Why does acne appear on the back. What are the main types of back acne. How can you effectively treat and prevent back acne. What lifestyle changes can help reduce back acne breakouts. When should you see a dermatologist for back acne.

Understanding Back Acne: Causes and Contributing Factors

Back acne, often referred to as “bacne,” is a common skin condition that affects many individuals. While facial acne tends to get more attention, back acne can be equally frustrating and sometimes even more severe. To effectively address this issue, it’s crucial to understand the underlying causes and factors that contribute to its development.

What causes back acne? Back acne occurs when hair follicles or pores become clogged with oil, dead skin cells, and bacteria. Several factors can contribute to this process:

• Excessive oil production
• Hormonal fluctuations
• Sweating and friction from clothing or equipment
• Use of pore-clogging skincare products
• Genetic predisposition
• Diet and lifestyle factors

Why is back acne sometimes more severe than facial acne? The skin on your back is thicker and has larger pores compared to facial skin, which can lead to more stubborn and extensive breakouts. Additionally, the back area is often neglected in terms of skincare routines, allowing acne-causing bacteria to thrive.

Types of Back Acne: Identifying Your Specific Condition

Understanding the different types of acne that can appear on your back is essential for choosing the most effective treatment approach. Back acne can manifest in various forms, ranging from mild to severe.

Comedonal Acne

Comedonal acne is characterized by non-inflammatory lesions, including:

• Whiteheads: Small, flesh-colored bumps that remain under the skin’s surface
• Blackheads: Open pores filled with oil and dead skin cells that appear dark due to oxidation

Inflammatory Acne

Inflammatory acne involves more noticeable and often painful lesions, such as:

• Papules: Small, red, tender bumps
• Pustules: Pus-filled lesions with a red base
• Nodules: Large, hard, painful lumps beneath the skin’s surface
• Cysts: Deep, pus-filled lesions that can cause scarring

How can you determine which type of back acne you have? Observe the characteristics of your breakouts and consult with a dermatologist for an accurate diagnosis. This will help guide your treatment plan and ensure you’re using the most appropriate products and techniques for your specific condition.

Effective Treatment Strategies for Back Acne

Treating back acne requires a multi-faceted approach that addresses the underlying causes and targets the specific type of acne you’re experiencing. Here are some effective strategies to combat back acne:

Topical Treatments

What are the most effective over-the-counter treatments for back acne? Look for products containing the following active ingredients:

• Salicylic acid: Helps exfoliate and unclog pores
• Benzoyl peroxide: Kills acne-causing bacteria and reduces inflammation
• Alpha-hydroxy acids (AHAs): Promote skin cell turnover and reduce acne
• Tea tree oil: Natural antimicrobial and anti-inflammatory properties

Prescription Medications

For more severe cases of back acne, a dermatologist may prescribe:

• Topical retinoids: Unclog pores and promote skin cell turnover
• Oral antibiotics: Combat bacterial infections and reduce inflammation
• Isotretinoin: A powerful oral medication for severe, resistant acne
• Hormonal treatments: For acne related to hormonal imbalances

Professional Treatments

What professional treatments can help with stubborn back acne? Consider these options:

• Chemical peels: Exfoliate the skin and promote cell turnover
• Light and laser therapies: Target acne-causing bacteria and reduce inflammation
• Extractions: Professional removal of blackheads and whiteheads
• Corticosteroid injections: For large, painful cystic lesions

Lifestyle Changes to Prevent and Manage Back Acne

In addition to targeted treatments, making certain lifestyle changes can significantly improve back acne and prevent future breakouts. Consider implementing the following strategies:

Skincare Routine

How can you adapt your skincare routine to address back acne?

• Use a gentle, non-comedogenic body wash
• Exfoliate regularly with a salicylic acid scrub
• Apply acne treatments immediately after showering
• Avoid touching or picking at acne lesions
• Change sheets and pillowcases frequently

Clothing and Exercise

What clothing and exercise habits can help reduce back acne?

• Wear breathable, moisture-wicking fabrics
• Shower immediately after sweating or exercising
• Avoid tight-fitting clothing that can trap sweat and bacteria
• Use a clean towel to pat dry after showering

Diet and Nutrition

Can dietary changes impact back acne? While the relationship between diet and acne is complex, some studies suggest that certain dietary modifications may help:

• Reduce intake of high-glycemic foods
• Increase consumption of omega-3 fatty acids
• Limit dairy consumption, especially skim milk
• Stay hydrated by drinking plenty of water

When to Seek Professional Help for Back Acne

While many cases of back acne can be managed with over-the-counter treatments and lifestyle changes, there are instances when professional help is necessary. Consider consulting a dermatologist if:

• Your back acne is severe or persistent
• Over-the-counter treatments haven’t been effective
• You’re developing scars or dark spots from acne lesions
• Your acne is causing emotional distress or affecting your quality of life
• You suspect your acne may be related to an underlying medical condition

How can a dermatologist help with back acne? A dermatologist can provide a comprehensive evaluation of your skin, determine the underlying causes of your acne, and develop a personalized treatment plan that may include prescription medications, professional treatments, and tailored skincare recommendations.

Natural Remedies and Alternative Treatments for Back Acne

For those seeking natural or alternative approaches to treating back acne, several options may be worth exploring. While scientific evidence for these remedies varies, some individuals find them helpful in managing their acne symptoms.

Herbal and Natural Topical Treatments

What natural ingredients show promise in treating back acne?

• Tea tree oil: Known for its antimicrobial properties
• Green tea extract: Contains antioxidants that may reduce inflammation
• Aloe vera: Soothes irritated skin and may have anti-inflammatory effects
• Witch hazel: Natural astringent that can help control oil production

Dietary Supplements

Can certain supplements help improve back acne? Some studies suggest potential benefits from:

• Zinc: May help reduce inflammation and bacterial growth
• Omega-3 fatty acids: Can help regulate hormone levels and reduce inflammation
• Probiotics: May improve gut health and indirectly affect skin health
• Vitamin A and D: Important for skin health and immune function

Stress-Reduction Techniques

How does stress impact back acne, and what can you do about it? Stress can exacerbate acne by increasing inflammation and oil production. Consider incorporating stress-reduction techniques such as:

• Meditation and mindfulness practices
• Regular exercise
• Adequate sleep
• Yoga or tai chi

While these natural and alternative treatments may be helpful for some individuals, it’s important to approach them with caution and consult with a healthcare professional before making significant changes to your acne treatment regimen.

Addressing Acne Scars and Hyperpigmentation on the Back

Even after successfully treating active back acne, many individuals are left with scars or dark spots (post-inflammatory hyperpigmentation) that can be equally distressing. Fortunately, there are several strategies to address these concerns and improve the overall appearance of your skin.

Topical Treatments for Acne Scars and Hyperpigmentation

What ingredients can help fade acne scars and dark spots?

• Retinoids: Promote skin cell turnover and collagen production
• Vitamin C: Brightens skin and helps fade dark spots
• Niacinamide: Reduces inflammation and improves skin tone
• Hydroquinone: Lightens hyperpigmentation (use under medical supervision)
• Alpha-hydroxy acids (AHAs): Exfoliate and promote skin renewal

Professional Treatments for Acne Scars

For more severe scarring, professional treatments may be necessary. Options include:

• Chemical peels: Remove damaged outer layers of skin
• Microneedling: Stimulates collagen production
• Laser resurfacing: Targets specific layers of skin to improve texture
• Dermal fillers: Can help with depressed acne scars

How long does it take to see improvements in acne scars and hyperpigmentation? Results vary depending on the severity of the scarring and the chosen treatment method. Some topical treatments may show improvements within weeks, while more intensive treatments like laser therapy may require several sessions over months to achieve optimal results.

Maintaining Clear Skin: Long-Term Strategies for Back Acne Prevention

Once you’ve successfully treated your back acne, it’s crucial to implement long-term strategies to maintain clear skin and prevent future breakouts. This involves a combination of consistent skincare practices, lifestyle habits, and ongoing vigilance.

Consistent Skincare Routine

What should a maintenance skincare routine for back acne include?

• Daily cleansing with a gentle, acne-fighting body wash
• Regular exfoliation to prevent pore blockages
• Application of a lightweight, non-comedogenic moisturizer
• Spot treatment of any emerging acne lesions
• Weekly use of a clarifying mask or treatment

Lifestyle Habits

Which lifestyle habits are crucial for maintaining clear back skin?

• Regular exercise followed by prompt showering
• Wearing clean, breathable clothing
• Managing stress through relaxation techniques
• Maintaining a balanced diet rich in skin-supporting nutrients
• Getting adequate sleep to support skin health

Ongoing Monitoring and Adjustment

How can you ensure your acne prevention strategy remains effective? Stay vigilant and be prepared to adjust your approach:

• Monitor your skin for any changes or new breakouts
• Be aware of potential triggers (e.g., certain foods, stress, hormonal changes)
• Adjust your skincare routine seasonally or as needed
• Schedule regular check-ups with a dermatologist
• Stay informed about new acne treatments and research

By implementing these long-term strategies and remaining committed to your skin health, you can significantly reduce the likelihood of future back acne breakouts and maintain clear, healthy skin.

Remember that everyone’s skin is unique, and what works for one person may not work for another. Be patient with your skin, and don’t hesitate to seek professional advice if you’re struggling to manage your back acne or maintain clear skin. With persistence and the right approach, you can achieve and maintain the clear, healthy back skin you desire.

Acne Types and Symptoms

Got a problem with acne? Recognizing the different types of acne and their symptoms is one of the first steps to getting clear skin.

By Valencia HigueraMedically Reviewed by Shenara Austin Sexton, MD

Reviewed: August 11, 2022

Medically Reviewed

Nodules are large, hard bumps that can be painful and cause scarring.iStock

Just about everyone gets acne at some point. And unfortunately, these annoying bumps seem to pop up at the worst times — like before a big date or an interview for a dream job.

Many young adults deal with acne. But if you think it’s only a teenage problem, you’re mistaken. Acne also occurs in adults, and even some infants have acne, too. (1,2)

Acne develops when pores or hair follicles become blocked with oil and dead skin cells. (3) Most people complain about acne on their face, but the truth is, you can get acne anywhere on your body. This includes your back, neck, buttocks, shoulders, and chest. (4)

Even though many people use the term “acne” to describe all bumps, acne is actually a broad term for different types of bumps. (5)

Read on for more information about acne types and symptoms, and learn when it’s time to see a doctor.

Different Types of Acne and Their Symptoms

The occasional bump or breakout might not be a big deal to some. Persistent acne, on the other hand, can be a frustrating problem, affecting your self-esteem and confidence. Your feelings about acne may have everything to do with the extent of your skin problem, which can range from mild to severe.

“Mild acne is the less severe form of acne,” says Yoram Harth, MD, a San Francisco–based dermatologist and chief medical officer of MDacne. “This kind of acne is easier to control and doesn’t usually leave long-term scars.” (6)

It’s a different story with moderate and severe acne, though.

Moderate acne, continues Dr. Harth, is more noticeable and can leave dark spots and scars, whereas severe acne is the worst form. It’s more difficult to treat and often leaves scars when it heals. (6)

It’s important that you learn how to recognize common types of blemishes — as well as their severity — because different types of acne respond to different treatments.

Bottom line: If you want clearer skin, you need to know what you’re dealing with.

Different types of acne (and their symptoms) include the following:

1. Whiteheads

Whiteheads are a type of acne where bumps develop underneath the skin’s surface. (3)

These blemishes are round and small. They’re also covered by a thin layer of skin, resulting in a white or yellowish appearance. (8) Different factors contribute to whiteheads, such as oily skin, hormones, puberty, and the use of cosmetics and moisturizers on your face. (1)

2. Blackheads

Blackheads look similar to whiteheads. But instead of a white bump, blackhead pimples are black or dark. (8)

Blackheads aren’t covered by skin like a whitehead. Instead, they rise to the skin’s surface. (3). Exposure to air causes trapped oil inside the pore to turn black, resulting in the bump’s darker appearance. (8)

Possible causes of a blackhead include oily skin, an irritated hair follicle, and hormones, as well as skin-care products. Some medications can trigger blackheads. (1)

More on Diet and Skin Health

6 Ways to Eat and Drink Your Way to Healthier Skin

3. Inflammatory Papules

A papule forms when a pore or hair follicle becomes clogged with bacteria. Your immune system reacts to the bacteria by producing white blood cells, which fight infections. This inflammatory response causes clusters of red, inflamed pimples. (8) Oil and dead skin cells also contribute to inflammatory papules.

4. Inflammatory Pustules

This type of acne is similar to papules. But with a pustule, your body’s inflammatory response causes pimples to fill with pus composed of oil, dead skin cells, and bacteria. These clusters of bumps are red, slightly larger, and sensitive to the touch. (8)

5. Nodules

Nodular acne is a severe form of acne characterized by large, hard bumps underneath the skin’s surface. This type of acne also involves bacteria, and develops when the walls of a pore break down. As a result, bacteria and oil extend deeper into the skin, affecting other pores. Nodules are painful and can cause permanent scarring. (3,8)

6. Cyst

Cystic acne also develops deep underneath the skin, and it’s the worst form of acne, says Harth. It occurs when a severe inflammatory reaction in your pores triggers boil-like, fluid-filled nodules, and is commonly seen in menstruating women. Varying levels of estrogen act at the level of the follicle to cause cysts deep underneath the skin. (3,8)

When Should You See a Doctor for Acne Treatment?

Acne may or may not warrant a trip to your doctor. Some people can control their blemishes with over-the-counter treatments and other self-care measures, while others feel their acne is serious enough to require medical help.

The decision to see a doctor will likely depend on how well you’re able to manage bumps, as well as the severity of your acne.

It’s always a good idea to make an appointment for persistent acne that doesn’t clear up. What you think is run-of-the-mill acne could actually be another skin condition like rosacea, keratosis pilaris, or perioral dermatitis. (9)

To diagnose acne and determine the type of acne and the treatment you’ll need, your dermatologist will visually examine your skin. (10)

For mild-to-moderate acne, start with over-the-counter medicine before you see a doctor. These include topical creams (retinoids) and acne face washes that contain acne-fighting ingredients such as salicylic acid and benzoyl peroxide. (10)

Retinoids and retinoid-like drugs prevent clogging of pores, while topical antibiotics kill bacteria on the skin. Salicylic acid facial washes remove dead skin cells by exfoliation. (10) Some of these products may not be safe to use during pregnancy. Check with your doctor to be sure.

For the best results, make sure these medications match the acne severity and your skin type, warns Harth. “If used properly, one can expect initial improvement at four weeks and a significant reduction of acne at 12 weeks,” Harth says.

But what if acne doesn’t respond to self-treatment?

According to Harth, you may need something stronger to get rid of stubborn acne. “People with severe acne, and people with moderate acne that doesn’t improve after three months of treatment with an over-the-counter medication, will need to see a dermatologist for oral medication,” he says.

Drugs that are powerful enough to treat moderate-to-severe acne include antibiotics, which treat inflammation, kill bacteria, and fight infections. When antibiotics don’t work, your doctor may suggest an anti-androgen agent (a hormonal treatment only available to women and adolescent girls), or isotretinoin, a retinoid used to treat nodular or cystic acne. (10)

Depending on the severity of your acne, your doctor may also recommend extraction of a whitehead or blackhead, or a steroid injection. (10)

Initially, you might discuss bothersome acne symptoms with your general practitioner — and you doctor might even recommend more effective over-the-counter treatments.

If these treatments don’t work and your family doctor suggests seeing a dermatologist, prepare for this visit by writing down any questions or concerns you might have. For example:

• What are the side effects of a particular acne treatment?
• Will medication treat the cause of my acne, or only the symptoms?
• What are possible causes of acne, and how can I reduce future breakouts?
• Will the acne medication interact with other medications I take?
• Are acne medications safe to use while pregnant or breastfeeding?
• How can I reduce the appearance of acne scars?

A Final Word: Take Action Against Stubborn Acne

Acne is a common problem that affects people of all ages, but it doesn’t have to take over your face. (1) Some acne is mild and only a minor annoyance, whereas severe acne can affect your self-esteem.

If your skin doesn’t improve with self-treatment, don’t hesitate to speak with your doctor.

The right treatment not only treats acne, but also protects against new acne.

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Editorial Sources and Fact-Checking

1. Acne: Symptoms & Causes. Mayo Clinic. May 25, 2022.
2. Baby Acne. Mayo Clinic. April 27, 2022.
3. Acne. National Institute of Arthritis and Musculoskeletal and Skin Diseases. August  2020.
4. Acne: Tips for Managing. American Academy of Dermatology.
5. Got Adult Acne? Get Answers From an Expert. John Hopkins Medicine.
6. Overview: Acne. NHS. July 12, 2019.
7. Deleted, July 21, 2022.
8. Types of Acne Blemishes. NYU Langone Health.
9. Is That Stubborn Acne Really Acne? American Academy of Dermatology.
10. Acne: Diagnosis & Treatment. Mayo Clinic. May 25, 2022.

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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.

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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.

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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.

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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.

Acne on the back – causes, treatment and prevention

Contents:

➦ Causes of acne on the back

➦ Types of acne on the back

➦ How to get rid of acne on the back

➦ Preventive measures

➦ Nutrition is especially important !

➦ Frequently Asked Questions

It is known that acne on the face in men and women is quite an acute problem, but another common phenomenon is “bakne” or the so-called acne on the back. Various rashes cause significant discomfort, and also indicate pathologies of organs and systems. Why a rash appears on the back and how to deal with it will be described below.

Causes of acne on the back

The main factor in the occurrence of acne is the blockage of the mouths of the sebaceous glands with sebum due to its hyperproduction. Increased sebum production often occurs in adolescents, accompanying puberty or other conditions that cause hormonal imbalances in the body. Pimples can be localized on the shoulders, lower back, shoulder blades, and also between the shoulder blades. There are external and internal causes of acne on the back.

External causes

The following environmental factors can provoke an inflammatory reaction of the skin:

• Non-observance of natural hygiene rules . Due to the large number of sebaceous glands, the back area needs special care, with insufficient hygiene, the sebaceous glands become clogged, followed by bacteria and acne.
• Tight, heavy clothing . There is a deterioration in thermoregulation, which contributes to clogging of pores.
• Use of products not suitable for skin type. Oily cosmetics, oily sunscreens can cause breakouts.
• Synthetic clothing . Cotton fabric allows air to pass through and allows the skin to breathe, which cannot be said about synthetic fabric, which contributes to the accumulation of fat and microbes on the surface of the skin, followed by the formation of a rash.
• Loose hair . Able to irritate the skin, provoking an increased secretion of subcutaneous fat.

Internal causes

Among the internal causes are:

• Genetic predisposition . Often there are family cases of acne.
• Hormonal imbalance. Due to the restructuring of the body, a jump in hormones occurs, which causes increased production of sebum. In women, acne sometimes occurs during pregnancy or menstruation.
• Side effects of drugs. Taking antidepressants can cause rashes that itch.
• Power features . Foods with a high glycemic index have been proven to trigger severe rashes.
• Nervous tension. There is an effect on the hormonal background and the reactivity of the immune system, which can cause acne.
• Allergy . Inflammatory mediators can affect the skin and provoke the appearance of rashes.
• Comorbidities . Endocrine diseases (diabetes mellitus), pathologies of the gastrointestinal tract (pancreatitis, peptic ulcer), diseases of the genitourinary system, systemic connective tissue diseases.

Types of acne on the back

Inflammatory and non-inflammatory rashes can form in the region of the spine and all over the back.

Non-inflammatory

Includes the following elements of the rash:

remains closed under the skin.

➦ blackheads (open comedones) – formed when a clogged follicle protrudes above the surface of the skin and opens to form a blackhead.

Inflammatory

Represented by such varieties as:

➦ papules – red bumps that pop up due to inflammation of the hair follicle and can be painful 90 003

➦ pustules – pus-filled rash, often white or yellow with redness at the base

➦ nodules – rashes that develop deep under the skin, followed by the formation of a large hard mass; inflammatory reaction occurs due to damage to deeper areas

➦ Cysts are large pustules that are painful and can cause scarring.

How to get rid of acne on the back?

The most important rule in the fight against acne on the back is to determine the cause of the rash, so the key to success is a timely visit to a dermatologist. In the event that the back is sprinkled, individual therapy and an integrated approach will help eliminate the problem.

Medicines and procedures

Antibiotics, oral medications, creams, lotions, laser therapy, peelings, beauty injections are all methods to eliminate such a hated problem as acne on the back.

Effective Back Acne Treatments:

✓ Tablets . They have a systemic effect on the body. The active ingredients can be hormonal drugs, antibiotics and retinoids (isotretinoin). It is important to remember that self-medication is not acceptable.

✓ Creams and ointments . Cosmetics based on salicylic acid, benzoyl peroxide, retinoids and antibiotics are indispensable. They not only reduce the secretion of subcutaneous fat, but also effectively kill bacteria, which helps to reduce the inflammatory process.

✓ Chemical peels . There are superficial and deep peels depending on the concentration of the acid. They improve blood circulation of the skin, relieve inflammation.

✓ Laser treatments . With the help of laser beams, skin irregularities are removed, a bactericidal effect is provided.

✓ Drainage procedures . Bring out all the impurities and the contents of the pimple.

✓ Phototherapy . Eliminates small purulent rashes, as well as deep inflammation. The source of the lesion is eliminated by inhibiting the vital activity of propionobacteria acne. The pores are noticeably narrowed, the secretion of sebum is reduced, the skin becomes velvety and silky.

✓ Cryotherapy . By exposure to liquid nitrogen, blocking of nerve impulses occurs, which in turn helps to cleanse the skin, eliminate redness and rashes on the back.

✓ Mechanical leather cleaning. For people with oily problematic skin, it is recommended to clean once a month. It not only deeply cleanses the pores, but also provides regeneration of the upper layers of the skin.

Folk remedies

Complete elimination of rashes on the back with the help of traditional medicine is not guaranteed, but the improvement in the condition of the skin will be noticeable to the naked eye.

Tea tree oil can help treat large pimples on the back. Using a cotton swab, you need to locally smear the oil on small pimples and leave overnight. Due to its antibacterial properties, rashes will disappear instantly.

Also, an ordinary lemon will become a universal remedy against rashes and pigmentation.

The following recipe can be used:
– mix lemon juice and water in a ratio of 1:1
– apply the solution to problem areas using a cotton pad.
– wash off after 10 minutes.
This procedure should be carried out 2 times a week.

An oatmeal bath is an effective remedy for a pimply back. Oatmeal has an anti-inflammatory effect, eliminates rashes. Pour 2 tablespoons of oatmeal into a warm bath, wait 15 minutes, after which the bath is ready for use.

Quick guide to cosmetics

Special care is recommended for owners of oily and problematic skin. Means should reduce the secretion of subcutaneous fat and have an anti-inflammatory effect.

An extensive range of products for acne on the back is presented on the Phytomarket website.

Popular cosmetics in the fight against acne include:

➤ Seracin active-cream spot application TM Libriderm / Librederm 20 ml.

Contains salicylic acid, which has antibacterial properties, due to deep penetration into the pores, exfoliates the stratum corneum of the epidermis, dries out rashes and eliminates pigmentation.

Effect:

– tightens pores, normalizes subcutaneous fat secretion

– eliminates many blackheads on the back

– reduces flushing.

➤ Biotrade ACNE OUT topical lotion for oily and problematic skin 60 ml.

Pustules and boils are treated with topical lotion. This tool is suitable for owners of both mild acne and complicated forms. To achieve the maximum effect of therapy, spot application of the lotion is recommended. The advantage of the product is non-comedogenicity and the absence of harmful chemicals in the composition.

Action:

– instantly relieves inflammation.

– visibly tightens pores

– reduces the activity of Propionibacterium acnes

– prevents the appearance of rashes

– soothes irritated skin.

➤ Biotrade ACNE OUT

Kit for oily, problematic and acne skin

If you have a lot of acne on your back, the use of only three important components of the kit can get rid of the problem in minimal lines.

Cleansing of the skin is carried out in 3 stages:

1. With the help of washing gel with active oxygen (50 ml), polluted and clogged pores are cleansed, while gentle care is guaranteed without overdrying the skin.

2. Active antibacterial lotion (60 ml) has a calming effect, reduces inflammation.

3. Moisturizing cream with a soothing effect Hydro Active (60 ml) maintains the hydro-lipid balance of the skin, nourishes the skin and regulates the functioning of the sebaceous glands.

➤ Tar liquid soap bottle with dispenser 270 ml

The benefits of tar soap in the treatment of purulent rashes, inflammation and acne are undeniable. Therefore, many people use tar soap for psoriasis, dermatitis and wash themselves with tar soap from acne stains.

The instructions say that it is necessary to apply tar soap to wet skin, lather, rinse with water. If necessary, repeat the procedure.

➤ Soap Demolan Forte 3 in 1

A specially created product to combat demodicosis and acne. It is based on an innovative formula developed by dermatologists and pharmacists, taking into account the physiology of the skin affected by the Demodex mite and prone to acne. Thanks to herbal ingredients and the active substance Hexamidine diisethionate (France), the soap has proven its effectiveness, which is confirmed by both dermatologists and patients.

➤Complex set Stop Demodex / Stop Demodex ® 7in1

A unique complex series of preparations developed on the basis of the latest research and tests from the company “NVP “PhytoBioTechnologies” /Ukraine/. Cosmetics are designed to prevent the occurrence and consistent course of application, manifestations activity of subcutaneous parasitic mites (Demodex Folliculorum, Demodex Bravis), such as: demodicosis, acne, acne, acne, comedones, blepharitis, blepharoconjunctivitis, scars on the face, oily seborrhea, thickening of the skin, deterioration of complexion, enlarged pores, increased fat content , changes in the composition of sebum, dandruff.

Preventive measures

To forever forget about the problem of rashes on the back, you need to adhere to the following preventive measures:

• Regularly clean the skin with mild cosmetic products.
• Remove dead skin cells from the upper layers of the skin with gentle scrubs.
• Use natural cotton textiles.
• Avoid swimming pools and solarium during relapses.
• In hot weather, apply spf protection before going outside.
• Do not share personal hygiene items with other people.
• Avoid certain medications (eg, androgenic hormones that can cause breakouts).
• Do not use oil-based products (it is better to choose products with non-comedogenic properties.)
• Get rid of friction in the back (pimples on the back can be caused by wearing backpacks, sports equipment)
• Use over-the-counter products based on benzoyl, resorcinol, salicylic acid and sulfur.
• Shower immediately after exercise or other physical activity. It is important to clean your back regularly, as heat and excessive sweating promote the growth of bacteria.
• Do not squeeze pimples. Getting rid of acne in this way can aggravate the situation or leave pigmentation.
• Change bedding regularly.

Nutrition is especially important!

To improve the condition of the skin, it is important to follow a diet. The diet of a person suffering from rashes on the back should be enriched with nutrients, fiber, antioxidants. This approach will not only give healthy skin, but also normalize the functioning of the gastrointestinal tract and the immune system.

To get rid of acne on the back, it is recommended to introduce the following products into the diet:

Zinc . This microelement improves the condition of the skin, relieves acne on the back. Zinc-rich foods include liver, pumpkin seeds, oysters, and pine nuts.

Probiotics . They help to normalize the intestinal microflora, relieve the inflammatory process in the body, and support the normal digestive process.

Omega 3 fatty acids. Regulates the work of the sebaceous glands and has an anti-inflammatory effect. A large amount of Omega 3 is found in sea fish, broccoli, flax seeds.

Green tea. Helps cleanse the body, has an antibacterial effect.

Vegetables and herbs containing beta-carotene. Able to normalize the work of the sebaceous glands and get rid of rashes. Beta-carotene is found in carrots, celery, parsley.

Proper nutrition plays an important role in acne prevention.

Dairy products, as well as foods with a high glycemic index, have been shown to cause excess sebum production (glucose stimulates insulin production, which causes an increase in testosterone, one of the causes of acne).

Foods that cause acne:

• sweets, chocolate, honey in large quantities into the dairy products cause hormonal imbalance).
• carbonated drinks, coffee
• flour and bakery products with palm oil.

FAQ?

Is it possible to squeeze pimples on the back?

Pimples must not be squeezed, this can lead to infection (sepsis), as well as injury to the skin (scarring and pigmentation).

How to remove acne marks (scars) on the back

Acne spots can be eliminated by various peels, mesotherapy, laser resurfacing. These procedures relieve pigmentation, smooth the skin and improve complexion.

Remedies containing retinoids, benzoyl peroxide, azelaic acid will be effective against marks (scars). In addition, masks containing lemon and white clay can brighten the skin and improve microcirculation at home.

Also effective is Kelokod / Kelokod Scar Remodeling Gel, 30ml. The use of the gel on the affected area heals and regenerates skin tissues, improves gas exchange, normalizes keratolytic processes, reduces pigmentation, nourishes the skin, makes it soft and supple.

Which hormones cause acne?

To a greater extent, acne occurs with an increased amount of male sex hormones (androgens – testosterone, dehydrotestosterone) in the body. In the postpartum period, the production of subcutaneous fat increases as a result of an imbalance of progesterone and estrogen. Thyroid hormones and cortisol (the stress hormone) also contribute to acne.

If you are interested in the topic of this article, express your opinion, ask questions or write a review.

Information sources used:

1. Arabian E.R., Krasnoselskikh T.V., Sokolovsky E.V. Skin itching. Acne. Urogenital chlamydial infection. – St. Petersburg, 1998. – 148 p.

2. Kovalev V.M. Acne.- K., 1991.-143 p.

3. Monakhov S.A. Therapeutic index of acne as the basis for a differentiated approach to the treatment of acne // Russian Journal of Skin and Venereal Diseases. – 2005. – No. 1. – S. 11-14.

4. Dashkova N.A., Logachev M.F. Acne: the nature of occurrence and development, questions of systematization and modern guidelines in the choice of therapy // Dermatology. – 2006. – No. 4. – S. 8

5. Ogurtsova A.N. Criteria for assessing the severity in the choice of tactics for the treatment of acne // Dermatology and Venereology. – 2004. – No. 1 (23). – S. 45-47.

6. Orlov S.L. Symposium “The use of retinoids in dermatological practice” // Bulletin of dermatology and venereology. – 1992. – No. 3. – S. 75-77.

7. Protsenko T.V. Acne disease (lecture for doctors). – K., 2001. – 15 s.

8. Rogovskaya SI Androgen-dependent skin lesions and the possibility of their correction in women: / Clinical. lecture. – M., 2003. – 13 p.

9.Birnkrant M.J., Papadopoulos A.J., Schwartz R.A., Lambert W.C. Pyoderma gangrenosum, acne conglobata, and IgA gammopathy // Int. J. Dermatol. – 2003. – Vol. 42, No 3. – R. 213-216.

10. Jansen T., Burgdorf W.H., Plewig G. Pathogenesis and treatment of acne in childhood // Pediatr. Dermatol. – 1997. – Vol. 14, No 1. – R. 17-21.

11. Bassi R. Is acne a psychosomatic disease? / Abstracts of the 9th Congress EADV. – Geneva, Switzerland. – 11-15 October, 2000. – P. 17.

12. Chivot M., Pawin H., Beylot C. et al. Acne scars: epidemiology, physiopathology, clinical features and treatment // Ann. Dermatol. Venereol. – 2006. – No. 10. – R. 813-824

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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 rash 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 wear 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 improper diet. 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 Natalia 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 carbonated drinks, dairy products, fast food, and 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 will be better to replace white bread with black or gray whole grains, add healthy fatty acids to the diet (sea fish, unrefined olive oil, avocado), vegetables (carrots, broccoli, cucumbers, cabbage, greens), fruits with a low glycemic index (apples, kiwi), the berries of our band. 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 Natalya 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.