You’ve phrased your questions based on the assumption that ‘a medical downside’ and ‘a societal beauty issue’ are mutually exclusive – like acne is one or the other. I would suggest that’s a false assumption and that, in many cases, precisely because acne is a societal beauty issue it can also become a mental health issue.
[Acne and mental health](https://www.aad.org/public/diseases/acne/acne-emotional-effects#) article from the American Academy of Dermatology Association.
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