How to Get Rid of Back Acne Once and for All

It's not like the pimples you get on your face. Yes, it’s similar in that the pores clog and bacteria is often to blame, and also you get incredibly confused and angry and emotional about it (especially if you’re on steroids). BUT, it's different in that it comes with its own rulebook for treating and preventing. Here's how to get rid of back acne.

Luckily “bacne,” as we so lovingly call it, is very treatable and very preventable. And I didn’t know all the ways to keep it at bay until I sourced a bunch of board-certified dermatologists for the answers. Here’s the advice they often give their own patients in regards to back acne, and now they’ve got your back, too.

Start with a benzoyl peroxide (5-10%) body wash: Nearly all of the dermatologists cited benzoyl peroxide body wash as their top suggestion for clearing bacne, since it aggressively kills the bacteria that cause you to break out back there. But be warned: It can stain your towels and clothing, so rinse thoroughly when done, and maybe wear a white t-shirt to bed afterwards. One good pick is Clean & Clear’s acne cleanser.

As an alternative, use zinc-packed dandruff shampoos: “I find that often ‘back acne’ is actually pityrosporum folliculitis, an overgrowth of a yeast normally found on our skin. Using antifungal shampoos and body washes, such as Selsun Blue, DHS Zinc or Nizoral daily for 10 days, then weekly for maintenance, is helpful,” says Dr. Debbie Elder.

Reach back there with a brush: “Use a long handled cleansing sponge with your acne-fighting body wash, or even a body brush. These clean the back thoroughly in the shower,” says Dr. Nancy Samolitis.

Do a back mask: [You can also leave your 10% benzoyl peroxide cleanser on like a mask for 5-10 minutes. I'd never do that on the face but the back can take it, and leaving it on longer helps,” says Dr. Papri Sarkar. You can also try a charcoal or clay face mask on the back, too.

In a pinch, try a peel: “If it's really bad and a person has big event coming up, I recommend a chemical peel. If there's no time for an in-office one, I recommend doing an over the counter one or using peel pads like Dr. Dennis Gross extra strength alpha/beta peels,” says Dr. Papri Sarkar.

Eat more anti-inflammatories: “Increasing foods that fight inflammation, such as green leafy veggies, fish, and tomatoes can be a great addition to your acne regimen,” says Dr. Mariana Atanasovski.

Omega 3s, good. Carbs, bad: “Low glycemic index choices (meaning low carbohydrates) have good results, as well as increasing omega 3s which we can find in salmon, avocado, and walnuts,” says Dr. Sara Greer.

Wash your towels and clothes frequently: “It is important to wash your towels frequently or switch to an antimicrobial fabric so that bacteria doesn’t sit and then keep getting transferred back to the skin,” says Dr. Kavita Mariwalla. (The brand Silvon is one such case.) Ditto for your clothes, especially anything you’ve sweat in: It becomes a breeding ground for bacteria.

Never soak in your own sweat: “I also remind athletes that getting in the shower and rinsing off soon after a workout can help minimize the effects of irritation from the sweat and occlusion of wet clothing,” says Dr. Hilary C. Reich.

If you can’t shower, wipe: Sometimes you’re in a hurry, or prefer to delay the shower til home If so, “wipe the skin down with salicylic or glycolic acid pads before and after working out,” says Dr. Caroline Chang. This will keep pores clear and eliminate the urgency to shower (though you should still do so soon).

Work the awkward angles with a spray: “I really love this over-the-counter body spray from Acne Free. It has salicylic and glycolic acids to reduce oil and gently exfoliate, plus the spray is great for hard to reach places,” says Dr. Hilary C. Reich.

Sweat wicking fabrics, always: “Use wicking fabrics when you work out, since they provide maximum cooling and a dry fit. Yes, cotton is breathable, but it holds the moisture next to your skin creating a wonderfully hospitable environment,” says Dr. Brooke Jackson.

Compress less: “I often see folliculitis in elite athletes. They will confuse the bumps on their legs, lower back, and groin with acne, when in fact they can be infected hair follicles. A recent trend that may be contributing to this phenomenon is compression. Tight yoga pants, compression shorts and sleeves can occlude and irritate hair follicles, and you can further increase the risk of hair follicle infection with reusing clothing without washing,” says Dr. John Trinidad.

Whey is way bad: “Stop whey protein shakes and bars! Whey protein supplements have been linked to back acne. For some patients, the acne clears up after the supplements are discontinued,” says Dr. Allison Arthur.

This goes without saying, but say no to steroids: “Eliminate anabolic steroids from your workout regimen. Not only do they cause ‘roid rage’, but they drive deep, scarring acne,” says Dr. Holly Hanson.

Our failsafe technique on how to get rid of back acne? Talk to a pro. “If your back acne is progressing despite these measures, seek a board certified dermatologist. Your dermatologist can offer more aggressive treatment including prescription creams, short term antibiotics, hormonal therapy, extractions, peels, laser treatments, and even isotretinoin for the most severe cases of nodule-cystic acne to halt acne before it scars. A board-certified dermatologist can also recognize acne-imposters such as steroid folliculitis, fungal folliculitis, and hidradenitis suppurativa,” says Dr. Laura Haygood.