What causes SUDDEN acne break­outs?

How is it that my face will be clear for a while with rel­a­tively no zits at all then all of a sud­den I have a big one on my nose…two small ones on my left cheek.…one medium size one on my right cheek and a few white heads on my chin?

Like what hap­pens inside my body or on my face that makes them all come out at once like this? I know Ill be clear again then one day ill have another break­out lol

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