What causes back acne. How to treat backne with over-the-counter products. When to see a dermatologist for severe back acne. Which lifestyle changes can help prevent back breakouts. How to choose the right skincare routine for acne-prone back skin.

Understanding Back Acne: Causes and Types

Back acne, often referred to as “backne,” is a common skin condition that affects many individuals. It occurs when hair follicles or pores on the back become clogged with oil, dead skin cells, and bacteria. The back is particularly prone to acne due to its high concentration of sebaceous glands, which produce sebum – an oily substance that can contribute to pore blockages.

There are several types of back acne lesions:

• Blackheads: Open comedones with dark centers
• Whiteheads: Closed comedones with white centers
• Papules: Small, red, inflamed bumps without a distinct head
• Cysts: Large, painful, pus-filled lumps deep under the skin

In some cases, what appears to be back acne may actually be a condition called pityrosporum folliculitis. This is caused by an overgrowth of Malassezia yeast, which thrives in warm, humid environments – conditions often found on the back due to clothing and sweat.

Over-the-Counter Treatments for Mild to Moderate Back Acne

For those dealing with mild to moderate back acne, several over-the-counter (OTC) options can be effective:

Benzoyl Peroxide Cleansers

Benzoyl peroxide is a powerful ingredient that kills acne-causing bacteria and helps reduce inflammation. When choosing a benzoyl peroxide cleanser for back acne, opt for a concentration around 5.3%, which is effective yet less likely to cause irritation. Leave the cleanser on for a few minutes before rinsing to allow it to penetrate the thicker skin on the back.

Retinoid Creams

Topical retinoids can help unclog pores and promote cell turnover, preventing dead skin cells from blocking follicles. Many OTC creams contain 0.1% retinoid, which can be effective for back acne. Adapalene gel, such as Differin, is another option that can be applied after showering and before bed.

Non-Comedogenic Moisturizers

If acne treatments cause dryness or tightness, using a non-comedogenic, oil-free moisturizer can help balance the skin without clogging pores. Look for products labeled “non-comedogenic” to ensure they won’t contribute to acne formation.

Prescription Treatments for Severe Back Acne

When OTC treatments prove ineffective for severe back acne, it’s time to consult a dermatologist. They may recommend prescription-strength treatments such as:

• Topical antibiotics to fight bacteria
• Stronger retinoids like tretinoin or tazarotene
• Oral antibiotics for widespread, inflammatory acne
• Isotretinoin for severe, cystic acne that hasn’t responded to other treatments
• Hormonal treatments for women with acne related to hormonal fluctuations

Alternative Therapies and Procedures for Back Acne

Beyond topical and oral medications, several alternative treatments can be effective for back acne:

Light and Laser Therapies

These treatments use specific wavelengths of light to kill acne-causing bacteria and reduce inflammation. They can be particularly helpful for reaching difficult areas on the back.

Chemical Peels

Professional-grade chemical peels can help exfoliate the skin, unclog pores, and reduce acne lesions. They may be especially beneficial for treating back acne scars.

Extraction Procedures

For stubborn blackheads and whiteheads, a dermatologist may perform extractions to manually remove the blockages from pores.

Lifestyle Changes to Prevent and Manage Back Acne

In addition to treatments, certain lifestyle modifications can help prevent and manage back acne:

• Shower promptly after sweating to remove excess oil and bacteria
• Wear loose-fitting, breathable clothing during exercise
• Change out of sweaty clothes as soon as possible
• Use non-comedogenic sunscreen when exposing your back to the sun
• Avoid picking or squeezing acne lesions to prevent scarring
• Regularly wash bedding and backpacks that come into contact with your back

Diet and Back Acne: Is There a Connection?

The relationship between diet and acne has been a topic of ongoing research. While the evidence is not conclusive, some studies suggest that certain dietary factors may influence acne development:

High-Glycemic Foods

Foods that quickly raise blood sugar levels, such as refined carbohydrates and sugary snacks, may exacerbate acne in some individuals. Opting for low-glycemic alternatives could potentially help manage breakouts.

Dairy Products

Some research indicates a possible link between dairy consumption and acne, particularly skim milk. However, more studies are needed to confirm this association.

Omega-3 Fatty Acids

Increasing intake of omega-3 fatty acids, found in fish, flaxseeds, and walnuts, may help reduce inflammation associated with acne.

It’s important to note that dietary changes alone are unlikely to completely clear back acne, but they may complement other treatment strategies.

Skincare Routine for Acne-Prone Back Skin

Developing a consistent skincare routine is crucial for managing back acne. Here’s a suggested regimen:

1. Cleanse: Use a gentle, non-irritating cleanser daily and after sweating.
2. Treat: Apply a benzoyl peroxide wash or retinoid cream as directed.
3. Moisturize: If needed, use a non-comedogenic moisturizer to prevent dryness.
4. Protect: Apply non-comedogenic sunscreen when your back is exposed to sunlight.

Consistency is key when treating back acne. It may take several weeks to see significant improvement, so patience and persistence are essential.

When to Seek Professional Help for Back Acne

While many cases of back acne can be managed with OTC treatments and lifestyle changes, there are instances when professional help is necessary:

• Severe or cystic acne that doesn’t respond to OTC treatments
• Acne that causes significant physical discomfort or emotional distress
• Development of acne scars
• Sudden onset of severe acne in adulthood, which may indicate an underlying health issue

A dermatologist can provide a comprehensive evaluation and develop a tailored treatment plan to address your specific needs.

Back acne can be frustrating to deal with, but with the right approach, it is manageable. By combining appropriate treatments, lifestyle modifications, and a consistent skincare routine, most people can achieve clearer, healthier-looking back skin. Remember that what works for one person may not work for another, so don’t hesitate to experiment with different strategies or seek professional advice if needed. With patience and perseverance, you can overcome back acne and feel more confident in your skin.

How to get rid of it and how to prevent it

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Acne is a common condition that typically develops in areas of skin with a lot of oil-producing glands, such as the face, chest, and back. Cleansers, medications, and laser therapy are just some ways of treating it.

Back acne, or “backne,” may involve blackheads, whiteheads, or pus-filled bumps called cysts.

The treatment for back acne depends on its severity and may involve over-the-counter (OTC) products, prescription medications, or treatments such as light therapy.

This article looks at what back acne is, what causes it, and how to treat it.

Back acne refers to pimples or cysts on the back. It can involve:

• Blackheads: Each bump has a dark dot in its center.
• Whiteheads: Each bump has a white center.
• Papules: Each small bump has no distinct “head.”
• Cysts: These painful or tender lumps look similar to boils and are a severe form of acne.

Back acne is not a specific medical condition, but it has some unique challenges when compared to acne on the face. For example, it can be more difficult to see and reach back acne to apply treatments.

Why does acne occur on the back?

Like the chest and face, the back has a high density of sebaceous glands. These produce sebum, an oily substance that forms a protective coating for the skin.

Sebaceous glands are attached to hair follicles or pores. If sebum or dead skin cells clog a pore, it can cause a blockage. This blockage may lead to inflammation or trap bacteria in the pore. This is how acne lesions develop.

A type of yeast, Malassezia, can also cause lesions that look similar to acne. The yeast tends to overgrow in humid, sweaty environments. Because clothing, backpacks, and slings often cover the back, it can be an ideal environment for this microbe to grow.

If the yeast gets into the hair follicles, it can cause a condition known as pityrosporum folliculitis. If antibacterial treatments have not worked for back acne, a person may have pityrosporum folliculitis instead.

Below is a range of OTC and prescription treatments a person can consider.

Cleanser

According to the American Academy of Dermatology Association (AAD), people with mild-to-moderate back acne may benefit from combining acne-friendly skin care with OTC products that target the lesions. Individuals with more severe back acne may need prescription drugs.

A person should wash the skin with a mild, non-irritating cleanser every day and after getting sweaty. They should also avoid harsh soaps and astringents and keep from scrubbing the acne — this increases the inflammation.

When acne flares up, people can use a benzoyl peroxide wash. This ingredient kills bacteria and helps reduce lesions. It works best when a person leaves the wash on their skin for a few minutes before rinsing it away. This is because the skin on the back is thicker than on the face, so it may need extra time to absorb.

The AAD writes that a concentration of around 5.3% is less likely to cause side effects such as irritation, dryness, and peeling.

A person can consider Differin Daily Deep Cleanser, which contains 5% benzoyl peroxide. This product is suitable for sensitive skin, and a 4 fluid ounce (fl oz) bottle costs $12.47.

SHOP NOW

Retinoids

To reduce acne, a person might also try a skin care product that contains 0.1% retinoid in addition to using a benzoyl peroxide face wash. Many OTC creams contain retinoids.

Another option is adapalene gel. Doctors recommend using this after showering and before going to sleep.

An applicator can help a person apply treatments to difficult-to-reach parts of the back.

One adapalene product a person can consider is the La Roche Posay Effaclear 0.1% Adapalene Gel, which is suitable for everyday use. The company writes it is suitable for sensitive skin and works to improve cell turnover, which removes and prevents dead skin cells from clogging the pores.

A 1.6 oz tube costs $30.99.

SHOP NOW

Moisturizer

If the skin on the back feels dry or tight, particularly after showering or bathing, a person might use an oil-free moisturizer. Look for products that are labeled “non-comedogenic.” This means that they do not clog pores.

The CeraVe Daily Moisturizing Lotion for Dry Skin aims to hydrate the skin with hyaluronic acid and restore the skin’s protective barrier with ceramides. It is non-comedogenic and suitable for acne-prone skin.

A person can use this moisturizer daily, and a 19 fl oz bottle costs $18.37.

SHOP NOW

Sunscreen

Sun exposure can make acne lesions darker and more noticeable. It can also cause them to last longer. The AAD recommends a person uses a non-comedogenic sunscreen with an SPF of 30 or above whenever a person has their back exposed.

Oral contraceptives

If a person’s acne seems linked to the menstrual cycle, they may wish to consider trying oral contraceptives, which is an effective treatment in females.

Although hormonal acne is not a term used by doctors, hormones can play a part in the formation of acne. During puberty, rising testosterone levels can increase sebum production, and conditions such as polycystic ovary syndrome (PCOS) can cause an overproduction of androgens like testosterone.

Oral contraceptives can decrease androgen levels.

However, oral contraceptives often have side effects and may not always be effective in managing acne.

A person should speak to a doctor to understand whether oral contraceptives will be effective and safe for them to use. They should also continue to work with a dermatologist and keep up their skincare routine while using birth control for acne.

Oral antibiotics

Drugs such as doxycycline and erythromycin can reduce the amount of acne-causing bacteria on the skin. A dermatologist will likely recommend the shortest possible dosage because overuse can lead to antibiotic resistance, and antibiotics can kill healthy bacteria in the gut.

Isotretinoin

This medication aims to treat excessive oil, inflammation, clogged pores, and bacteria.

According to the AAD, 85% of people who take isotretinoin experience permanent clearing of acne after one course. The common side effects can include dry skin, eyes, nose, and mouth, itching, and headaches.

Severe side effects include suicidal thoughts, aggression, difficulty moving the limbs, and severe skin rash. However, these side effects are rare and occur in less than 1 out of 1,000 people.

A person should talk with a doctor about whether isotretinoin is right for them.

Antiandrogen therapy

Antiandrogen involves taking medications that suppress testosterone, such as cyproterone acetate and ethinylestradiol or spironolactone.

Dermatologists may consider it for females who do not respond to oral contraceptives or have polycystic ovary syndrome (PCOS).

Light and laser therapy

A dermatologist may recommend and perform laser or light therapy for acne. This involves exposing the skin to a special type of light during regular sessions for a set period.

There are different types of light therapy:

• Red, blue, or infrared light therapy can treat pimples but not whiteheads, blackheads, cysts, or nodules.
• Photopneumatic therapy can help unclog pores — treating whiteheads and blackheads but not cysts.
• Photodynamic therapy can successfully treat severe acne, but it is more expensive.
• At-home light therapy devices can treat pimples, but the light is less intense than the one a dermatologist uses.

For lesions that leave noticeable scars, a dermatologist can use procedures such as laser treatments, microneedling, and chemical peels to reduce their appearance.

People must visit dermatologists or plastic surgeons with the appropriate qualifications and experience for treating acne and reducing scars. Visiting someone or a clinic that does not have such expertise and the best equipment can result in disappointment and more harm.

Below is an overview of the treatments included in this article.

The acne-friendly skin care routine outlined by the AAD can help prevent back acne as well as treat it. A gentle cleanser, non-comedogenic moisturizer, and adequate sun protection can be an effective route for a person to take.

Other skin care strategies that can prevent or reduce acne and skin irritation include:

• regularly washing bed linens, towels, and pillowcases
• regularly washing clothes, particularly tight-fitting ones, such as bras or binders
• avoiding wearing things that rub against the back, such as backpacks
• exercising in loose-fitting clothes made from natural fibers, such as cotton
• showering and changing clothes immediately after exercise or using cleansing wipes
• washing workout clothes and equipment after each use

Acne affects many people. Certain factors that can contribute to or raise the risk of its development include:

Puberty

Teenagers often develop acne, possibly due to the increase in testosterone during puberty. Testosterone plays a key role in stimulating the growth and development of the testicles and penis in males and maintaining bone and muscle strength in females.

Experts believe that testosterone causes the sebaceous glands to overproduce sebum, increasing the likelihood of blocked pores. Acne may improve when the person enters adulthood.

Family history

A person is more likely to develop acne if one or both parents have had it.

If both parents had acne, a person might be more likely to develop it at an early age. If a person’s parents had acne as adults, the person might also be more likely to have it during adulthood.

Sex

Males are more likely to develop acne than females, according to a 2022 overview of acne.

Other triggers

Other factors that may cause acne or trigger outbreaks include:

• certain medications, such as steroids and some forms of hormonal birth control
• cosmetic products that are not non-comedogenic
• regularly wearing items, such as backpacks, that rub or irritate affected areas of the skin

There is also some evidence that dietary factors can worsen or improve acne. According to the AAD, some studies have shown that a low glycemic index diet reduces acne. This involves eating “slow-burning” carbohydrates, which do not cause blood sugar to spike, and avoiding unhealthy foods such as bread, doughnuts, and potatoes.

Also, some studies have found an association between cow’s milk and higher rates of acne. However, the link is unclear, and there is no evidence that other dairy products, such as yogurt or cheese, cause acne.

Below are answers to the top frequently asked questions about back acne.

Will back acne go away by itself?

The UK National Health Service (NHS) writes that acne often goes away when a person is in their mid-20s.

However, a person should talk with a doctor about their back acne to discuss treatment and how to manage acne at home to reduce the risk of scarring.

Does scrubbing your back help acne?

No. Scrubbing acne can increase inflammation, cause scratches or wounds, and increase the risk of scarring. People can gently exfoliate their skin once a week to remove dead skin cells and dirt from their back.

Should I moisturize back acne?

Yes. Using a gentle, non-comedogenic, and fragrance-free moisturizer can help to keep the skin hydrated. This helps repair the skin’s moisture barrier, which acne can impair. Dry skin can cause an overproduction of sebum, which contributes to the formation of acne.

Back acne, or backne, occurs when dead skin cells and oil from the sebaceous glands block pores, causing inflammation. It can be harder to see and reach acne on the back in order to treat it. However, a range of effective OTC and prescription treatments are available, and using an applicator can help.

To prevent acne and help to reduce it, a person should adopt a regular, gentle skin care routine. They should also change out of sweaty clothing after exercising, change bedsheets regularly, and avoid harsh soaps and comedogenic products.

In addition, back acne can worsen if a person regularly wears clothing or accessories that rub against their back, such as a tight-fitting bra, a backpack, or binders.

A person should speak with a dermatologist about severe or persistent acne. Some acne-like lesions result from different health issues, which require different treatments.

Read the article in Spanish.

How to get rid of it and how to prevent it

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Acne is a common condition that typically develops in areas of skin with a lot of oil-producing glands, such as the face, chest, and back. Cleansers, medications, and laser therapy are just some ways of treating it.

Back acne, or “backne,” may involve blackheads, whiteheads, or pus-filled bumps called cysts.

The treatment for back acne depends on its severity and may involve over-the-counter (OTC) products, prescription medications, or treatments such as light therapy.

This article looks at what back acne is, what causes it, and how to treat it.

Back acne refers to pimples or cysts on the back. It can involve:

• Blackheads: Each bump has a dark dot in its center.
• Whiteheads: Each bump has a white center.
• Papules: Each small bump has no distinct “head.”
• Cysts: These painful or tender lumps look similar to boils and are a severe form of acne.

Back acne is not a specific medical condition, but it has some unique challenges when compared to acne on the face. For example, it can be more difficult to see and reach back acne to apply treatments.

Why does acne occur on the back?

Like the chest and face, the back has a high density of sebaceous glands. These produce sebum, an oily substance that forms a protective coating for the skin.

Sebaceous glands are attached to hair follicles or pores. If sebum or dead skin cells clog a pore, it can cause a blockage. This blockage may lead to inflammation or trap bacteria in the pore. This is how acne lesions develop.

A type of yeast, Malassezia, can also cause lesions that look similar to acne. The yeast tends to overgrow in humid, sweaty environments. Because clothing, backpacks, and slings often cover the back, it can be an ideal environment for this microbe to grow.

If the yeast gets into the hair follicles, it can cause a condition known as pityrosporum folliculitis. If antibacterial treatments have not worked for back acne, a person may have pityrosporum folliculitis instead.

Below is a range of OTC and prescription treatments a person can consider.

Cleanser

According to the American Academy of Dermatology Association (AAD), people with mild-to-moderate back acne may benefit from combining acne-friendly skin care with OTC products that target the lesions. Individuals with more severe back acne may need prescription drugs.

A person should wash the skin with a mild, non-irritating cleanser every day and after getting sweaty. They should also avoid harsh soaps and astringents and keep from scrubbing the acne — this increases the inflammation.

When acne flares up, people can use a benzoyl peroxide wash. This ingredient kills bacteria and helps reduce lesions. It works best when a person leaves the wash on their skin for a few minutes before rinsing it away. This is because the skin on the back is thicker than on the face, so it may need extra time to absorb.

The AAD writes that a concentration of around 5.3% is less likely to cause side effects such as irritation, dryness, and peeling.

A person can consider Differin Daily Deep Cleanser, which contains 5% benzoyl peroxide. This product is suitable for sensitive skin, and a 4 fluid ounce (fl oz) bottle costs $12.47.

SHOP NOW

Retinoids

To reduce acne, a person might also try a skin care product that contains 0.1% retinoid in addition to using a benzoyl peroxide face wash. Many OTC creams contain retinoids.

Another option is adapalene gel. Doctors recommend using this after showering and before going to sleep.

An applicator can help a person apply treatments to difficult-to-reach parts of the back.

One adapalene product a person can consider is the La Roche Posay Effaclear 0.1% Adapalene Gel, which is suitable for everyday use. The company writes it is suitable for sensitive skin and works to improve cell turnover, which removes and prevents dead skin cells from clogging the pores.

A 1.6 oz tube costs $30.99.

SHOP NOW

Moisturizer

If the skin on the back feels dry or tight, particularly after showering or bathing, a person might use an oil-free moisturizer. Look for products that are labeled “non-comedogenic.” This means that they do not clog pores.

The CeraVe Daily Moisturizing Lotion for Dry Skin aims to hydrate the skin with hyaluronic acid and restore the skin’s protective barrier with ceramides. It is non-comedogenic and suitable for acne-prone skin.

A person can use this moisturizer daily, and a 19 fl oz bottle costs $18.37.

SHOP NOW

Sunscreen

Sun exposure can make acne lesions darker and more noticeable. It can also cause them to last longer. The AAD recommends a person uses a non-comedogenic sunscreen with an SPF of 30 or above whenever a person has their back exposed.

Oral contraceptives

If a person’s acne seems linked to the menstrual cycle, they may wish to consider trying oral contraceptives, which is an effective treatment in females.

Although hormonal acne is not a term used by doctors, hormones can play a part in the formation of acne. During puberty, rising testosterone levels can increase sebum production, and conditions such as polycystic ovary syndrome (PCOS) can cause an overproduction of androgens like testosterone.

Oral contraceptives can decrease androgen levels.

However, oral contraceptives often have side effects and may not always be effective in managing acne.

A person should speak to a doctor to understand whether oral contraceptives will be effective and safe for them to use. They should also continue to work with a dermatologist and keep up their skincare routine while using birth control for acne.

Oral antibiotics

Drugs such as doxycycline and erythromycin can reduce the amount of acne-causing bacteria on the skin. A dermatologist will likely recommend the shortest possible dosage because overuse can lead to antibiotic resistance, and antibiotics can kill healthy bacteria in the gut.

Isotretinoin

This medication aims to treat excessive oil, inflammation, clogged pores, and bacteria.

According to the AAD, 85% of people who take isotretinoin experience permanent clearing of acne after one course. The common side effects can include dry skin, eyes, nose, and mouth, itching, and headaches.

Severe side effects include suicidal thoughts, aggression, difficulty moving the limbs, and severe skin rash. However, these side effects are rare and occur in less than 1 out of 1,000 people.

A person should talk with a doctor about whether isotretinoin is right for them.

Antiandrogen therapy

Antiandrogen involves taking medications that suppress testosterone, such as cyproterone acetate and ethinylestradiol or spironolactone.

Dermatologists may consider it for females who do not respond to oral contraceptives or have polycystic ovary syndrome (PCOS).

Light and laser therapy

A dermatologist may recommend and perform laser or light therapy for acne. This involves exposing the skin to a special type of light during regular sessions for a set period.

There are different types of light therapy:

• Red, blue, or infrared light therapy can treat pimples but not whiteheads, blackheads, cysts, or nodules.
• Photopneumatic therapy can help unclog pores — treating whiteheads and blackheads but not cysts.
• Photodynamic therapy can successfully treat severe acne, but it is more expensive.
• At-home light therapy devices can treat pimples, but the light is less intense than the one a dermatologist uses.

For lesions that leave noticeable scars, a dermatologist can use procedures such as laser treatments, microneedling, and chemical peels to reduce their appearance.

People must visit dermatologists or plastic surgeons with the appropriate qualifications and experience for treating acne and reducing scars. Visiting someone or a clinic that does not have such expertise and the best equipment can result in disappointment and more harm.

Below is an overview of the treatments included in this article.

The acne-friendly skin care routine outlined by the AAD can help prevent back acne as well as treat it. A gentle cleanser, non-comedogenic moisturizer, and adequate sun protection can be an effective route for a person to take.

Other skin care strategies that can prevent or reduce acne and skin irritation include:

• regularly washing bed linens, towels, and pillowcases
• regularly washing clothes, particularly tight-fitting ones, such as bras or binders
• avoiding wearing things that rub against the back, such as backpacks
• exercising in loose-fitting clothes made from natural fibers, such as cotton
• showering and changing clothes immediately after exercise or using cleansing wipes
• washing workout clothes and equipment after each use

Acne affects many people. Certain factors that can contribute to or raise the risk of its development include:

Puberty

Teenagers often develop acne, possibly due to the increase in testosterone during puberty. Testosterone plays a key role in stimulating the growth and development of the testicles and penis in males and maintaining bone and muscle strength in females.

Experts believe that testosterone causes the sebaceous glands to overproduce sebum, increasing the likelihood of blocked pores. Acne may improve when the person enters adulthood.

Family history

A person is more likely to develop acne if one or both parents have had it.

If both parents had acne, a person might be more likely to develop it at an early age. If a person’s parents had acne as adults, the person might also be more likely to have it during adulthood.

Sex

Males are more likely to develop acne than females, according to a 2022 overview of acne.

Other triggers

Other factors that may cause acne or trigger outbreaks include:

• certain medications, such as steroids and some forms of hormonal birth control
• cosmetic products that are not non-comedogenic
• regularly wearing items, such as backpacks, that rub or irritate affected areas of the skin

There is also some evidence that dietary factors can worsen or improve acne. According to the AAD, some studies have shown that a low glycemic index diet reduces acne. This involves eating “slow-burning” carbohydrates, which do not cause blood sugar to spike, and avoiding unhealthy foods such as bread, doughnuts, and potatoes.

Also, some studies have found an association between cow’s milk and higher rates of acne. However, the link is unclear, and there is no evidence that other dairy products, such as yogurt or cheese, cause acne.

Below are answers to the top frequently asked questions about back acne.

Will back acne go away by itself?

The UK National Health Service (NHS) writes that acne often goes away when a person is in their mid-20s.

However, a person should talk with a doctor about their back acne to discuss treatment and how to manage acne at home to reduce the risk of scarring.

Does scrubbing your back help acne?

No. Scrubbing acne can increase inflammation, cause scratches or wounds, and increase the risk of scarring. People can gently exfoliate their skin once a week to remove dead skin cells and dirt from their back.

Should I moisturize back acne?

Yes. Using a gentle, non-comedogenic, and fragrance-free moisturizer can help to keep the skin hydrated. This helps repair the skin’s moisture barrier, which acne can impair. Dry skin can cause an overproduction of sebum, which contributes to the formation of acne.

Back acne, or backne, occurs when dead skin cells and oil from the sebaceous glands block pores, causing inflammation. It can be harder to see and reach acne on the back in order to treat it. However, a range of effective OTC and prescription treatments are available, and using an applicator can help.

To prevent acne and help to reduce it, a person should adopt a regular, gentle skin care routine. They should also change out of sweaty clothing after exercising, change bedsheets regularly, and avoid harsh soaps and comedogenic products.

In addition, back acne can worsen if a person regularly wears clothing or accessories that rub against their back, such as a tight-fitting bra, a backpack, or binders.

A person should speak with a dermatologist about severe or persistent acne. Some acne-like lesions result from different health issues, which require different treatments.

Read the article in Spanish.

Where do back pimples come from and how to get rid of them

Likbez

Health

May 4, 2022

Acne cannot be ignored. They talk about something going wrong.

Where do pimples on the back come from

Pimples on the back have basically only two causes: external and internal. Well, then there are nuances.

External causes

We are talking about cases where rashes are an inflammatory reaction of the skin to an unfavorable environment. Most often this leads to:

1. Poor hygiene . There are many sebaceous glands on the skin in the shoulder area. Sebum is an excellent breeding ground for various bacteria that cause acne. Someone produces less fat, someone more. And if you belong to the second category, it is important to approach back hygiene more carefully.
2. Aggressive Cleansing . If you use washcloths, brushes, scrubs and actively rub your back with cleansers, you can injure the epidermis, damage your own lipid layer, destroy beneficial bacteria that live on the skin.
3. Taking hot baths, frequent visits to baths and saunas . Moisture and heat like fungi and bacteria, so there may be more rashes. And swimming in not very clean water in general can lead to pseudomonas folliculitis.
4. Synthetic clothing . If things made from natural fabrics remove moisture well and allow the skin to breathe, then synthetics often play the role of a kind of thermos. Due to poor ventilation, sweat is released more actively. It remains on the skin and, like fat, improves the well-being of microbes.
5. T-shirts and sweaters that are too tight . They can literally rub dirt and sweat into your pores.
6. Loose hair . They share their own dirt and grease with the back skin. In addition, the ends of the hair irritate the skin, causing it to produce excess portions of fat.
7. Using the wrong cream or lotion . For example, an overly oily sunscreen can protect your back from UV rays, but it can also clog pores, increasing your risk of breakouts.

Actually, this is not a complete list of external causes. Scientists can not always identify the causes of the rash. This is due to the characteristics of each person and the fact that sometimes acne occurs for strange reasons. For example, the reason may be an ordinary backpack or your love of driving a car (the seat presses on your back, irritates the skin, causes inflammation).

Internal causes

Doctors mention among them:

1. Genetics . Predisposition to acne is often inherited from parents.
2. Hormonal changes . Pimples on the back and shoulders for many occur in adolescence – this is due to the restructuring of the body. In women, acne can also be caused by hormonal fluctuations during menstruation and pregnancy, or by increased levels of male hormones in polycystic ovary syndrome.
3. Stress . Emotional stress does not directly cause a rash. However, they can affect the hormonal background or the immune system, which, in turn, already provoke rashes. But the passion to comb and squeeze acne leads to an increase in the inflammatory response and the appearance of deeper elements, the appearance of scars.
4. Power features . Suspicion includes foods with a high glycemic index (you can find a list of them here) and milk. The relationship between diet and back acne has not yet been proven, but some studies show that diet can help reduce the appearance of acne.
5. Side effects of drugs . For example, steroids, lithium (used to treat bipolar disorder), and certain epilepsy drugs can lead to rashes.
6. Smoking .

How to get rid of pimples on the back in simple ways

Sometimes the causes of a rash are obvious. It is enough to analyze the changes in lifestyle that preceded the appearance of acne. Perhaps you have become more active in training? Or is there something in your wardrobe that you can’t get out of? Or maybe you have started using new body skin care products?

If you have a similar trigger in mind, try to eliminate it for a while (put aside a comfortable dress or sweater; return to your usual cosmetics) and monitor the condition of the skin. Improvements will give the answer.

If there is no obvious reason, it is necessary to act comprehensively.

1. Take a shower more often

It is enough to stand under warm or cool water twice a day (it is better to forget about hot water). If you’re just sweating, take a shower too, or at least rub your back with an oily skin toner.

When washing your hair, avoid running shampoo, conditioner or balm down your shoulders and shoulder blades: these products can irritate the skin and clog pores.

2. Clean your skin properly

It is sufficient to do this twice a day with gentle cosmetics. For skin prone to dryness, flaking and itching, syndetes are suitable – cleansing gels or creams that do not damage the lipid layer and have a pH of 5.5-7.

For those with oily backs, blackheads, closed comedones, cleansers containing salicylic, glycolic or other AHAs, benzoyl peroxide, sulfur, adapalene, or tea tree oil can be used along with syndet.

3. Do not use washcloths

Aggressive cleaning of the skin with sponges and washcloths, in particular from loofah, can harm the epidermis and only exacerbate the problem.

And of course, don’t pop your pimples. So you run the risk of introducing an infection into the wound.

4. Avoid greasy body care products

This includes sunscreens and nourishing lotions. At the very least, use non-comedogenic moisturizing products as light as possible for the back.

5. Watch your clothes

Wear loose clothing made from natural fabrics. The breathable and moisture-wicking properties of cotton and linen in this case can hardly be overestimated.

Change clothes if you are sweating. It is important to act quickly: the longer moisture is in contact with the skin, the higher the risk of new acne.

6. Make your hair up or short

Your goal is to keep annoying hair off your back.

7. Review your diet

Try to find out if pimples on your back are associated with the consumption of milk or foods with a high glycemic index: white bread, pasta, pastries, potatoes . .. If you notice that after a meal there are more rashes, try to reduce the content of such food in the diet.

8. Review the medications you are taking

If rashes are on the list of side effects, talk to your doctor. He may be able to suggest an alternative drug for you.

9. Let yourself relax

As we have said, stress can cause back acne. So fight it on your own or with the help of a specialist – a psychologist or psychotherapist. And try to get at least 8 hours of sleep a night.

How to treat acne on the back

Unfortunately, simple remedies do not always help. If you have adjusted your lifestyle, but the number of acne has not decreased in a month, be sure to consult a dermatologist. Rashes can be a sign not only of acne, but also of infectious diseases, such as syphilis.

The doctor will ask you in detail about your lifestyle and health, if necessary, ask you to take tests and prescribe treatment. If the problem is only acne, prescriptions may be:

1. Medical creams and ointments . There are many drugs for external use. Some of them fight excessive sebum production, others effectively kill bacteria. Such products may contain both salicylic acid and benzoyl peroxide already mentioned, as well as azelaic acid, retinoids and antibiotics.
2. Tablets . They affect not only the skin, but also the entire body from the inside. These can be antibiotics, hormonal drugs (for example, birth control), isotretinoin (a bioactive form of vitamin A). It is important to remember here: such medicines can have quite serious side effects, so self-medication is unacceptable!
3. Chemical peels . Their main active ingredient is salicylic, glycolic or retinoic acid in varying concentrations. Peeling allows you to remove the affected top layer of the skin, even out its relief. It is used to combat minor rashes and post-acne.
4. Phototherapy . With the help of a special device that generates broadband pulsed light, the growth of bacteria is suppressed, and the number of acne is reduced. The effectiveness of the method has not been proven, additional studies are required. So while phototherapy is used as an auxiliary.
5. Mechanical and manual cleaning . They can reduce the appearance of blackheads, but damage the sebaceous glands and skin and often lead to scarring. So not recommended for everyone.
6. Steroid injections . They are done, for example, in cystic acne to quickly get rid of them and relieve pain. The method is effective, but there are side effects: at the injection sites, the skin may become thinner and lighter.

Which therapy will be effective in your case, the doctor will tell you. Do not self-medicate, so as not to aggravate the situation.

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Pimples on the back: what can be and how to get rid of, doctor’s comments

Material commented:

Natalia Gryazeva, PhD, Associate Professor, dermatovenereologist, cosmetologist at the Hadassah Moscow clinic;

Natalia Antonova, dietitian, endocrinologist, SM-Clinic

Acne on the back is a chronic inflammatory disease of the sebaceous glands. It can occur due to genetic predisposition, improper body care or unhealthy diet, hormonal changes or medications. If your pimples are few and far between, you can try to get rid of them through lifestyle changes and over-the-counter products. But if the problem is more serious, then you will have to go to a dermatologist.

• What is
• Causes
• From which products
• How to get rid of
• Treatment

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What is acne on the back

The sebaceous glands produce sebum, or sebum. It is needed to lubricate the skin and hair, as well as to protect against germs. Acne (the medical name for pimples) occurs when excess sebum and dead skin cells clog pores along with C. acnes bacteria. Therefore, the main factors in the development of acne and pimples are violations of the production of sebum and an increased number of bacteria on the skin.

Pimples can affect any part of the body, but most often appear in areas where there are most sebaceous glands. In the first place – the face, in the second – the back, especially its upper part. According to the UK National Health Service, more than half of people with acne on the face also have it on their back [1].

© Andrea Piacquadio/Pexels

In addition to bacteria, body pimples can be caused by yeasts such as pityrosporum. In this case, conventional remedies will not help – you will have to use special antifungal drugs.

There are different types of pimples on any part of the body:

• whiteheads (miliums, pimples with a white head) – clogged hair follicles, in which the affected area is located deep in the skin and does not come into contact with air;
• comedones (black dots) – clogged pores on the surface of the skin, in which the sebum oxidizes and turns black;
• papules – inflamed hair follicles without pus; most often they are pink and sore;
• pustules – inflamed follicles with pus; when such a pimple “ripens”, a white head appears in its middle;
• nodes and cysts – inflammation deep in the skin; may be red, blue-violet, or the same color as the rest of the skin, but are firm to the touch and resemble a bump or swelling.

Causes of acne on the back

Pimples on the back are caused by many different factors.

Genetics

© SHUTTERSTOCK

Predisposition to oily skin and acne can be inherited. There is no single gene responsible for the risk of acne. But, for example, the body’s ability to fight acne-causing bacteria largely depends on genetics [2]. Studies show that children of people with acne are more likely to suffer from the disease [3]. In addition, some diseases, the predisposition to which is transmitted at the genetic level, can cause acne. One of the most common examples is polycystic ovary syndrome (PCOS).

Hormones

The risk of developing acne largely depends on the hormonal background. Therefore, acne often occurs during adolescence, when the body goes through a major hormonal adjustment. The peak incidence of acne occurs at 15–18 years of age [4]. At this age, they are, in fact, considered the norm. In adult men, acne can appear as a side effect of taking steroids and other sports supplements, and in women, during menstruation, pregnancy, endocrine and gynecological diseases.

Side effect of medications

Pimples or acne-like rashes can occur with many medications. Most often, this side effect is caused by:

• lithium;
• corticosteroids;
• anticonvulsants;
• barbiturates;
• androgenic steroids;
• preparations containing bromides;
• preparations containing iodides;
• anticancer therapy.

Poor hygiene

Pimples on the back can appear if the skin is left contaminated for a long time – for example, not taking a shower after the gym. Or if you rarely wash and do not wash clothes and towels for a long time – namely, bacteria that cause acne multiply in them.

Mechanical damage

© Clem Onojeghuo/Unsplash

Sometimes pimples on the back and shoulders appear due to negative effects on the skin. For example, they can occur if you carry a heavy backpack all day that will rub, or if the skin under it sweats a lot. In addition, acne can also appear from exposure to light – contrary to the stereotype, sunbathing does not help get rid of acne, but it can provoke them.

What foods cause acne on the back

One of the risk factors for acne is malnutrition. It has been proven that foods high in saturated fat increase inflammation in the body, including an increased risk of developing acne and eczema [5]. Sweets and simple carbohydrates also increase the likelihood of skin problems [6].

“Acne requires an integrated approach,” says nutritionist Natalya Antonova. “It is necessary to minimize the impact of all risk factors, and it is worth starting with a diet. Foods with a high glycemic index should be excluded from the diet: sugar, white rice, pastries based on premium wheat flour, soft wheat pasta, chocolate, packaged juices and sodas, dairy products, fast food, as well as fatty meats – pork and lamb.

© Tofros.com/Pexels

When treating acne on the back, the doctor recommends eating 3-4 times a day, and drinking clean water between meals. Dinner should be no later than 3 hours before bedtime. “It would be better to replace white bread with black or gray whole grains, add healthy fatty acids to the diet (sea fish, unrefined olive oil, avocados), vegetables (carrots, broccoli, cucumbers, cabbage, greens), fruits with a low glycemic index (apples, kiwi), berries of our strip. Instead of black tea or coffee, it is advisable to use green or herbal teas, such as rooibos or fireweed tea.

How to get rid of acne on your back

If you have mild acne on your back – blackheads and blackheads, you can try to get rid of them without going to the doctor. Here are some resources that can help.

Skin cleansing

© Seregas/PIXABAY

Shower should be taken daily, especially if you sweat a lot. Make sure you reach every point on your back with the washcloth as you wash – you might want to buy a larger one. Wear sweat-wicking clothing while exercising. Finally, wash clothes and bedding more often: it is in them that the bacteria that cause acne multiply.

“Microbiota imbalance plays an important role in the development of acne,” says dermatologist Natalya Gryazeva. “That’s why it’s important to cleanse your skin properly. It is best to use external products in the form of gels or foams with a neutral PH.

Benzoyl Peroxide

One of the most effective remedies for acne on the back, many dermatologists call preparations with benzoyl peroxide. This substance effectively kills bacteria on the skin, which is why it is often added to dermatological shower gels, lotions and rubbing emulsions. Numerous studies prove its effectiveness [7], [8].

Salicylic acid

Another well-known and proven remedy for acne is salicylic acid. It is part of almost any acne medication. Salicylic acid penetrates deep into the skin and dissolves accumulated dead cells.

“Salicylic acid has been used to treat acne for a very long time,” explains Natalia Gryazeva. – Its advantage lies in the fact that, in addition to the antiseptic, antimicrobial properties, it also has a comedonolytic effect, that is, it dissolves comedones. However, since salicylic acid is mainly found in alcohol lotions, talkers, when used independently, you can dry the skin and thereby aggravate its condition. Therefore, it is better to use such funds with caution.

Sulfur and resorcinol

An equally popular acne remedy is a combination of these two substances. Resorcinol helps prevent acne by removing accumulated dead skin cells. Sulfur removes excess sebum and kills bacteria.

Sun protection

© Mikhail Nilov/Pexels

Sunlight can cause back acne. To prevent this, use sunscreen with SPF. But remember that these creams themselves can also cause rashes and acne.

Before entering the market, SPF products must be tested for comedogenicity, that is, the ability to clog pores and lead to the formation of acne, rashes, explains Natalia Gryazeva. – Therefore, when choosing a sunscreen, you need to look at the label on the package. It should say “non-comedogenic.”

How to get rid of acne: remedies and skin care for acne

Treatment of acne on the back

According to Natalia Gryazeva, you should consult a doctor if there are a lot of acne on your back, they hurt, increase in number and size, suppurate or leave scars behind.

“A dermatologist will confirm or refute the diagnosis, make a diagnosis, determine the form and severity of the disease, and select the necessary treatment,” the dermatologist continues.