Acne can profoundly impact self-esteem at any age, especially during the vulnerable teenage years. If your teen tells you that his acne doesn't bother him, be aware that he may be simply putting on a brave face. I've seen this countless times with young acne sufferers in my office. If you suspect that your teen's acne is affecting his quality of life by impairing social or academic activities, try opening the conversation in a low-key, non-judgmental way, and ask whether he'd be interested in consulting a dermatologist.