Back acne, often called “bacne”, is more common than most people think. The skin on the back has many oil glands, it is covered by clothing most of the day, and it is hard to reach. All of this makes it a perfect place for clogged pores and breakouts.
Why the back breaks out
The same things that cause facial acne cause back acne: extra oil, dead skin cells, bacteria, and inflammation. On the back, a few extra factors join in. Sweat that sits on the skin after exercise, tight synthetic clothing, backpack straps, and heavy conditioners or body lotions that run down the back in the shower can all clog pores.
Types of spots you may see
Blackheads and whiteheads are common across the shoulders and upper back. Red, tender pimples and deeper nodules can also appear. Large, deep lumps that stay for weeks may be cysts rather than ordinary pimples.
A simple routine
Shower soon after sweating. Use a body wash with benzoyl peroxide or salicylic acid two or three times a week. Let a benzoyl peroxide wash sit on the skin for a minute or two before rinsing so it has time to work, and use a white towel, because it can bleach fabric.
Rinse your hair before you wash your back so conditioner does not stay on the skin. Choose loose cotton shirts for workouts and wash gym clothes after every use. Change sheets and pillowcases often.
When to get help
If back acne is painful, leaves dark marks or scars, or does not improve after two to three months of a good routine, a dermatologist can help. Prescription creams, oral medications, or professional extraction may be needed.
Deep blackheads and cysts on the back are some of the most satisfying things to watch being removed. The videos below show professional back treatments from start to finish.
