Back Acne & Shoulder Acne Symptoms, Causes and Treatments - Zel Skin & Laser Specialists - now Schweiger Dermatology Group (2024)

Most people with acne see lesions on the face, but many will also experience shoulder and back acne symptoms. These areas develop acne for a variety of reasons. Often covered by clothing, they can be susceptible to friction, heat, and sweat, all of which can cause acne lesions. Like facial acne, a number of factors can predispose a person to developing shoulder or back acne, but lifestyle factors are typically the driving force behind these lesions. Tight-fitting clothes, insufficient hygiene, and picking at pimples can all lead to the development of severe acne.

Shoulder and back acne do not always require a visit to the dermatologist. That said, you should consider making an appointment if the lesions are widespread, painful, and/or chronic. Our Minneapolis-area clinics are uniquely equipped to help diagnose and treat your acne, no matter its location or severity. If you’re interested in visiting one of our offices for a consultation, try tracking the location of your acne in the days and weeks prior to the visit. This can help use better determine the acne’s cause and severity.

Symptoms of Acne on the Shoulders

Acne develops on the shoulders for a variety of reasons. This part of the body is often exposed, which can lead to a buildup of hair follicle-clogging debris. Nearly any type of acne can develop on the shoulders. Some cases of shoulder acne will be severe, while others can clear up on their own within a couple of days.

The issue with shoulder acne isn’t its development – it’s the treatment. The exposure shoulders experience significantly increases the likelihood of developing an infection or increased inflammation. Additionally, people are likely to distractedly pick at shoulder acne, which can lead to additional complications. If you have lesions on this part of the body and are undergoing shoulder acne treatment, consider wearing loose-fitting clothes that cover the bumps. This will reduce the risk of infection – whether caused by your habits or the environment.

Symptoms of Acne on the Back

Back acne is the second-most common place on the body to develop acne, coming in just after acne on the face. The pores on the back are easy to clog because they are larger than in other places. Because these pores are larger, the lesions that appear on the back are typically bigger, more painful, and more widespread than those that develop on the face. What’s more, they can be more difficult to treat because of their relative inaccessibility.

Like acne on the shoulders and acne on the face, back acne can stem from a variety of factors. A genetic predisposition, stress, medications, and lifestyle factors can all lead to the clogging of hair follicles, which can then create acne lesions and swelling. The best way to prevent back acne from developing is to adjust your body skin care routine. This could mean anything from showering directly after a workout and using a full-body cleaner to exfoliating with a salicylic acid treatment. Wearing loose-fitting clothing can also reduce the risk of developing back acne.

What Causes Shoulder and Back Acne?

Like face acne, there are several reasons why pimples and bumps can develop on the back and shoulders. Acne symptoms can vary by cause. Determining the source of your acne is an important step in back and shoulder acne treatment.

  • Acne Mechanica: This is one of the most common types of acne to develop on the shoulders and back. Caused by friction, acne mechanica is typically the result of ill-fitting clothing, exercise, and athletic apparel, but it can also be the result of something as simple as an improperly fitting backpack. If your acne is seasonal, or if it appears after physical activity, this may be the cause of your shoulder and back acne.
  • Acne Vulgaris: This is another common form of acne that frequently develops on the back and shoulders. Also known as hormonal acne, these lesions appear when the skin produces too much sebum, or oil, which can lead to clogged hair follicles. This type of acne responds well to at-home treatment, but it can become painful and widespread, especially on the back. If you’re struggling to treat your acne vulgaris, a dermatologist can provide relief.
  • Keratosis Pilaris: While not itself acne, keratosis pilaris can sometimes look like pimples. These bumps appear in patches across the shoulders, back, and upper arms. They are a result of keratin overproduction. The condition is not painful, but it can be unsightly when it appears in large swathes across the body. Most keratosis pilaris treatment is very effective.

Rare but Severe Back and Shoulder Acne Conditions

Most back and shoulder acne is easily treated, but there are two conditions that always require a professional’s help. Acne fulminans, which manifests as ulcerative and nodular lesions, and acne conglobata, which is characterized by interconnected and deep lesions, both require medical treatment. When on the back and shoulders, these conditions can be very painful and difficult to treat.

If you’re struggling to find a shoulder or back acne treatment that works for you, make an appointment at one of our Minnesota dermatology offices. Seeking medical attention can help to quickly treat the acne while also preventing it from recurring. Regardless of the acne’s type or cause, a dermatologist can help. Shoulder and back acne may be easy to hide, but it is often uncomfortable. Schedule a consultation with us to start on a treatment plan designed for your acne and lifestyle. Contact us today.

Back Acne & Shoulder Acne Symptoms, Causes and Treatments - Zel Skin & Laser Specialists - now Schweiger Dermatology Group (2024)

FAQs

Why am I suddenly getting back and shoulder acne? ›

Tight-fitting clothes, insufficient hygiene, and picking at pimples can all lead to the development of severe acne. Shoulder and back acne do not always require a visit to the dermatologist. That said, you should consider making an appointment if the lesions are widespread, painful, and/or chronic.

What organ is associated with back acne? ›

Like all acne, back acne is caused by overactive sebaceous glands. These glands produce an oily substance called sebum, which helps keep skin healthy.

What hormone causes shoulder acne? ›

Testosterone regulates sebum production. As a result, rising testosterone levels can trigger acne breakouts. For example, many people first experience acne during puberty, when hormone levels in the body rapidly change. People with polycystic ovary syndrome may also develop acne due to high testosterone levels.

What hormone causes back acne? ›

One of the main causes of body acne is the change and fluctuation in hormone levels. Androgens, such as testosterone, cause an increase in sebum production, cell activity, and bacteria resulting in acne. Testosterone is more prevalent during puberty when sebum levels spike, increasing skin oiliness.

How to get rid of acne on back and shoulders naturally? ›

How to Prevent Acne on Shoulders and Upper Back?
  1. Scrub the skin properly and regularly to remove dead skin cells.
  2. Maintain a healthy diet to detox the body naturally.
  3. Wear loose-fitting clothes during the hot season and workouts.
  4. Take a shower after a workout, as sweat and dirt lead to acne.
Jun 18, 2023

What foods flare up acne? ›

Topping the list is dairy, which can lead to increased sebum production and inflammation. Dairy products can also contain hormones that can trigger breakouts. Other foods that made the list include sugar, fried foods, chocolate, and nuts.

How to tell if acne is hormonal or bacterial? ›

One way to tell if acne is hormonal or bacterial is to pay attention to your skin. If you do not experience a flare up during periods of hormonal imbalance, and topical treatments are not improving your breakouts, you may instead be dealing with bacterial acne.

What hormone deficiency causes acne? ›

For women, hormonal changes relating to pregnancy or the menstrual cycle can also trigger acne. Falling estrogen levels may increase the risk of acne around menopause. The role of progesterone remains unclear. Conditions that affect hormone levels, for example polycystic ovary syndrome (PCOS) can trigger acne.

How do I know if my acne is fungal or hormonal? ›

Fungal acne and hormonal acne are often confused with each other because both types of acne start in the hair follicles. Fungal acne occurs when excess yeast develops, whereas hormonal acne is caused by excess sebum. Fungal acne can result in whiteheads, itchiness and often becomes red, irritated and inflamed.

Which vitamin is best for hormonal acne? ›

What vitamins may help hormonal acne?
  • Vitamin D. Vitamin D may play a role in managing hormonal acne. ...
  • Zinc. Zinc is technically a mineral, not a vitamin, but it's found in so many supplements that claim to help with acne that we thought it deserved mention. ...
  • Vitamin C. ...
  • Vitamin A. ...
  • Vitamin E.
Aug 31, 2023

What deficiency causes back acne? ›

What Happens If We're Deficient? A Vitamin B deficiency can wreak havoc on your skin, causing acne, rashes, dry and flaky skin, cracked lips, and wrinkles. It can also make your skin more sensitive to sunlight, personal care products, and other potential aggressors, and can accordingly lead to redness and irritation.

How to know if estrogen is low? ›

Signs of low estrogen include:
  • Dry skin.
  • Tender breasts.
  • Weak or brittle bones.
  • Trouble concentrating.
  • Moodiness and irritability.
  • vagin*l dryness or atrophy.
  • Hot flashes and night sweats.
  • Irregular periods or no periods (amenorrhea).
Feb 8, 2022

Why did my acne come back out of nowhere? ›

Various things can cause breakouts. Stress, certain skin care or acne treatments, dehydration, diet, lack of sleep, contact with the skin, and smoking are all common causes.

Why am I getting pimples all over my body all of a sudden? ›

‌While sweating can clear up your pores, the presence of dirt, oil, and dead cells blocking them may cause you to develop body acne. Cleaning your skin regularly‌ is the best way to remedy this. Sun exposure can also be the culprit for body acne. When you get sunburnt, your skin dries out.

Does back acne mean high testosterone? ›

Does high testosterone cause back acne? Yes. High testosterone can cause back and facial acne in women. Hormonal fluctuations, which occur most commonly during puberty and pregnancy but can happen anytime, can be a major risk factor for developing back acne.

How to make hormonal acne go away? ›

Many over-the-counter treatments contain retinoids. Topical anti-inflammatories, like dapsone gel, can also reduce acne. An oral prescription medication called spironolactone can reduce the effects of male hormones. Chemical peels and blue light therapies also help if you want to clear up acne more quickly.

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