Introduction and Objective.Increasing global urbanization has led to significant atmospheric air pollution. Airborne pollutants, including PM, O3, CO, NOx, and SO2, exert detrimental effects on the entire body, contributing to various skin diseases. The aim of this study was to review the literature on the effects of selected air pollutants on the development or exacerbation of acne vulgaris, and to elucidate the mechanisms responsible. Brief description of the state of knowledge. Existing studies offer insights into the substantial impact of anthropogenic air pollution on the onset and aggravation of acne. Pollution particles affect the skin on various levels, compromising the protective sebum layer, triggering oxidative stress and inflammatory responses, and instigating noteworthy alterations in skin cell structures. Summary. Reduction in the prevailing levels of anthropogenic air pollutants is crucial for curbing the incidence of acne and enhancing public health. This skin condition detrimentally impacts the quality of life and the mental well-being of those affected, particularly in an era that champions an idealized appearance. The incorporation of substances with antioxidant and anti-inflammatory properties, fortifying the skin barrier, could also prove beneficial. Further research is imperative to deepen our understanding of the relationship between air pollution and acne, as well as to explore effective strategies for shielding the skin from pollution.