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There are 6 main types of spot caused by acne: blackheads – small black or yellowish bumps that develop on the skin; they're not filled with dirt, but are black because the inner lining of the hair follicle produces colour whiteheads – have a similar appearance to blackheads, but may be firmer and will not empty when squeezed papules – small red bumps that may feel tender or sore pustules – similar to papules, but have a white tip in the centre, caused by a build-up of pus nodules – large hard lumps that build up beneath the surface of the skin and can be painful cysts – the most severe type of spot caused by acne; they're large pus-filled lumps that look similar to boils and carry the greatest risk of causing permanent scarring Things you can try if you have acne