What are the different types of acne that can appear on shoulders. What causes shoulder acne and how can it be effectively treated. How do hormones contribute to the development of acne on shoulders.

Understanding Shoulder Acne: Types and Characteristics

Acne is a common skin condition that can affect various parts of the body, including the shoulders. It occurs when oil, dead skin cells, and bacteria accumulate within hair follicles, leading to infection and inflammation. Shoulder acne can manifest in different forms, each with its unique characteristics.

Common Types of Shoulder Acne

• Blackheads: Small, round bumps with black centers due to oxidized sebum
• Whiteheads: Small, round bumps with white centers
• Papules: Small, discolored bumps that may be tender to touch
• Pustules: Small bumps with inflamed bases and white, pus-filled heads
• Nodules: Large, hard lumps deep within the skin, often painful
• Cysts: Large, pus-filled lumps that may cause scarring

Do different types of acne require different treatments? While the underlying causes of acne are similar, the severity and type of acne can influence the most effective treatment approach. For instance, mild cases with primarily blackheads and whiteheads may respond well to over-the-counter treatments, while more severe cases with nodules or cysts might require prescription medications or professional interventions.

The Two Main Categories of Shoulder Acne

Shoulder acne can be broadly classified into two main categories: acne vulgaris and acne mechanica. Understanding the differences between these types can help in identifying the root cause and determining the most appropriate treatment strategy.

Acne Vulgaris

Acne vulgaris is the most common form of acne. It typically develops when oil and dead skin cells accumulate and block pores or hair follicles. The bacteria Cutibacterium acnes (C. acnes) can exacerbate the condition, leading to inflammation and the formation of various types of acne lesions.

Acne Mechanica

Acne mechanica is a distinct type of acne that develops in response to physical factors such as pressure, friction, and heat. These external factors can damage the skin and trigger excessive sebum production, leading to acne breakouts.

Can lifestyle changes help prevent acne mechanica? Indeed, making certain adjustments can significantly reduce the risk of developing acne mechanica on the shoulders. These may include:

• Wearing loose-fitting, breathable clothing during physical activities
• Showering promptly after sweating
• Using backpacks or bags with padded straps to reduce friction
• Opting for smooth, soft fabrics for bedding and clothing

The Role of Hormones in Shoulder Acne Development

Hormonal fluctuations play a significant role in the development of acne, including shoulder acne. Various hormones can influence sebum production and skin cell turnover, contributing to the formation of acne lesions.

Testosterone

Testosterone is a key hormone in acne development. It regulates sebum production, and elevated levels can trigger acne breakouts. This is why many people experience their first acne outbreaks during puberty when hormone levels undergo rapid changes. Additionally, conditions like polycystic ovary syndrome (PCOS), which is associated with high testosterone levels, can lead to acne development.

Progesterone and Estrogen

Progesterone can contribute to acne formation, particularly during the luteal phase of the menstrual cycle. Some individuals may experience acne breakouts while using progesterone-only hormonal birth control. On the other hand, estrogen has an inhibitory effect on sebum production and can help reduce acne.

Other Hormones

Several other hormones can influence acne development:

• Insulin and insulin growth factor 1: Promote sebaceous gland growth
• Melanocortins: Regulate oil production in sebaceous gland cells
• Corticotropin-releasing hormone: Stimulates testosterone and sebum production

How can hormonal imbalances be addressed to manage shoulder acne? Addressing hormonal imbalances often requires a multifaceted approach. This may include:

1. Consulting with an endocrinologist or dermatologist for hormone testing
2. Considering hormonal therapies or birth control methods to regulate hormone levels
3. Implementing lifestyle changes to support hormonal balance, such as stress reduction and a balanced diet
4. Using topical treatments that target hormonal acne

Causes and Triggers of Acne Mechanica on Shoulders

Acne mechanica on the shoulders can be triggered by various physical factors that damage the skin and stimulate excess sebum production. Understanding these triggers is crucial for effective prevention and management of shoulder acne.

Common Causes of Acne Mechanica

• Pressure from heavy backpacks or purses
• Friction from rough or coarse fabrics in clothing or bedding
• Excess heat and pressure from tight or restrictive clothing
• Heat and moisture accumulation from sweating, especially when not promptly addressed

How can one minimize the risk of developing acne mechanica on shoulders? To reduce the likelihood of acne mechanica, consider the following strategies:

1. Opt for backpacks with wide, padded straps to distribute weight evenly
2. Choose clothing made from breathable, moisture-wicking fabrics
3. Shower promptly after exercising or sweating heavily
4. Change out of sweaty clothes as soon as possible
5. Use smooth, soft fabrics for bedding and clothing that comes into contact with the shoulders

Effective Over-the-Counter Treatments for Shoulder Acne

Over-the-counter (OTC) topical treatments can be highly effective in managing and clearing shoulder acne. Two key ingredients that have shown promising results in acne treatment are benzoyl peroxide and salicylic acid.

Benzoyl Peroxide

Benzoyl peroxide is an antiseptic that targets C. acnes bacteria on the skin’s surface and within hair follicles. A 12-week clinical trial in 2017 demonstrated its effectiveness in treating acne vulgaris. The study found that using a benzoyl peroxide cream resulted in a 72.7–75.0% reduction in inflammatory lesions, compared to a 41.6% reduction with a placebo cream.

Salicylic Acid

Salicylic acid is a beta-hydroxy acid that helps reduce sebum production and skin inflammation. It also acts as an exfoliant, removing oil, dirt, dead skin cells, and bacteria. A small 2018 clinical trial compared the effectiveness of salicylic acid cream with benzoyl peroxide cream for mild to moderate acne treatment.

Which OTC treatment is more suitable for shoulder acne? The choice between benzoyl peroxide and salicylic acid depends on individual skin type and acne severity. Benzoyl peroxide may be more effective for inflammatory acne, while salicylic acid works well for blackheads and whiteheads. Some people find combining both ingredients in their skincare routine yields the best results. However, it’s essential to introduce new products gradually to avoid skin irritation.

Advanced Treatment Options for Persistent Shoulder Acne

While OTC treatments are effective for many cases of shoulder acne, some individuals may require more advanced treatment options for persistent or severe acne. These treatments often involve prescription medications or professional interventions.

Topical Retinoids

Retinoids are vitamin A derivatives that can help unclog pores, reduce inflammation, and promote skin cell turnover. Prescription-strength retinoids like tretinoin or adapalene can be particularly effective for persistent acne.

Oral Medications

In some cases, oral medications may be prescribed to address shoulder acne from within. These can include:

• Antibiotics to fight bacterial infections
• Hormonal treatments, such as certain birth control pills for women
• Isotretinoin for severe, cystic acne

Professional Treatments

Various in-office treatments can help manage shoulder acne:

• Chemical peels to exfoliate the skin and unclog pores
• Light therapy to target acne-causing bacteria
• Extraction of stubborn blackheads or whiteheads
• Corticosteroid injections for large, inflamed acne cysts

When should one consider advanced treatment options for shoulder acne? If OTC treatments have not yielded satisfactory results after several weeks of consistent use, or if the acne is severe, painful, or causing emotional distress, it may be time to consult a dermatologist. A skin specialist can assess the condition and recommend a tailored treatment plan that may include these advanced options.

Lifestyle Modifications to Prevent and Manage Shoulder Acne

While treatments are crucial in managing shoulder acne, certain lifestyle modifications can significantly contribute to prevention and long-term management of the condition. These changes can help reduce acne triggers and promote overall skin health.

Skincare Routine

Establishing a proper skincare routine is essential for managing shoulder acne:

• Cleanse the shoulder area gently but thoroughly, especially after sweating
• Use non-comedogenic, oil-free moisturizers to keep the skin hydrated
• Avoid harsh scrubbing or over-exfoliating, which can irritate the skin
• Apply sunscreen to protect the skin from UV damage, which can worsen acne

Clothing Choices

The right clothing can make a significant difference in preventing shoulder acne:

• Opt for loose-fitting, breathable fabrics like cotton
• Avoid tight straps or clothing that rubs against the shoulders
• Change out of sweaty clothes promptly after exercise
• Wash workout clothes and accessories regularly to prevent bacterial buildup

Diet and Nutrition

While the link between diet and acne is still being studied, some dietary changes may help:

• Reduce intake of high-glycemic foods, which may contribute to acne
• Increase consumption of foods rich in omega-3 fatty acids, which have anti-inflammatory properties
• Stay hydrated to support overall skin health
• Consider probiotics to support gut health, which may indirectly affect skin health

Stress Management

Stress can exacerbate acne by triggering hormonal changes and inflammation. Implementing stress-reduction techniques can be beneficial:

• Practice regular exercise
• Engage in relaxation techniques like meditation or deep breathing exercises
• Ensure adequate sleep
• Seek support when needed, whether from friends, family, or professionals

How can these lifestyle modifications be effectively incorporated into daily routines? Implementing lifestyle changes can be challenging, but starting small and gradually building new habits can lead to long-term success. Begin by focusing on one or two changes at a time, such as improving your skincare routine or making better clothing choices. As these become habitual, you can gradually introduce other modifications. Consistency is key, and it’s important to remember that visible improvements in acne may take several weeks to manifest.

Understanding the Psychological Impact of Shoulder Acne

While shoulder acne may not be as immediately visible as facial acne, it can still have a significant psychological impact on those affected. Understanding and addressing these emotional aspects is crucial for comprehensive acne management.

Self-Esteem and Body Image

Shoulder acne can negatively affect self-esteem and body image, particularly during warmer months or in situations where the shoulders are exposed. This may lead to:

• Reluctance to wear certain clothing styles
• Avoidance of activities that expose the shoulders, like swimming
• Decreased confidence in social situations
• Negative self-perception

Social Anxiety and Relationships

The visibility of shoulder acne, especially in intimate relationships or social settings, can contribute to:

• Increased social anxiety
• Difficulty in forming or maintaining close relationships
• Avoidance of social gatherings or events

Depression and Anxiety

In some cases, persistent shoulder acne can contribute to more serious mental health issues:

• Symptoms of depression
• Generalized anxiety
• Decreased overall quality of life

How can individuals cope with the psychological impact of shoulder acne? Addressing the emotional aspects of shoulder acne is as important as treating the physical symptoms. Here are some strategies that can help:

1. Seek support from friends, family, or support groups
2. Practice self-compassion and positive self-talk
3. Focus on overall health and well-being, not just appearance
4. Consider professional counseling or therapy if acne significantly impacts mental health
5. Educate yourself about acne to understand that it’s a common and treatable condition

It’s crucial to remember that acne does not define a person’s worth or attractiveness. By addressing both the physical and emotional aspects of shoulder acne, individuals can work towards improved skin health and overall well-being.

Types, causes, and how to get rid of it

Acne occurs when oil, dead skin cells, and bacteria build up inside hair follicles, resulting in infection and inflammation. Whiteheads, cysts, and other types of acne commonly affect the shoulders.

As well as the shoulders, acne can affect the face, chest, back, and other parts of the body. It is the most common skin condition in the United States.

Below, we describe what acne is and the types of acne that can develop on the shoulders. We also explore the symptoms and appearance of shoulder acne and list some treatment options.

Pores are small openings in the skin. Each pore contains a single hair that sits inside a hair follicle. These hair follicles connect to oil-producing glands, called sebaceous glands.

Sebaceous glands secrete an oil called sebum, which carries dead skin cells to the skin’s surface.

Sometimes, sebum and skin cells form a plug within the hair follicle. This plug traps dirt and bacteria inside the skin, resulting in an infection. The infection triggers inflammation in the form of a pimple.

Two types of acne can develop on the shoulders: acne vulgaris and acne mechanica.

Acne vulgaris typically occurs when oil and dead skin cells build up and block a pore or hair follicle. The bacteria Cutibacterium acnes (C. acnes) can trigger or worsen the symptoms.

Changes in the levels of certain hormones can trigger breakouts. Below are some hormones that may influence acne vulgaris.

Testosterone

Testosterone regulates sebum production. As a result, rising testosterone levels can trigger acne breakouts.

For example, many people first experience acne during puberty, when hormone levels in the body rapidly change. People with polycystic ovary syndrome may also develop acne due to high testosterone levels.

Learn more about testosterone and its effects on the body here.

Progesterone and estrogen

The hormone progesterone can also contribute to acne. Progesterone levels peak during the luteal phase of the menstrual cycle, which begins after ovulation and ends just before a period. As a result, acne breakouts may occur around this time.

In addition, some people experience acne while using progesterone-only hormonal birth control, sometimes called the minipill.

The hormone estrogen has the opposite effect — it inhibits sebum production and shrinks the sebaceous glands.

Learn more about the menstrual cycle phases here.

Other hormones

Other hormones that can play a role in acne include:

• Insulin and insulin growth factor 1: These promote the growth of the sebaceous glands.
• Melanocortins: These hormones regulate oil production in sebaceous gland cells.
• Corticotropin-releasing hormone: This stimulates testosterone production and subsequent sebum production.

Acne mechanica develops in response to physical factors such as:

• pressure
• friction
• heat

These can damage the skin and trigger excess sebum production.

Some specific causes of acne mechanica include:

• pressure or friction from a heavy backpack or purse
• irritation from pillows or blankets made from rough or coarse fibers
• excess heat and pressure from tight or restrictive clothing
• excess heat and moisture from sweating, especially if a person does not immediately shower or change their clothes after physical activity

Not all acne looks or feels the same. Acne pimples vary in size, color, and severity.

Different types include:

• Blackheads: These are small, round bumps with black spots in the centers. Each spot is oxidized sebum, not dirt.
• Whiteheads: These are small, round bumps with white centers.

• Papules: These are small, discolored bumps that may feel sore or tender.
• Pustules: These are small bumps with an inflamed base and a white, pus-filled head.
• Nodules: These are large, hard lumps deep within the skin. Nodules can be tender or painful to the touch.
• Cysts: These are large, pus-filled lumps that may cause scarring.

Over-the-counter (OTC) topical treatments can help clear acne breakouts. Products containing the following ingredients can often be of help.

Benzoyl peroxide

Benzoyl peroxide is an antiseptic that kills C. acnes bacteria on the surface of the skin and inside hair follicles.

In 2017, a 12-week clinical trial investigated the effectiveness of this antiseptic as a treatment for acne vulgaris among 607 participants.

The researchers found that using a benzoyl peroxide cream resulted in a 72.7–75.0% reduction in inflammatory lesions, while using a placebo cream resulted in a 41.6% reduction in inflammatory lesions.

Salicylic acid

Salicylic acid is a beta-hydroxy acid that reduces sebum production and skin inflammation. It also reduces acne lesions by exfoliating the skin and removing oil, dirt, dead skin cells, and bacteria.

A small 2018 clinical trial compared the effectiveness of a salicylic acid cream with a benzoyl peroxide cream for the treatment of mild to moderate acne. The trial included 31 participants, and all applied each cream to separate sides of their faces for 28 days.

The researchers found that the 2% salicylic acid cream reduced the number of papules and pustules by 47.9% and reduced the number of noninflammatory lesions by 43. 1%. These results were comparable to those of the benzoyl peroxide cream.

The researchers concluded that the two creams were similarly effective in treating acne.

Learn more about salicylic acid for acne here.

Retinoids

Retinoids are a class of chemical compounds derived from vitamin A. They increase skin cell turnover, helping to keep dead cells, oil, and bacteria out of pores. This turnover can help prevent acne from forming.

A person needs to apply a retinoid consistently to see results. The effects of retinoids will cease when treatment does.

Learn more about retinol and retinoids for acne here.

Azelaic acid

Azelaic acid exists naturally in grains, such as wheat, barley, and rye. Topical application helps decrease discoloration and swelling of the skin.

A small 2017 pilot study investigated the safety and efficacy of a 15% azelaic acid foam in treating mild acne on the torso.

The results showed that 44% of participants who applied the foam twice daily experienced a significant reduction in acne.

The following prescribed medications, which come in pill form, can help treat the underlying causes of acne.

• Antibiotics: These can treat moderate to severe acne vulgaris, though experts warn against using them long term. Doctors typically recommend a more sustainable topical treatment, such as one containing benzoyl peroxide.
• Contraceptives: The Food and Drug Administration (FDA) has approved the following oral contraceptives for the treatment of acne:
  • norgestimate and ethinyl estradiol (Ortho)
  • norgestimate and ethinyl estradiol (Tri-Cyclen)
  • ethinyl estradiol and norethindrone (Estrostep)
  • drospirenone and ethinyl estradiol (Yaz)
• Hormone therapy: This involves taking medications that reduce levels of certain hormones that contribute to acne. Examples include:
  • spironolactone (CaroSpire, Aldactone)
  • cyproterone (not available in the U.S.)
  • flutamide (Eulexin)

Learn more about birth control options for acne here.

At-home treatments

The American Academy of Dermatology provides the following tips for managing acne:

• washing the skin twice a day and as soon as possible after sweating
• rinsing the skin with lukewarm water
• avoiding harsh skin care products, such as astringents, toners, and exfoliants
• regularly shampooing the hair
• limiting or avoiding tanning
• avoiding picking or popping pimples

To help prevent shoulder acne, people can try:

• wearing lightweight, breathable clothing
• immediately changing out of sweaty clothes
• applying sunscreen to the shoulders in sunny weather
• keeping the hair clean to avoid getting excess oil on the shoulders
• avoiding using bags with shoulder straps, especially when carrying heavy items
• avoiding scrubbing or scratching the skin, which can irritate the area and introduce dirt and bacteria into existing pimples

Shoulder acne may clear up on its own or with the help of OTC products.

A person should contact a doctor if acne persists or worsens despite home treatment, or if more than one painful acne lesion develops.

A doctor may prescribe a stronger treatment for more severe acne. Or they may refer the person to a dermatologist (a doctor specializing in treating skin conditions).

Acne occurs when oil and dead skin cells form a plug inside a pore or hair follicle. This plug traps dirt and oil beneath the skin. A bacterial infection can develop in the affected pore, leading to inflammation and swelling in the form of a pimple.

Two types of acne can develop on the shoulders: acne vulgaris and acne mechanica. The first typically develops in response to hormonal changes, while the second typically develops in response to heat, pressure, friction, or a combination of these.

Shoulder acne does not look or feel the same for everyone. Some people develop small pimples, while others with more severe acne develop pustules, nodules, or cysts. More serious acne can be extremely painful and require stronger treatments.

Types, causes, and how to get rid of it

Acne occurs when oil, dead skin cells, and bacteria build up inside hair follicles, resulting in infection and inflammation. Whiteheads, cysts, and other types of acne commonly affect the shoulders.

As well as the shoulders, acne can affect the face, chest, back, and other parts of the body. It is the most common skin condition in the United States.

Below, we describe what acne is and the types of acne that can develop on the shoulders. We also explore the symptoms and appearance of shoulder acne and list some treatment options.

Pores are small openings in the skin. Each pore contains a single hair that sits inside a hair follicle. These hair follicles connect to oil-producing glands, called sebaceous glands.

Sebaceous glands secrete an oil called sebum, which carries dead skin cells to the skin’s surface.

Sometimes, sebum and skin cells form a plug within the hair follicle. This plug traps dirt and bacteria inside the skin, resulting in an infection. The infection triggers inflammation in the form of a pimple.

Two types of acne can develop on the shoulders: acne vulgaris and acne mechanica.

Acne vulgaris typically occurs when oil and dead skin cells build up and block a pore or hair follicle. The bacteria Cutibacterium acnes (C. acnes) can trigger or worsen the symptoms.

Changes in the levels of certain hormones can trigger breakouts. Below are some hormones that may influence acne vulgaris.

Testosterone

Testosterone regulates sebum production. As a result, rising testosterone levels can trigger acne breakouts.

For example, many people first experience acne during puberty, when hormone levels in the body rapidly change. People with polycystic ovary syndrome may also develop acne due to high testosterone levels.

Learn more about testosterone and its effects on the body here.

Progesterone and estrogen

The hormone progesterone can also contribute to acne. Progesterone levels peak during the luteal phase of the menstrual cycle, which begins after ovulation and ends just before a period. As a result, acne breakouts may occur around this time.

In addition, some people experience acne while using progesterone-only hormonal birth control, sometimes called the minipill.

The hormone estrogen has the opposite effect — it inhibits sebum production and shrinks the sebaceous glands.

Learn more about the menstrual cycle phases here.

Other hormones

Other hormones that can play a role in acne include:

• Insulin and insulin growth factor 1: These promote the growth of the sebaceous glands.
• Melanocortins: These hormones regulate oil production in sebaceous gland cells.
• Corticotropin-releasing hormone: This stimulates testosterone production and subsequent sebum production.

Acne mechanica develops in response to physical factors such as:

• pressure
• friction
• heat

These can damage the skin and trigger excess sebum production.

Some specific causes of acne mechanica include:

• pressure or friction from a heavy backpack or purse
• irritation from pillows or blankets made from rough or coarse fibers
• excess heat and pressure from tight or restrictive clothing
• excess heat and moisture from sweating, especially if a person does not immediately shower or change their clothes after physical activity

Not all acne looks or feels the same. Acne pimples vary in size, color, and severity.

Different types include:

• Blackheads: These are small, round bumps with black spots in the centers. Each spot is oxidized sebum, not dirt.
• Whiteheads: These are small, round bumps with white centers.

• Papules: These are small, discolored bumps that may feel sore or tender.
• Pustules: These are small bumps with an inflamed base and a white, pus-filled head.
• Nodules: These are large, hard lumps deep within the skin. Nodules can be tender or painful to the touch.
• Cysts: These are large, pus-filled lumps that may cause scarring.

Over-the-counter (OTC) topical treatments can help clear acne breakouts. Products containing the following ingredients can often be of help.

Benzoyl peroxide

Benzoyl peroxide is an antiseptic that kills C. acnes bacteria on the surface of the skin and inside hair follicles.

In 2017, a 12-week clinical trial investigated the effectiveness of this antiseptic as a treatment for acne vulgaris among 607 participants.

The researchers found that using a benzoyl peroxide cream resulted in a 72.7–75.0% reduction in inflammatory lesions, while using a placebo cream resulted in a 41.6% reduction in inflammatory lesions.

Salicylic acid

Salicylic acid is a beta-hydroxy acid that reduces sebum production and skin inflammation. It also reduces acne lesions by exfoliating the skin and removing oil, dirt, dead skin cells, and bacteria.

A small 2018 clinical trial compared the effectiveness of a salicylic acid cream with a benzoyl peroxide cream for the treatment of mild to moderate acne. The trial included 31 participants, and all applied each cream to separate sides of their faces for 28 days.

The researchers found that the 2% salicylic acid cream reduced the number of papules and pustules by 47.9% and reduced the number of noninflammatory lesions by 43. 1%. These results were comparable to those of the benzoyl peroxide cream.

The researchers concluded that the two creams were similarly effective in treating acne.

Learn more about salicylic acid for acne here.

Retinoids

Retinoids are a class of chemical compounds derived from vitamin A. They increase skin cell turnover, helping to keep dead cells, oil, and bacteria out of pores. This turnover can help prevent acne from forming.

A person needs to apply a retinoid consistently to see results. The effects of retinoids will cease when treatment does.

Learn more about retinol and retinoids for acne here.

Azelaic acid

Azelaic acid exists naturally in grains, such as wheat, barley, and rye. Topical application helps decrease discoloration and swelling of the skin.

A small 2017 pilot study investigated the safety and efficacy of a 15% azelaic acid foam in treating mild acne on the torso.

The results showed that 44% of participants who applied the foam twice daily experienced a significant reduction in acne.

The following prescribed medications, which come in pill form, can help treat the underlying causes of acne.

• Antibiotics: These can treat moderate to severe acne vulgaris, though experts warn against using them long term. Doctors typically recommend a more sustainable topical treatment, such as one containing benzoyl peroxide.
• Contraceptives: The Food and Drug Administration (FDA) has approved the following oral contraceptives for the treatment of acne:
  • norgestimate and ethinyl estradiol (Ortho)
  • norgestimate and ethinyl estradiol (Tri-Cyclen)
  • ethinyl estradiol and norethindrone (Estrostep)
  • drospirenone and ethinyl estradiol (Yaz)
• Hormone therapy: This involves taking medications that reduce levels of certain hormones that contribute to acne. Examples include:
  • spironolactone (CaroSpire, Aldactone)
  • cyproterone (not available in the U.S.)
  • flutamide (Eulexin)

Learn more about birth control options for acne here.

At-home treatments

The American Academy of Dermatology provides the following tips for managing acne:

• washing the skin twice a day and as soon as possible after sweating
• rinsing the skin with lukewarm water
• avoiding harsh skin care products, such as astringents, toners, and exfoliants
• regularly shampooing the hair
• limiting or avoiding tanning
• avoiding picking or popping pimples

To help prevent shoulder acne, people can try:

• wearing lightweight, breathable clothing
• immediately changing out of sweaty clothes
• applying sunscreen to the shoulders in sunny weather
• keeping the hair clean to avoid getting excess oil on the shoulders
• avoiding using bags with shoulder straps, especially when carrying heavy items
• avoiding scrubbing or scratching the skin, which can irritate the area and introduce dirt and bacteria into existing pimples

Shoulder acne may clear up on its own or with the help of OTC products.

A person should contact a doctor if acne persists or worsens despite home treatment, or if more than one painful acne lesion develops.

A doctor may prescribe a stronger treatment for more severe acne. Or they may refer the person to a dermatologist (a doctor specializing in treating skin conditions).

Acne occurs when oil and dead skin cells form a plug inside a pore or hair follicle. This plug traps dirt and oil beneath the skin. A bacterial infection can develop in the affected pore, leading to inflammation and swelling in the form of a pimple.

Two types of acne can develop on the shoulders: acne vulgaris and acne mechanica. The first typically develops in response to hormonal changes, while the second typically develops in response to heat, pressure, friction, or a combination of these.

Shoulder acne does not look or feel the same for everyone. Some people develop small pimples, while others with more severe acne develop pustules, nodules, or cysts. More serious acne can be extremely painful and require stronger treatments.

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 the acne on the back is associated with the use of milk or foods with a high glycemic index: white bread, pasta, pastries, potatoes . .. If you notice that after a certain meal the rashes become more, try reduce the amount 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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How to get rid of acne on the back

The face is not the only place that acne affects. They can appear on any part of the body where there are sebaceous glands or hair follicles, including the back, chest, and shoulders. The appearance of acne on the back and shoulders is usually associated with sports, which cause increased sweating and friction from sports equipment and clothing.

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Body skin care

Stress

Care for problem skin

Hormonal changes

acne

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Eruptions on the shoulders and back appear in the same way as on other parts of the body. The pores on the skin become clogged with dirt, dead skin cells, sweat and sebum (sebum). The body produces sebum so that the skin and hair do not become too dry. If sebum builds up and you don’t clean your skin properly, your pores can become clogged, making acne worse.

Contents of the article

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.

Why do pimples appear on the back?

The back is the second most common spot on the body (after the face) where pimples appear. The pores on the back become easily clogged because they are larger than elsewhere. Because these pores are larger, the lesions that appear on the back tend to be more painful and extensive than on the face.

Like rashes on the shoulders and face, pimples on the back can be caused by a number of factors. Genetics, stress, medication, and lifestyle can all lead to clogged pores, which can lead to acne.

The best way to prevent back acne is to make changes to your skin care routine. This can mean anything from showering right after a workout and using a quality body cleanser to exfoliating with salicylic acid. Wearing loose clothing can also reduce your risk of back acne.

What causes pimples on the shoulders and back and how to deal with them?

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Shampoo and Conditioner

According to the American Academy of Dermatology, just as sebum can clog pores and lead to breakouts, substances found in hair and body products can cause breakouts.

If a poorly formulated hair conditioner runs down your back while showering, it can also cause clogged pores and breakouts. Be sure to rinse your hair thoroughly and use products that say: won’t clog pores, don’t contain oils, and are non-comedogenic.

Harsh scrubs, washcloths and exfoliators can damage the protective layer of the skin and aggravate acne on the body.

Postponing showering after exercising

Preferring a hot bath in your own home over a dirty shower at the gym may seem like a logical decision. However, if you put off taking a shower after a workout for too long, it can easily lead to acne on your shoulders and back.

If you can’t shower right away, use oil-free cleansing wipes to remove as much sweat from your body as possible.

Dirty sportswear

Sometimes it can be extremely difficult to find time to wash your sportswear, especially if you train several times a week. But just because things still smell fresh doesn’t mean they won’t contribute to acne on the body.

As the American Academy of Dermatology recommends, washing sweaty clothes after every workout is a good way to keep acne-causing bacteria and dirt out of your pores. Don’t let an active lifestyle come between you and clear skin.

It is also important to use clean towels, sheets and pillowcases to prevent bacteria from accumulating on them. Try to wash sheets and towels at least once a week.

Tight clothing or a heavy backpack

Items such as backpacks, sports equipment or bag straps, or tight clothing that rub against sweaty skin can cause or worsen back and shoulder acne.

To prevent breakouts, keep clothes and underwear not too tight, and avoid carrying heavy backpacks or bags for extended periods of time. Wearing a clean cotton t-shirt under your normal clothes or sports uniform will also help minimize friction and irritation and protect your skin.

Improper diet

Carbohydrate-rich foods with a high glycemic index may be contraindicated for people who are prone to acne, because studies have shown that a rapid increase in blood sugar levels can lead to acne flares.