts. The internal are your genetics, hormones and stress levels. The main external causes for acne breakouts are heat, humidity, wrong food and wrong cosmetics. To get rid of your acne you need to start a daily anti-acne routine that matches your skin condition. Use your MDacne app to assess your skin, check your personal routine, buy the suggested products and USE them regularly. Most of the people that stick to this program for at least 8 weeks see improvement and decreased acne breakouts.