What Is Cystic Acne
Cystic acne is a type of inflammatory acne that causes painful, pus-filled pimples to form deep under the skin. Acne occurs when oil and dead skin cells clog skin pores.
With cystic acne, bacteria also gets into the pores, causing swelling or inflammation. Cystic acne is the most severe type of acne. Acne cysts are often painful and more likely to cause scarring.
Tight Clothing Or A Heavy Backpack Could Also Be The Culprit
Items such as backpacks, sports equipment, or purse strapscan exacerbate back acne.
“Tight clothing mixed with friction and excess moisture, such as sweat, can lead to the development of acne. The combination of friction, heat, and covered skin may result in the development of a form of acne called acne mechanica. The friction can irritate the skin and disrupt the surface, which can clog the pores with dead skin cells and lead to inflammation,” Dr. Jeremy Fenton of Schweiger Dermatology Group in NYC told Byrdie. “In my case, this is a perfect explanation, since the super-hot NYC summer weather was causing me to sweat, which, coupled with rubbing bra straps, led to a spattering of breakouts.
To prevent acne mechanica on you back, make sure your clothing and undergarments aren’t too tight and try not to carry heavy loads in backpacks or purses for extended periods of time. Wearing a clean cotton t-shirt beneath your regular clothes or sports uniform can also help keep your skin protected.
And Don’t Let Your Workout Clothes Go Too Long Between Washes
If you’re an avid exerciser, it can be a real pain to wash items like sports bras and gym shorts after every workout. But just because that t-shirt still smells fresh doesn’t mean it’s not contributing to body acne.
As The American Academy of Dermatology advised,washing sweaty workout clothes after each round of exercise is actually a good way to keep acne-causing bacteria and grime out of your pores. Don’t let staying active get between you and clear skin.
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Acne Products For Acne On The Neck
If you have acne keloidalis nuchae, chloracne, cystic acne, or sports acne on the neck, you probably need specialized skin treatment. However, most people just have mild to moderate common blemishes on the neck. Lucky for most of us, this type of neck acne is easy to treat. The solution is usually just in keeping to a consistent and proven acne routine.
Start with the Basic Kit, which gives you a 3-step morning routine and 3-step evening routine.
Morning Routine:
Treating Your Shoulder At Home

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Why Do I Have Acne
Acne is most commonly linked to the changes in hormone levels during puberty, but can start at any age.
Certain hormones cause the grease-producing glands next to hair follicles in the skin to produce larger amounts of oil .
This abnormal sebum changes the activity of a usually harmless skin bacterium called P. acnes, which becomes more aggressive and causes inflammation and pus.
The hormones also thicken the inner lining of the hair follicle, causing blockage of the pores. Cleaning the skin does not help to remove this blockage.
Is It Acne Or Folliculitis
Folliculitis is an inflammation of the hair follicles, commonly caused by yeast or fungus. Folliculitis has symptoms similar to acne, with small bumps appearing on the skin of the affected area.
A person may mistake folliculitis for acne. Often, they may not suspect folliculitis until after traditional treatments for acne have been unsuccessful.
Folliculitis, unlike acne, may lay dormant for several months or years before flaring again. Also, folliculitis is often itchy, whereas acne is not.
People with folliculitis may experience outbreaks during hot and humid periods. Some other potential causes include:
- having oily skin
Acne may not require a doctors care.
A person can often self-treat acne at home with over-the-counter washes, wipes, lotions, and creams.
Some people who have experienced acne may be able to prevent future outbreaks by avoiding potential triggers that may cause their acne.
A person who develops cysts or nodules or who has a family history of them forming should see a doctor as soon as acne starts to develop, as these types of acne can cause permanent scarring.
Early treatment can help prevent the damage to the skin. Also, a person whose acne does not seem to clear may also wish to seek a doctors help.
People who experience flares of acne that come and go should see their doctor. When blemishes appear on and off, a person should seek medical attention as it may be folliculitis.
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Exfoliate Your Body Regularly
Exfoliation isnt just for the face. Many people like to use tools such as body brushes, washcloths and loofas to exfoliate their body. While these can be effective, its also easy to make the mistake of rubbing the skin too harshly, which can irritate the skin. Instead, you can skip the tools altogether and opt for an exfoliating vegan body wash but make sure its free of plastic microbeads. Our Sudsy body wash contains salicylic acid and biodegradable jojoba granules that gently massage the skin and then dissolve. Sudsy is also packed with more than 20 juicy, detoxifying herb and fruit extracts to deeply cleanse and moisturize the skin. Not only does it feel like a juicy citrus treat, but it also helps wash away dirt, oil and bacteria, and clear your pores.
Try Treating Breakouts With Retinol
We recommend this over-the-counter retinol treatment to hydrate your skin.
Retinol, a form of vitamin A, is a popular ingredient in the skincare world that’s commonly known for its anti-aging abilities, but according to Shamban, it can also be a great treatment for back acne . “You can get an over-the-counter retinol product, but I usually recommend having a tele-derm or in-office visit. Altreno’s Retinoid Lotion for body is highly effective to treat the area,” she says. Retinol encourages cell turnover, getting rid of dead skin cells so that younger skin cells can make their way to the surface. Oh, and that removal of dead skin cells? It prevents buildup that can result in clogged pores, which is why it’s a great treatment option for acne. It also helps to improve skin texture and tone. That said, if you can’t get to the dermatologist, we’re fans of this option from Paula’s Choice.
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Exfoliate The Skin On Your Body
Exfoliation isnt just for the face. The skin on your body sheds and renews itself too! As your body produces fresh skin cells, your skin pushes the older cells to the surface where they can accumulate and mix with excess oil to clog your pores. This process is called skin cell turnover, and its vital to how your skin keeps itself looking young and healthy. Exfoliation helps you remove the buildup of dead skin cells on the surface to reduce the likelihood of acne.
How Can I Prevent Breakouts
Like most things in life, acne is not always completely in ones control. There are, however, some key tips we offer to help prevent breakouts:
- Never go to bed with makeup on.
- Check labels: when purchasing cosmetic and skincare products, always look for the terms “non-comedogenic,” “oil-free,” or “wont clog pores.”
- Avoid facial oils and hair products that contain oil.
- Some acne spots are not actually acne but are post-inflammatory pigment changes from previous acne lesions or from picking at acne or pimples. Wear sunscreen with SPF 30+ daily, rain or shine, to prevent darkening of these spots.
There is some evidence that specific dietary changes may help reduce the risk of acne. For example, one meta-analysis of 14 observational studies that included nearly 80,000 children, adolescents, and young adults showed a link between dairy products and increased risk of acne. And some studies have linked high-glycemic-index foods and acne.
With that said, its important to be wary of misinformation about nutrition and skin. As physicians, we seek scientifically sound and data-driven information the evidence on the relationship between diet and acne is just starting to bloom. In the future, the effect of diet on acne may be better understood.
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How Can I Get Rid Of Pimples From My Arms And Shoulders
Your dermatologist may use the following treatment options to reduce breakouts on your arms and shoulders:
- Chemical Peels: A chemical peel consists of an acid extracted from natural sources with a variable concentration to suit different skin types. It works by exfoliating the top layer of the skin that contains the dead cells and excess keratin. It also helps to control the breakouts as it brings excess oil production under control and has anti-inflammatory properties. The Glycolic Peel and Salicylic Peel are the two best chemical peels for the treatment of pimples on arms and shoulders.1. Glycolic Peels Glycolic Acid belongs to the family of alpha-hydroxy acids . Glycolic peels exfoliate the top layers of the skin and effectively control pimples. This peel also helps in reducing signs of ageing, uneven skin tone, etc.2. Salicylic Peels Many dermatologists consider salicylic peels to be more effective to treat breakouts as they can penetrate the oil glands better. This peel is suitable for all skin types and both men and women.
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It is advisable to apply the peels under the supervision of an experienced dermatologist at a reputed clinic. Since these peels contain a varying concentration of chemicals, the skin doctor is the right person to recommend one most suitable for your skin type and condition.
Chloracne On The Neck

Another kind of neck acne is chloracne, acne that is caused by exposure to chemicals containing chlorine. It is a common problem in China, although it was first observed in Germany when it was developing its chemical industry in the 1880s.
Now that Chinese companies make the majority of the worlds chlorine-based chemicals, the greatest number of cases of chloracne occur in China. Acne caused by exposure to dioxin is also reported in Vietnam, most of Eastern Europe, and Texas. There are people who develop chloracne after swimming in over-chlorinated swimming pools.
This form of acne can occur anywhere on the body, but it is most common on the neck. It usually starts at the sides of the face between the eyes and the ears, then spreads down the neck. The skin in pores fails to mature properly, so they grow large but fill up with sebum and dead skin cells. From the neck, acne may spread to chest, back, buttocks, and genitals. People with light hair color are especially susceptible to chloracne.
There is no cure for chloracne, but two to three years without further toxin exposure will give the skin time to heal. Blemishes are reduced by the use of a treatment that does not work for any other kind of acneOlestra. This fat substitute binds to the toxins that cause chloracne of the neck. Eating products that contain Olestra sends the toxins out with fecal matter and accelerates recovery from chloracne.
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Treatment For Chest Acne Is Similar Though Not Identical To Facial Acne
Treating chest acne is largely the same as face acne, with a few modifications.
“Treatment for chest acne might be a bit more aggressive than treatment for face acne, your face might be more irritated and sensitive,” Dr. Jaliman said.
Dr. Tzu treats face and chest acne similarly, though she avoids using topical retinoids on the chest “due to its more irritating effect on the chest compared to the face.”
Mild To Moderate Common Acne On The Back Of The Neck
Mild to moderate common acne, a condition also known as acne vulgaris, usually occurs on the face. However, about 15% of people who have common acne get blemishes on the neck. Whiteheads and blackheads on the neck are caused by the accumulation of dead skin cells, acne bacteria, and excess oil in pores on the skin of the neck. Reducing any three of these components of a clogged pore can reduce the number of blemishes on the neck.
Moms advice to wash your neck and to wash behind your ears is sometimes all you really need to do. Since the skin on the back of your neck is a little tougher than the skin on your face, it also responds well to benzoyl peroxide.
The one-two punch of salicylic acid plus benzoyl peroxide will also be very effective, which is why we love combining a salicylic acid body cleanser like this Body Wash from Exposed Skincare with a benzoyl peroxide spot treatment like this Acne Treatment Serum. The combo together will unclog and shrink pores, then kill acne bacteria to prevent new blemishes. Get the kit, which comes with two serums, a Body Wash and a special exfoliating cloth, to see the most bang for your buck.
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Who Can Treat Back Acne At Home
You may see clearer skin from treating it yourself if you:
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Have a few blemishes on your back
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Developed back acne recently
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Have a mix of whiteheads, blackheads, and pimples on your back, but nothing thats painful or goes deep into the skin
Anyone who has deep, painful acne on their back will need a dermatologists help.
Lifestyle Changes To Clear Hormonal Body Acne
Making simple lifestyle changes can also help fight against hormonal breakouts on the back, shoulders, and chest.
- Shower right after a workout to prevent the build-up of sebum and bacteria.
- Sweat and dirt can get trapped in tight tops, so exercise in a loose shirt to help the skin breathe and fight against the formation of back acne.
- If you wear clothing that exposes the back, remember to apply a non-greasy, lightweight sunscreen with SPF 30+. Avoiding the sun is key to prevent hyperpigmentation and dark marks. UV exposure can worsen red marks and scars.
- If you tend to sweat in warmer weather, bring an extra spare top or bra with you.
- Eat whole nutrient-dense foods, and avoid inflammatory foods such as animal protein, dairy, and sugar.
- Avoid using harsh scrubs or loofahs in the shower.
- Avoid picking or scraping body pimples.
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How Can I Treat Back Acne
You can treat mild back acne at home. You should:
- Avoid popping or squeezing the pimples: You can damage your skin by popping zits. Squeezing or popping them can also lead to acne scars, which can be severe. Picking at a zit can also lead to an infected pimple.
- Keep your skin clean: Use an oil-free body wash thats noncomedogenic, which means it wont clog your pores. Shower and change into clean clothes after exercise. Resist the urge to scrub your skin with harsh cleansers. Scrubbing can make acne worse.
- Try topical creams, gels and cleansers: Benzoyl peroxide products can clear up back acne. When using a benzoyl peroxide cleanser, allow the medicine to stay on the pimples for up to five minutes before rinsing it off. You may also try a retinoid gel or an acne sticker that releases salicylic acid medication into the zit over several hours.
- Use clean linens: Its important to use clean towels, sheets and pillowcases so bacteria dont build up. Try to wash your sheets and towels at least once a week.
If back acne lingers or keeps coming back, see your dermatologist. They may recommend other prescription skin care products to treat severe acne. Or you may need antibiotics or other oral medications.
Other Causes Of Shoulder Acne
Other things that can cause shoulder acne include:
- Medications: may cause back or shoulder acne particularly penicillin based antibiotics or even facial acne medication. This usually clears up quickly when you stopped taking the medication
- Malassezia FurFur: a type of yeast that grows on the skin. It normally doesnt cause any problems but in rare cases, chemicals are produced which change the pigmentation of the skin resulting in white patches
- Acne Conglobata: a severe, painful form of acne where large, pus-filled cysts form deep in the skin across the shoulders, upper back and face. It tends to affect men and is a genetic condition, but can also be associated with anabolic steroid use
- Swimming Pool Acne: caused by a reaction to chlorine
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