How I Break Out: I… uh, have never had a pimple (on my face), and I likely get less than 5 zits a year, in total. Yes, I’m annoying. However, I’m not free from acne! I get a good amount of back acne, and I have a form of acne inversa, aka Hidradenitis suppurativa, which a chronic inflammatory type of acne that happens in places where skin rubs together, like your armpits, and it’s, for lack of a better word, acne that develops under the skin. That happens mostly during extremely warm weather and/or moments of stress.