Elevated testosterone levels can contribute to acne. Why? It increases your body’s production of sebum, which can lead to the development of pimples. More specifically, the sebum will clog your hair follicles, along with dead skin cells, and other particles. From there, there’s a high chance that it’ll become inflamed and turn into acne. This is one of the reasons why many teens experience acne breakouts during puberty—it’s due to an increase in testosterone levels.