While acne may seem like a rite of passage for many teens, I am now observing it in pre-pubertal children, as early as 8 years of age. Newer treatments are geared toward this age group, in addition to the armamentarium of topical and oral medications available for comedonal, inflammatory and nodulo-cystic acne variants. Acne can be socially-stigmatizing, physically painful, and can lead to permanent scarring. Scientifically, there are 4 main acne triggers. Your dermatologist will help develop a treatment plan that best addresses your acne needs.