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Acne on hip: Back Acne (‘Bacne’) 101: Types, Prevention, and Treatment

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Back Acne (‘Bacne’) 101: Types, Prevention, and Treatment

By Valencia HigueraMedically Reviewed by Ross Radusky, MD

Reviewed:

Medically Reviewed

Back acne can be embarrassing and uncomfortable, but there are things you can do to clear it up.Shutterstock

The face is a common site for acne. And depending on the severity of blemishes, you might avoid showing your face in public.

But your face isn’t the only place where acne can appear. It can affect any body part that has oil-secreting glands or hair follicles, including your back, chest, and shoulders, according to the Mayo Clinic. (1)

Back acne — sometimes referred to as “bacne” — can be particularly troublesome.

While facial acne affects most people at some point in life, some will also struggle with back acne and even chest acne. In fact, back acne affects more than half of people with acne, notes the NHS. (2)

Your back, like your face, has numerous sebaceous glands that secrete sebum, an oily substance, according to the website KidsHealth. org. (3)

“Back acne is the result of an accumulation of dead skin cells and oil [sebum] within the pores in the skin, combined with an overgrowth of a common skin bacteria, Cutibacterium acnes, which triggers an inflammatory response,” says Kara Shah, MD, a board-certified general and pediatric dermatologist with Kenwood Dermatology in Cincinnati.

“Acne on the back and shoulders is commonly associated with sports activities that cause increased sweating and friction from athletic gear and clothing,” she continues. A clogged follicle eventually breaks down and forms an acne lesion, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases. (4)

What Are the Different Types of Back Acne You Need to Know?

The types of acne lesions that can occur on your back include: (1,2,5)

  • Whiteheads Also referred to as closed comedones, whiteheads develop when a plugged follicle stays closed and underneath your skin, forming a white bump.
  • Blackheads When a plugged follicle located on the surface of your skin opens, it forms a blackhead, also referred to as an open comedone. The black-tip appearance of blackheads is due to a reaction between sebum and the air, not because dirt has filled your follicle.
  • Papules Acne lesions that appear as small pink bumps on your skin, and are sometimes tender, are called papules. This type of acne doesn’t contain pus and forms when a clogged hair follicle becomes inflamed.
  • Pustules Also called a pimple, a pustule is a white or yellow pus-filled papule with a reddened base. These lesions also result from inflammation in a clogged hair follicle. A buildup of white blood cells causes the pustule to fill with pus.
  • Nodules This type of acne forms when bacteria also becomes trapped in a hair follicle. These lesions develop deep below the surface of your skin, where it hardens and forms a large, painful nodule. The deeper location of the lesion causes tissue damage, resulting in an inflammatory response.
  • Cysts Cysts are larger, pus-filled acne lesions that also form when bacteria becomes trapped in a hair follicle. With cystic acne, the infection extends deeper into the skin, resulting in a painful lump that can cause a permanent scar.

4 Steps You Can Take Toward Preventing Back Acne

You can’t always control whether you get back acne because the main factors that predispose one to “bacne” — hormonal fluctuations and genetics — are out of your control.

You can, however, take steps to reduce your chances of developing these lesions.

1. Avoid Certain Medications

Some drugs, including androgens (male hormones) and lithium, are known to increase your chances of developing acne. If you take any of these medications, talk with your doctor about possible alternative treatments. (1)

 2. Limit Your Use of Oil-Based Skin-Care Products

Try not to use skin-care products with oil, including moisturizers and cosmetics, on your back. These can lead to back acne flare-ups. Also, the American Academy of Dermatology advises looking for products labeled noncomedogenic, meaning they are unlikely to clog pores. (6)

3. Eliminate Pressure on Your Back

“Anything that results in increased sweating and friction on your back, such as backpacks, sports gear, and back braces, can cause back acne, which is often referred to as acne mechanica,” says Dr. Shah. (1)

Shah recommends choosing a backpack that’s lightweight and fits properly to minimize friction and irritation.

If you wear sports equipment (like shoulder pads) that puts pressure on your back, don’t wear the item for longer than you need to, or wear a clean cotton T-shirt underneath to reduce prolonged pressure and friction. (1)

4. Wear Clean Clothes

“Dirty clothes can harbor sweat, oil, and dirt, further irritating the skin and contributing to the development of acne,” notes Shah. “It’s always best to wear loose clothing during exercise, and to remove sweaty clothing after a workout. ”

7 Science-Backed Tips for Treating Back Acne

But, what if you already have back acne? What can you do to get rid of annoying blemishes? Follow these tips.

1. Use an Over-the-Counter Treatment

For mild back acne, over-the-counter acne creams and gels containing ingredients like benzoyl peroxide, resorcinol, salicylic acid, and sulfur can help get rid of blemishes and prevent new ones from popping up. (6,7,8)

Of course, applying acne creams to your back will likely require assistance from someone. It might be easier to use a body wash with acne-fighting ingredients.

“Regular body washes aren’t strong enough to help with body acne,” warns Yoram Harth, MD, a dermatologist and medical director of MDacne in San Francisco. “To have a real effect, you need a medicated body cleanser, preferably with ingredients like salicylic acid that can unclog your skin pores and kill acne bacteria.”

2. Regularly Wash Your Skin

Choose body washes that say, “noncomedogenic” or “oil-free” on the package to avoid clogging your pores. (6) Avoid antibacterial soaps, astringents, and abrasive scrubs that can make your acne worse. And be gentle when cleansing your skin. Harsh scrubs, loofas, and exfoliators can damage the protective layer of the skin and make body acne worse, says Dr. Harth. (6,7)

3. Shower After Your Workout

Heat and humidity encourage bacterial growth, so shower immediately after a workout, suggests Harth.

If you can’t shower immediately, use an oil-free cleansing wipe to remove as much sweat from your body as possible, and then change your clothes. (6)

4. Don’t Squeeze or Pick Back Lesions

Picking or popping a pimple can worsen acne, as well as damage your skin. “The skin on the body heals slower than the skin on the face, and frequent picking can lead to brown spots and scars,” says Harth. (3,6,7)

5. Avoid Excessive Sun Exposure

The sun’s ultraviolet (UV) rays can darken acne, triggering scars on your back and body. (6,7) Always wear sunscreen and reapply as directed. This not only improves acne, it can help protect your skin from sun damage and skin cancer.

6. Wash Your Sheets

Get into a habit of changing or washing your sheets once or twice a week, especially if you’re a back sleeper. This removes bacteria and dead skin cells from bedding, which can clog your pores and prolong back acne. (6)

7. See a Board-Certified Dermatologist

If self-care measures don’t improve back acne, make an appointment with a dermatologist who is board-certified.

A skin specialist can evaluate your back, determine whether you have acne or another skin condition, and then prescribe a medication to control lesions, if necessary.

Treatment might include prescription creams, antibiotics, oral acne medication, or your doctor may suggest laser therapy, chemical peels, or steroid injections, depending on the severity of back acne. (7)

A Final Word on Getting Help for Back Acne

Back acne is easier to hide than face acne, but this doesn’t mean you have to live with these lesions. The proper skin-care routine can help lessen breakouts on your back, resulting in clearer, healthier looking skin.

Editorial Sources and Fact-Checking

  1. Acne: Overview. Mayo Clinic. February 18, 2020.
  2. Acne: Overview. NHS. July 12, 2019.
  3. Acne. KidsHealth. June 2014.
  4. Acne. National Institute of Arthritis and Musculoskeletal and Skin Diseases. September 2016.
  5. Acne: What Are the Types. National Institute of Arthritis and Musculoskeletal and Skin Diseases. September 2016.
  6. Back Acne: How to See Clearer Skin. American Academy of Dermatology.
  7. Acne: Diagnosis and Treatment. American Academy of Dermatology.
  8. Acne: Treatment. NHS. July 12, 2019.

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Once upon a time, a sage by the name of Sir Mix-a-Lot took to the airwaves to extoll the virtues of a “Rump-o’-smooth-skin. ” Thirty years later, the skincare industry is awash with products designed to make that goal a reality — from butt butter and butt polish to butt masks and creams.

Butt it still happens: baby got “buttne.”

But what exactly is butt acne? Turns out — most of the time — it isn’t really acne at all.

We talked to dermatology specialist Lauren Zamborsky, CNP, to find out what conditions cause pimple-esque blemishes on your behind, how to treat them and how to keep them from coming back.

What is butt acne, really?

The three most common causes of so-called butt acne aren’t acne. Folliculitis, keratosis pilaris and boils (or, if there are multiple, carbuncles) are more common. In fact, you may have more than one of these conditions!

Folliculitis

When it comes to rump bumps, the most common culprit is folliculitis. Put simply, folliculitis is an irritation of a hair follicle.

That irritation could be the result of any number of issues, Zamborsky says. “It can be something very simple like friction, wearing clothing that’s too tight, shaving too frequently or getting too close of a shave, waxing or even plucking hairs.” Folliculitis can also be the result of a bacterial infection (the most common is staphylococcus aureus), a fungal infection (for example, a yeast infection of the skin) or even a mite.

People who have compromised immune systems (especially people with HIV and AIDS) can also contract rarer forms of folliculitis, like eosinophilic folliculitis. Doctors usually treat eosinophilic folliculitis with anti-retroviral medications.

Depending on what’s causing the condition and the scope of the problem, folliculitis’ appearance can differ. In some cases, folliculitis causes a single, pimple-like pustule to form. In other cases, it more closely resembles a rash.

Keratosis pilaris

Unlike folliculitis, which can make itself at home pretty much anywhere you’ve got hair, keratosis pilaris is usually confined to a few specific body parts:

  • The back of your arms.
  • The outside of your thighs.
  • The back of your thighs
  • You guessed it: your butt.

It’s also commonly found on children’s faces.

“Keratosis pilaris happens when keratin — a protein that’s on the skin — builds up within the hair follicles,” Zamborsky explains. “The conditions is very common among younger people. It’s typically something you grow out of over the course of your lifetime.”

She adds that keratosis pilaris occurs when your skin is very dry. As a result, the condition is more prominent during the winter.

Boils (carbuncles)

Fun fact: Boils are actually a specific type of folliculitis!

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OK … maybe not a fun fact. But it’s good to know.

“You can have deep folliculitis or superficial folliculitis” Zamborsky notes. “Deep folliculitis is what we call a boil. The fancy name for a single boil is a furuncle. If there’s multiple boils or they have multiple white heads in them, that’s what we call a carbuncle. ”

The names are fun to say, but whatever you call them, these blemishes are no laughing matter.

“Boils are usually the result of an overgrowth of a bacteria called staphylococcus aureus — a staph infection,” Zamborksy says.

About 20% of us have staphylococcus aureus living in our noses or on our skin, she continues. That bacteria can transfer under your fingernails and, from there, spread to other parts of your body. It’s one of the many reasons you want to wash your hands regularly and avoid picking at zits of any kind.

While rare, fungi, streptococcus and pseudomonas can also cause these painful abscesses.

Other possibilities

While folliculitis, keratosis pliaris and boils are the most likely causes of so-called “butt acne,” that doesn’t mean there aren’t other conditions that could be responsible. Some of the not-so-usual suspects include:

  • Acne: While it’s rare, you can have acne on your butt. “I always tell my patients, nothing in medicine is ever certain,” Zamborsky says. “It would be rare for you to exclusively see acne on your butt. However, anything is possible.”
  • Contact dermatitis: Contact dermatitis is a fancy name for inflamed skin. Dermatitis happens when you make physical contact with an irritant or allergen. Perhaps the most common kind of dermatitis: eczema.
  • Eczema: You can get eczema — a common condition that causes dry, itchy and scaly patches of skin — pretty much everywhere. Sometimes, eczema causes a bumpy rash that resembles pimples. 

Could I have a sexually transmitted infection (STI)?

If you’ve arrived at this article out of a fear that you’ve contracted a sexually transmitted infection, you aren’t alone. A lot of people search the internet with this exact question.

The most common causes of butt acne aren’t sexually transmitted, but it is possible to contract an STI with symptoms that include pimple-like bumps on your butt.

It’s possible that what looks like butt acne is actually herpes. “Herpes simplex — the virus that can cause genital herpes — can sometimes look like pimples,” Zamborsky says. “They’re typically more blister-like and feel softer than a pimple.”

For some people, herpes burns and itches. Other people don’t notice any sensation at all.

Another possible diagnosis: Mpox (formerly known as monkeypox). This condition spreads through skin-to-skin contact and causes pus-filled blisters to form — and ultimately crust over — on your skin. While there is a vaccine for Mpox, it’s not as widely available as one would hope. If you think you’ve been exposed to Mpox, you should see a doctor immediately, as you may be contagious.

It’s also important to remember that both herpes simplex and Mpox can be spread through nonsexual contact as well. When in doubt, get tested.

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What causes butt acne?

At this point, we’ve established that “butt acne” is a misnomer. As there’s a wide range of conditions that could manifest in pimple-like bumps on your behind, the list of possible causes is long. That said, there’s such as thing as an “ideal ecosystem” for these kinds of problems. Let’s break down the components:

  • Sweating. Zamborksy notes that this is a particular problem for athletes — especially student athletes, who may be stuck in their sweaty uniforms for hours before they’re able to get home and shower.
  • Friction. Think carefully about the clothes you wear — particularly the fabric content and fit. You may need to dump the athleisure aesthetic in favor of something more breathable.
  • Sitting. If your body isn’t moving very much, all the sweat and bacteria you generate in a day are getting trapped on your bum.
  • Shaving, waxing, depilating … messing with your hair follicles is a recipe for inflammation.

It’s pretty hard to avoid booty blemishes, but you can reduce your risk with some minor lifestyle adjustments.

How to get rid of butt acne

Let’s be honest: Butt pimples can be a bit embarrassing. If they’re not causing you serious pain, you may prefer to treat them yourself at home. It’s fine to try the DIY approach at first.

Here’s the order of operations Zamborsky recommends:

  1. If you aren’t showering daily, start. Use simple soap and water and cleanse the affected area gently. If that doesn’t work…
  2. Try using an acne wash with benzoyl peroxide or salicylic acid in it. These kinds of washes may dry out your skin, so don’t overuse them. “It’s OK if it’s not something you use every day,” Zamborsky says. If you do use it every day, follow up with a noncomedogenic moisturizer (more on that later). If that doesn’t resolve the problem…
  3. Go to the drugstore and purchase an antimicrobial wash like Chlorhexidine® or Hibiclens®. “That’s what we use for more severe cases,” Zamborsky says.

If these at-home treatments aren’t working, she advises getting checked out by a doctor.

“There can be a lot of different causes of butt blemishes. It’s often a bacteria, but it could also be something like yeast. It could even be viral. Getting to the root of what’s causing this issue is important and your healthcare provider will be able to work with you to figure it out.”

In some cases — say, when a boil is particularly painful or severe — the doctor may need to lance it. Do not do that yourself. In fact, keep your hands away from your rump bumps as much as possible.

“The biggest thing I want people to be cognizant of is how important it is that you not pick your skin,” Zamborsky emphasizes. “The more we pick our skin, the more irritated we make it and the worse the problem gets.”

Butt acne prevention

As you can imagine, preventing butt acne is easier said than done. Still, there are a few things you can do to reduce the chances of recurrence.

  • Get in the shower immediately after working out. If that’s not possible, Zamborsky recommends at least changing your clothes.
  • Wash often and gently. Showering every day can be helpful for a whole host of reasons beyond butt acne. It’s also one of the most important lifestyle changes you can make to prevent zits. But resist the urge to scour your bottom with lots of fancy exfoliants: A gentle cleanse with soap and water — or one of the washes we mentioned earlier — is less likely to cause irritation.
  • Use noncomedogenic moisturizers. Occlusive moisturizers have their place in your skin care regimen, but that place is not your butt. Opt instead for oil-free and noncomedogenic products that won’t clog your pores.
  • Get up and move. Whether by choice or obligation, sitting on your butt raises the likelihood that you’ll encounter skin issues. Getting up and exercising throughout the day — even if only for a moment — can help.
  • Maintain a healthy diet. We’ve all heard it: What you eat and drink impacts your complexion. That goes for your peach’s complexion, too! Be sure to drink plenty of water and limit the amount of dairy, high-carb and sugary foods you eat every day. 
  • Keep it cotton. Everybody loves a good pair of “funderwear,” but if you’re trying to keep your derrière clear of pimples, plain old cotton underpants are the way to go. If you can’t stand the thought of plain panties, opt for breathable fabrics and avoid thongs.
  • Avoid tight-fitting clothing. Friction isn’t your friend when it comes to butt acne. So set aside the yoga pants and skinny jeans in favor of loose, breathable clothes.
  • No pimple popping! Popping pimples may be satisfying, but it’s also a bad idea. Remember, chances are you’re not dealing with a run-of-the-mill zit (not that you should pop those either). If you have folliculitis or a carbuncle, you might cause the infection to spread or worsen. Still worse, you could pass it on to somebody else.

Questions your doctor might ask

If you decide to see a healthcare provider about your butt bumps, be prepared to answer the following questions to the best of your availability:

  • How long has this been going on?
  • Is this the only location where you’re having this issue? Do you get it anywhere else?
  • Is there anything that makes it better or worse?
  • Do you wear tight-fitting clothing?
  • How active (or inactive) are you?
  • Do you sweat a lot in that area?

These questions will help your doctor figure out what the right diagnosis is and how to go about treating you.

The bottom line

If you like smooth butts (and you cannot lie), “buttne” can be a real buzzkill. While you can’t avoid the conditions that cause butt blemishes entirely, simple adjustments to your daily routine can go a long way in protecting your posterior.

how to cure, causes, symptoms, prevention, doctor’s advice, consequences

Hips. It would seem that the problems in this part of the body do not carry the inconvenience and complexes that arise when the face is affected by rashes. But with the beginning of summer, the opening of the beach season or the appearance of a new partner, all pimples “crawl out”. Their unfortunate owners run to a pharmacy, a cosmetologist or a dermatologist in order to get rid of an unpleasant phenomenon as soon as possible. If a woman is faced with this, the number of recipes tried will barely fit in a dozen.

Causes of inflammation on the thighs

Unpleasant rashes are provoked by a number of factors:

  • Allergy to certain fabrics, most often synthetic. If acne appeared only on the thighs and buttocks, most likely this is a reaction to tights – you should reconsider their choice, prefer cotton and wool, the same applies to trousers and skirts – choose clothes made from natural fabrics.
  • Intolerance to certain constituents of cosmetics. In this case, you can conduct a test – use tar soap. If the pimples have disappeared, you need to consult a beautician and choose other means.
  • Shaving: Many women use a razor to remove hair on their legs, including above the knees, which can cause small pimples. In this case, you should use a machine with a floating head, and ideally, try waxing or laser hair removal. In addition, you can not use aftershave products, which contain alcohol, camphor and menthol.
  • Ingrown hairs can also cause reddened bumps. They should not be underestimated: they itch, small wounds appear, and which get germs, which leads to further acne.
  • Household chemicals, namely washing powders containing chlorine.

In addition to external factors that directly affect the skin, acne can be caused by metabolic and gastrointestinal disorders, weakened immunity due to infections, beriberi, hormonal failure, alcohol and smoking, constant stress.

One caveat: inflammations most often occur in people who lead a sedentary lifestyle and have a sedentary job: the dryness of the dermis that occurs in this case contributes to their appearance.

Treatment of acne and inflammation on the thighs

This phenomenon does not color the legs at all, sometimes the rash is also accompanied by severe itching, causing pain.

The first thing to remember is that under no circumstances should pimples be squeezed out, since an infection can be introduced and their number will increase, moreover, scars often remain after such mechanical intervention.

An effective way to remove blackheads is to wipe the affected areas with tincture of calendula, chloramphenicol and salicylic alcohol. Decoctions of various drying herbs are used – chamomile, sage, celandine, burdock, plantain, as well as a mixture of glycerin and acetylsalicylic acid, chloramphenicol ointment, potassium permanganate. A long-standing and proven remedy for eliminating a rash is salt baths and lotions.

Folk remedies are good, but it should be remembered that the skin is the cover of our body, and all deviations from its normal state most often indicate disturbances in the functioning of internal organs or possible infectious diseases. Therefore, you should not self-medicate, eliminating only an external sign, you need to contact a qualified specialist. The best doctors can be found using the online portal medbooking.com.

Prevention of inflammation of the skin of the thighs

An effective way to quickly eliminate acne that has appeared is ordinary baby powder. It will quickly dry out acne that appeared in the summer due to excessive sweating in hot weather. On the other hand, pimples often appear in cold and damp conditions, because under warm clothes the body also sweats – excess fat clogs pores, causing inflammation. If you can’t make the weather outside, then it’s quite possible to provide comfortable conditions indoors: the air temperature should fluctuate within 23 degrees Celsius. The body must breathe – it is important to arrange air baths, walk in the summer in short shorts, a skirt.

It is important to remember: all germs are afraid of hygiene, provided that hygiene is observed, the risk of acne is much lower, while it is better to use ordinary soap and a hard washcloth. In order not to have to fight the problem with radical methods, it is better to avoid its appearance: eat healthy food, avoid fatty and spicy foods, flour products, and also pay attention to foods containing vitamin A.

The skin will thank you for clothes and bedding made from natural fabrics, cosmetics based on plant substances, the absence of bad habits and stress.

what to do about them and how to avoid them

If acne on the face is a story that we seem to be able to cope with quite successfully (and no, it’s not about squeezing), then acne on the buttocks may not be the most pleasant surprise. Why do they appear? What to do so that they disappear as soon as possible and never appear there? Let’s figure it out together.

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Let’s say right away that pimples on the buttocks are not at all the pimples that appear on the face. This is not acne in the direct sense of the word, but rather one of the forms of folliculitis – inflammation of the hair follicles. Yes, there are also hair follicles on the skin of the buttocks, and under the influence of an infection, they can become inflamed. As a result, a thickening occurs at the site of inflammation, and sometimes suppuration. Pimples on the pope can itch and hurt, and in any case, this is not at all what you would like to see there.

Do not self-medicate! In our articles, we collect the latest scientific data and the opinions of authoritative health experts. But remember: only a doctor can diagnose and prescribe treatment.

By the way, pimples on the buttocks have their own name – buttne (this is a hybrid of the words acne – “acne” and “butt” – “buttock”). And what is happening? For some reason, bacteria begin to multiply more strongly, the hair follicle becomes inflamed, acne appears. Some of them are quite harmless (and you can deal with them yourself), while others pose a serious danger and they must be cured (and as soon as possible).

6 reasons that cause acne on the buttocks

However, hormones are not always to blame. We have collected the 5 most common causes that cause acne on your buttocks.

  1. Hormones. Pimples may be due to hormones, not due to infection. In some phases of the cycle, for example, shortly before the onset of menstruation, the tissue and structure of the hair follicles may change. This causes clogging of pores and – as a result – acne. Blame for this, rather, androgens.
  2. Perspiration. It is possible that you sweat a lot – in the gym or public transport on the way to work. If there is no opportunity to take a shower, then the following happens: sweat dries on the surface of the skin along with dust and dirt – an ideal breeding ground for bacteria!
  3. Sedentary lifestyle. Staying in the same position for a long time – sitting – can provoke a situation in which the chances of acne will increase. If you know such a feature behind yourself, then take breaks – get up and walk. By the way, this is an excellent prevention not only of buttne, but also of dead buttocks syndrome, which is especially common among office workers.
  4. Infrequent change of underwear. We are sure that everything is fine with your hygiene, but just know that stale underwear – and there is sweat, and dirt, and bacteria, which is constantly in contact with your body, can cause acne on the pope with a high probability.
  5. Too tight clothing. If your clothes are too small or just made of dense fabric with rough seams, then there is a high chance that it will rub against the skin and injure it along with the hair follicles. A particular danger here is associated with skinny jeans and leggings – be careful with such clothes.
  6. Wet clothes. This reason is rather more relevant for summer days, but you need to know about it. If you stay in a wet bathing suit for a long time after water procedures, then know that this creates ideal conditions for the appearance of acne on your buttocks.

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What should be done to prevent pimples on the buttocks from appearing, and how to get rid of those that already exist?

On the one hand, if you fight against the above reasons, then the chances of acne on the pope will be close to zero. On the other hand, you need to know what to do if they have already appeared. Here are a few ways to help deal with the problem.

  • Don’t forget to shower right after your workout. This will wash away all the sweat and prevent bacteria from multiplying.
  • Try acne products. You may be suitable for those based on benzoyl peroxide. This ingredient fights both acne and folliculitis. The funds are available in the form of ointments, creams and lotions – consult a specialist before buying.
  • Don’t forget to moisturize.