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One study found that females were more affected than males in terms of general and social self-consciousness, and felt more negatively about themselves. In severe cases, problems with self-esteem can lead to depression, social phobia and suicidal urges.
While even mild acne can have a significant impact, more severe effects on lowering self-esteem are associated with more severe forms of acne. Rumsey concluded that the more a person has taken on board from social media and advertisers about how they “should” look, then the greater they will perceive the gap to be between these ideals and themselves, and the more upset they will be about their appearance.