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See a Dermatologist If: Your acne started or got significantly worse after beginning nicotine use Over-the-counter treatments are not making a noticeable difference You are developing deep, painful, or cystic breakouts Acne is leaving scars or persistent dark marks You recently quit nicotine and breakouts are severe Your acne is affecting your confidence or quality of life At Honeydew, our providers treat all types of acne and understand how nicotine use in any form can complicate your skin