What happened to the stereotypical acne-faced teenager?

I was told that acne was a normal part of growing up and hormonal changes were the cause. Yet, I cannot remember the last time I saw a teenager with acne. My wife works as a high school teacher and pointed this out to me. I don’t live in the West, and people certainly aren’t using expensive skincare products.

How did acne stop being a problem if it is a normal biological process?

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