Annoying at best and painful at worst, waking up to find a smattering of angry red pimples across your back is never fun. You probably have a well-honed plan of action for a breakout on your face, whether that’s using expensive salicylic acids or applying a DIY dab of toothpaste. But you might not be so sure how to get rid of back acne.
If you have acne on your back – or ‘bacne’, as some people call it – and lots of people do have it, you don’t have to hide away until it clears up naturally. We spoke to experts to get their top tips on how to get rid of back acne.
What causes back acne?
First, you need to understand what causes these breakouts in order to find out how to get rid of back acne best in your case.
“Body breakouts are mainly caused by the effect of hormones on the sebaceous glands. These are small oil-producing glands attached to hair follicles,” says Dr Susan Mayou. She’s a consultant dermatologist at the Cadogan Clinic. “Most people don’t realise that the highest concentration of sebaceous glands in the body is actually on the facial T-zone and the back.”
Mayou says acne on the body is formed in exactly the same way as facial acne. However, the skin is much tougher on your back, so the pores are less flexible and might be more resilient to home treatments.
“Back acne is a real thing, and even something like not showering post-workout can cause breakouts, due to excess sweat and bacteria,” says Pam Marshall, clinical aesthetician and founder of Mortar & Milk.
Marshall, who is known as ‘the acne whisperer’ in certain skincare circles, says practising good hygiene is the number one thing she tells her clients to do. This is one of the most effective ways for them to keep their backs pimple-free.
“The skin on the back is thicker, so it’s important that people are proactive by showering right after a sweaty gym class,” she stresses. Likewise, cleaning your workout mat and chucking your gym kit straight into the wash after use can help to keep your back clear too.
How to get rid of back acne
It can be tempting to slather your back in drugstore spot treatments, but skin experts say this might actually aggravate the problem further. “I personally don’t always recommend that clients use the same products as I recommend for their face,” says Marshall.
The first step is to eliminate lifestyle decisions that can contribute to the issue. “This could be anything from not showering after a workout, to not changing your bed sheets often enough,” Marshall explains.
What treatments are there?
If that doesn’t make a big enough difference, the skincare expert says she will use Clinisept, available on Amazon. Clinisept is an antimicrobial spray which will combat any excess bacteria on your back. “When the back is cystic, I might use an AHA cleanser and then Clinisept, although I never introduce an AHA cleanser for the face, as it’s too aggressive.”
Where appropriate, she also advises her clients to adapt their diet too. “Whey protein, for example, will trigger androgen stimulation, so I often remove protein shakes from meal plans.”
Exfoliating in the shower once per week can help reduce body breakouts, as it can remove dirt, bacteria and dead skin cells. We recommend PraNaturals Brown Sugar Body Scrub, available on Amazon. It’s a gentle scrub containing brown sugar and natural oils from an ethical brand.
Mayou also suggests avoiding heavy moisturising creams, fake tans or perfumes, as these can further clog the pores.
“Everyone has different hormone fluctuations, different diets and different lifestyle patterns, and that’s key here,” says Marshall, who believes identifying the triggers for your acne is an important step.
“If individuals are not responding to home treatments for body breakouts, prescription medication may be necessary,” adds Mayou. “The first option would be topical medication, or retinoids in the form of creams, gels and lotions to help unclog the pores in the skin.”
Overall, it’s advisable to see a dermatologist if your back acne persists, as they can discuss your individual skin concerns and ensure the best treatment for the issue.
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