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Acne and pimples is different. Yes people still have pimples at every age. But full blown acne doesn't happen much. Only times I tend to have breakouts is if I change my facial cleanser/moisturizer or run out and use soap that ends up drying out my skin and causes me to get more pimples than normal. Hair styles also matter and wearing beanies/hats tend to make people break out around their foreheads. Females that wear make up will have pimples if they aren't used to not wearing any make up which you'll only see when the make up is off. Also I brought up gloves, sparring/rolling will get you all kinds of cuts/rashes/infections. Some people have dirty gloves/gis/etc. So there's a lot of things that can affect your face while training. Even those training mask and having to work out with mask because of covid at the gym will make your break out.
Back pimples is the one that usually is rare though at older age. Especially acne on the back.
Sure, certain factors will influence the skin negatively and can contribute to the forming of pimples. Which you can remedy against if you know what the particular cause is. But pretty sure Colby means to accuse Usman of having acne as he's emphasizing him having it all over his body and face. And I think he means to imply it coming from hormones disrupting PEDs, even though he only names EPO. It's very much within the realm of possibility of Usman being on EPO and more, so I don't think it's a controversial statement, besides PEDs bein a taboo subject and Colby being a controversial person in general, but those shouldn't detract from determining the merit of his words, if you're trying to be objective about it.