You change your pillow sheets with the devoutness of a practicing nun, habitually wipe down your phone case with antibacterial wipes, and have masterfully broken the habit of touching your face (serious props for that one). Not to mention, all your pretty skincare products are lined up in a row, and you’d sooner delete your Instagram app than skip your morning and evening skincare regimen. So why the consistent sprouting of zits and whiteheads?

Turns out, there are a number of underlying issues to consider that may be adversely affecting your skin. From chronic stress to diet to hormone imbalance, we’re going deeper than that painful underground pimple to get to the bottom of your acne woes.