Got pimples on your back? Don't ignore the problem! Such inflammation may indicate that the body has malfunctioned.

Acne on the back: causes and how to get rid of them

Why do acne appear on the back

A common question: what causes acne on the back, shoulders and chest? The causes of such rashes can be internal and external factors.

External factors

  • Wrong hygiene. On the back, especially in the area of ​​​​the shoulder blades and shoulders, many sebaceous glands are concentrated. The sebum they produce is an excellent breeding ground for acne- causing bacteria . Excessive cleanliness can also be harmful: too frequent washing with soap and washcloths violates the hydrolipidic layer of the skin. In an attempt to restore it, the sebaceous glands begin to work with a vengeance, producing even more sebum.
  • Unfavorable environmental factors. For example, the sun dehydrates the skin and stimulates the sebaceous glands.
  • Synthetic clothing. Natural fabrics allow the skin to breathe and absorb sweat.And synthetic fabrics create a kind of greenhouse effect, preventing sweat from evaporating from the surface of the skin.In such an environment, bacteria feel at ease.
  • Too tight clothing. It literally rubs dirt, sweat, grease into the pores.
  • Inappropriate cosmetics. Too oily body creams (including sunscreens) clog pores, causing acne.

These factors do not always provoke acne. The trigger can be "sheer nonsense", like frequent driving. The fact is that the seat cover collects dead cells and sebum with bacteria multiplying on them, and then this “explosive mixture” again gets on the skin, as soon as you put on an open T-shirt.

Of course, external factors alone cannot cause acne, they are just a kind of trigger. If it is eliminated, then the acne itself disappears.

Internal factors

Things are more complicated with the internal causes of inflammation, the elimination of which will take much more time (sometimes they cannot be completely eliminated).

  • Diseases of the internal organs. Disorders in the work of the endocrine system, gastrointestinal tract, liver and genitourinary system can be manifested by rashes on the skin. 
  • Hormonal changes. Often, acne on the back and shoulders appears in adolescents during a hormonal surge associated with the restructuring of the body. One of the causes of acne on the back in women may be a change in hormonal levels during pregnancy or menstruation.
  • Ration. Scientists have proven that there is nothing in common between what we eat and the formation of acne. But foods with a high glycemic index (white bread, potatoes, sugar), as well as dairy products (for lactase deficiency) can provoke intestinal disorders, and its work is directly related to the condition of the skin.
  • Side effects of drugs. Some types of antidepressants can affect the condition of the skin.
  • Stress and emotional stress. They are not the direct cause of acne, but they can provoke disturbances in the endocrine system (hormone jumps) or weakened immunity . 
  • genetic predisposition. Excessive sebum production can be "hereditary". It is noteworthy that acne on the back in men is more common than in women, due to the fact that in men the sebaceous glands work much more actively.

What are acne

There are several types of acne. All of them can be on the skin. The care program and the type of treatment that the doctor prescribes depend on this.

open comedones

Or blackheads on the back. They acquire this color due to the fact that in contact with air, sebum is oxidized. Sometimes they do not darken to black, but only to a dark yellow color. Their peculiarity is that the inflammation takes place in an open pore, so it is easier to eliminate them.

Closed comedones

These are the same open acne, only tightened with a thin layer of skin. The content of the pore is not oxidized, so they remain white. 


They are also called subcutaneous acne. They look like little red bumps. Touching them is painful due to inflammation. 


These are white pimples with a red inflamed area around and a white rod in the middle. 


These are hard to the touch nodules located under the skin. Nodules can itch, hurt. A large accumulation of nodules can provoke the formation of cysts, and they can lead to the formation of keloid scars and hyperpigmentation.

How to get rid of back acne

If the rashes are not associated with internal problems in the body (they are detected by the doctor during the examination), you can remove them by changing your lifestyle.

  1. Take a shower more often. Competent cleansing is half the success in the fight against acne on the back and shoulders! It is enough to carry out hygiene procedures once a day to thoroughly cleanse the skin of excess sebum, sweat and dirt accumulated during the day. At the same time, try not to use washcloths and shower sponges - they aggressively affect the skin, depriving it of the hydrolipidic layer. In addition, various bacteria feel just fine on wet bath accessories, and when they get on the skin, they provoke inflammation on it. 
  2. Use antibacterial shower products. They perfectly cleanse the pores from impurities. In the fight against acne, you can also use heavy artillery (only if you have non-sensitive skin) - products based on salicylic acid and peroxide. 
  3. Do not dry yourself with shared towels. Dead cells from other family members remain on them (you don’t need additional nutrient medium for bacteria?). Use only your own towel and change it as often as possible!
  4. Avoid oily skin care products. Pay attention to the packaging, it should be labeled non comedogenic. This means that the product does not contain components that clog pores. For care, choose light lotions, and instead of “heavy” sunscreens, sprays. 
  5. Wear loose-fitting natural fabrics. They allow the skin to breathe without creating unnecessary friction.
  6. Eat right. Give up fatty, sweet, starchy foods, as well as foods with "simple" carbohydrates in favor of green vegetables, fresh fruits and berries, lean meats and cereals (that is, "complex" carbohydrates). 
  7. If you are forced to take medications, choose an alternative drug that does not provoke acne with your doctor (if you find out that it is this that leads to rashes on your back).
  8. If you sweat, change your clothes. For example, after exercising, immediately take a shower and change into clean clothes. The longer moisture is in contact with the skin, the more likely it is to develop acne on the back. 
  9. Don't pop your pimples! Firstly, even by disinfecting the skin and hands, you will not achieve the sterility that a doctor can achieve, which means that you will certainly bring an infection. And, secondly, by squeezing a pimple, you run the risk of driving its contents even deeper, thereby aggravating the situation.

Acne on the back: treatment

Regular care and habit adjustments are sometimes not enough. Therefore, in the fight against acne on the back, get ready for a complex effect on the problem. 

Healing creams and ointments

There are many medications (ointments, lotions, powders) to combat acne. Some reduce the secretion of the sebaceous glands, others fight bacteria that cause inflammation.They usually include salicylic acid, which gently dissolves dead skin cells, benzoyl peroxide, which has an antiseptic effect, azelaic acid, zinc oxide, ichthyol, as well as more powerful retinoids and antibiotics. The drug is prescribed by a dermatologist. 


These can be antibiotics , hormonal drugs (including birth control pills that are prescribed to women), drugs with the active form of vitamin A. All these drugs should not be taken without consulting a doctor, as they have serious side effects. 

Cosmetic procedures

In addition to drug treatment, a dermatologist can use cosmetic treatments for acne.

  • Chemical peeling. This is a controlled skin burn using acid solutions of different concentrations. The acid dissolves the top layer of the epidermis, stimulating the skin to renew cells. Depending on the severity of acne, different types of peeling are prescribed - superficial and median peeling is done in a cosmetology room, deep peeling - only in a hospital, since a substance that can "burn" even the deep layers of the epidermis is used for the procedure. For superficial and medial peeling, acids are used in low concentrations - fruit, lactic, salicylic. After the procedure, a rehabilitation period is required (the more aggressive the acid, the longer the period), during which you need to carefully protect the skin from the sun in order to avoid the appearance of age spots, and do not use cosmetics with active ingredients.
  • Plasmolifting. Blood is taken from a patient from a vein, plasma is isolated from it (using centrifugation), which is injected under the skin (in this case, the back). Plasmolifting starts renewal processes, the immune system fights acne and inflammation. With the help of plasmolifting, you can also get rid of post-acne. 
  • Mesotherapy. The doctor introduces microdoses with "vitamin cocktails" that restore the skin and stimulate its renewal (pimples are "pushed out" of it). 
  • laser procedures. With the help of a special apparatus that generates laser radiation, the doctor destroys colonies of microbes under the skin that cause inflammation. In other words, it neutralizes the cause of acne. 
  • Cleaning. It can be ultrasonic, mechanical, combined. The type of cleaning is chosen by the dermatocosmetologist. Outwardly, cleaning resembles squeezing acne, but with hygienic precautions. Almost all types of cleansing is a painful procedure, it is used even in the most difficult cases of acne. The effect of the procedure is similar to the median peeling. Only unlike the latter, after cleansing, the skin recovers faster.But cleaning is not a way to treat acne, but only a method of eliminating existing acne, so it is carried out in combination with other types of therapy. 
  • drainage procedures. It is used for cystic formations of nodules. Drainage helps to bring out purulent formations that have accumulated deep under the skin.

home remedies for back acne

Natural remedies help to dry out inflammation.

  1. Tea tree oil has an antiseptic effect. Apply it to inflammation.
  2. Sea salt baths. Sea salt is a well-known antiseptic. If you take baths with it twice a week, acne will become less pronounced.
  3. Clay masks. Clay dries the skin and cleanses the pores. Breed it according to the instructions or buy ready-made. Apply on your back. Without waiting for complete drying, apply a new layer of the mixture - so you do not overdry the skin and do not provoke the sebaceous glands to work even harder. Wash off the mask after 15-20 minutes.
  4. Decoctions of chamomile and oak bark. Contains antiseptic and anti-inflammatory components. Brew phytopackets according to the instructions and wipe the back with the resulting solution 2-3 times a day. By the way, the decoction can be frozen and ice cubes can be used as a tonic.