A man, the Author, attempts to use a pore-cleansing strip to alleviate his facial acne. In a humorous twist the cosmetic strip is too sticky and therefor rips his skull from his head. This is funny because it could not actually happen.
The Author is using the stereotype that geeks, his audience, typically have acne on their faces. The acne is not a reaction to the geekiness, but a cause for it. When one has an unattractive or different outward appearance, it can be more difficult to gain acceptance into traditional social circles. It is for this reason that counter-cultures exist - to give the fat, ugly and stupid a place to feel welcome.