Large growth spurts occur during adolescence in both males and females. The male also experiences a greater increase in muscle mass than the female. The distribution of adipose tissue in the female is also noticeable, and causes the adolescent to start resembling an adult. An increase in appetite may accompany the growth spurts.
There are skin changes that are associated with puberty. The sebaceous glands secrete more sebum which can lead to excessively oily skin and acne.
Changes in the voice is due to a change in the larynx in both males and females, but most noticeable in males.