STOP BLAMING HYGIENE FOR THIS.
This is one of the most misunderstood skin conditions on the internet.
Those black dots are blackheads, not trapped dirt. They're pores clogged with excess oil and dead skin cells. When exposed to air, the material oxidizes and turns black.
That's why someone who washes their face twice a day can still have severe blackheads, while someone with poor hygiene may not.
The biggest culprits are genetics, hormones, oily skin, and pore-clogging products not simply "being dirty."
The answer isn't scrubbing harder. It's treating the clogged pores with ingredients like salicylic acid or retinoids, using non-comedogenic products, and seeing a dermatologist if the condition is severe.
Before you judge someone's skin, remember: acne is a medical condition, not a measure of cleanliness.