Back Acne Basics: Why It Happens and How to Treat It

Back acne affects about 50 million American adults annually. Research shows half of those battling facial acne also get breakouts on their backs and upper bodies. Understanding what causes back acne and how to effectively treat it is the first step toward clearer skin.

What Is Back Acne?

Back acne, or “bacne,” affects around 85% of people between ages 12 and 24. It presents unique challenges compared to facial acne. Back acne starts when oil, dead skin cells and bacteria clog hair follicles on your back. Because your back contains more sebaceous glands than other body areas, and the skin is thicker than on your face, different acne treatment approaches may be required.

Types of Back Acne

Back acne can manifest in different forms and a person can have more than one type simultaneously. Additionally, back acne can vary in severity.

Whiteheads

Whiteheads show up as closed comedones with white centers when plugged follicles remain under your skin. Dead skin cells and oil get trapped below the skin’s surface to create these spots.

Blackheads

Blackheads form when clogged follicles open at the skin’s surface and turn dark due to the sebum reacting with air. These open comedones are common on the back and require consistent cleansing to prevent further buildup.

Papules

Papules are small pink bumps without clear heads. These sensitive spots develop when hair follicles become clogged and inflamed. The inflammation leads to pustules (or pimples), which are white or yellow pus-filled bumps with red bases. Papules form when white blood cells fight the follicle’s inflammation.

Nodules and Cysts

Nodules and cysts are more serious forms of acne. Bacteria trapped in hair follicles create nodules, which are hard, painful lumps deep under the skin that can damage tissue. Cysts are the most severe type, and they are large, pus-filled lesions that go deep into the skin and often leave permanent scars.

Common Back Acne Causes

Back acne breakouts happen due to several factors working together. We produce sebum through our sebaceous glands – an oily substance that protects the skin. But these glands can become overactive, and excess sebum mixes with dead skin cells, which leads to clogged pores.

Hormone Levels

Your hormone levels substantially influence the development of acne. Due to hormonal fluctuations, sebum production increases during puberty or pregnancy. This extra oil creates perfect conditions for bacteria to thrive and cause breakouts.

Physical Factors and Sweat

Physical factors make back acne worse. The clothes you wear, backpacks and sports equipment create friction against sweaty skin. Sweat gets trapped between your skin and clothing and clogs pores, which becomes worse for people with excessive sweating (hyperhidrosis).

Yeast Infection

Malassezia, a type of yeast, thrives in humid, sweaty environments and can complicate back acne. This microorganism enters hair follicles and causes a condition called pityrosporum folliculitis, which resembles traditional acne. This poses a unique challenge for treatment, as standard acne remedies may not effectively address yeast-based infections. Although this condition can occur on the face or body, the back’s larger sebaceous glands and increased sweating make it particularly vulnerable.

Other Triggers

These triggers can cause or worsen back acne:

• Genetic Predisposition: Your family’s history increases acne risk.
• Medication Effects: Certain drugs, particularly corticosteroids, can trigger breakouts.
• Stress Response: High anxiety levels boost cortisol production and increase sebum output.
• Skincare Products: Some lotions and body creams can block pores.

How to Get Rid of Back Acne

Getting rid of back acne needs both good skincare and lifestyle changes.

Adopt a Back-Friendly Skincare Routine

A consistent and gentle skincare routine can significantly reduce back acne. Here’s what to include:

• Cleanse Regularly: Use a mild, non-comedogenic body wash with salicylic acid or benzoyl peroxide to unclog pores and reduce inflammation.
• Exfoliate Weekly: Opt for a gentle exfoliating scrub with ingredients like glycolic acid to remove dead skin cells. Avoid harsh scrubs that can irritate the skin.
• Moisturize: Acne-prone skin needs hydration. Choose lightweight, oil-free moisturizers designed for acne-prone skin.

Wear Breathable Clothing

Tight-fitting clothing can trap sweat and oil against your skin, worsening breakouts. Wear loose, breathable fabrics, especially during workouts. Avoid backpacks or straps that cause friction.

Use Over-the-Counter Treatments

Topical treatments containing active ingredients like salicylic acid, benzoyl peroxide, or sulfur can effectively target acne. Apply these products after showering and ensure they dry before dressing.

Maintain a Healthy Diet

Certain foods, particularly those high in sugar or dairy, may trigger acne. Incorporate a diet rich in fruits, vegetables, whole grains and lean proteins. Stay hydrated to support skin health.

Consult a Dermatologist for Persistent Acne

If over-the-counter treatments don’t provide relief, consult a dermatology specialist for professional help. They may recommend:

• Prescription Medications: Topical retinoids, antibiotics or oral medications like isotretinoin for severe cases.
• Chemical Peels: Dermatologists and dermatology specialists can apply salicylic acid or glycolic acid peels to exfoliate and clear acne.
• Laser Therapy: Laser treatments can target acne-causing bacteria and reduce inflammation.
• Corticosteroid Injections: For large, painful cysts, injections can reduce swelling and speed up healing.

When to Seek Back Acne Treatment

Persistent, severe or back acne with scarring requires expert care. Seek treatment if:

• Over-the-counter products are ineffective after 8 to 12 weeks of consistent use.
• Acne causes significant pain or discomfort.
• Breakouts lead to emotional distress or low self-esteem.
• Acne scars begin forming.

---

Back Acne Treatment at Schweiger Dermatology Group

At Schweiger Dermatology Group, we’re here to help you achieve healthier, clearer skin. Schedule a consultation with any of our providers to explore treatment options. To make an appointment, book online or call 844-DERM-DOC.