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You could, although probably depends on your setup. Since acne is probably very relevant to color (red & pink hues) you would probably need make sure things like environment stays pretty consistent, which maybe hard with things like a webcam since they try to do things like auto-exposure. I'm not saying it's not possible, but that would be a condition you would have to deal with regardless of what vision library you use. SimpleCV should be more than capable of doing this type of application though.