Acne can form almost anywhere on the body. Active lesions most often develop on the face, but can also appear on the back. About two out of three people with facial acne also develop lesions on the back, explains Acne.org. Like facial acne, these lesions can be mild to severe and may respond favorably to different treatments. A dermatologist can help you determine which form of treatment can help control this skin condition.
Back Acne
Back acne is similar to facial acne. Both forms of this skin condition are caused by dead skin and excess oil becoming trapped in the pores, which can lead to obstructions under the surface of your skin. These obstructions can trigger inflammation or infection, resulting in an active acne lesion. But the glands on the back are much larger than those on the face, and thereby have greater potential in producing more severe lesions, according to Acne.org.
Oily Hair
While dead skin and excess oil are by far the most common culprits of acne, other factors are also known to contribute to active lesions. According to the American Academy of Dermatology, your hair can sometimes be to blame, especially if it's oily or greasy. Hair resting on your back can cause oil to transfer to your skin, increasing the likelihood of clogged pores and subsequent breakouts.
Hair Care
The Mayo Clinic recommends keeping your hair clean and off your skin. Washing your hair with almost any shampoo each day can often remove the excess oil from the scalp and hair. But if your hair tends to be greasy, consider investing in a shampoo formulated for oily hair. It's also important to shampoo after workouts.
Topical Treatments
In addition shampooing daily, treatment for back acne usually involves bathing one to two times a day. Acne.org recommends an alpha hydroxy cleanser for this purpose. Your skin may also benefit from an over-the-counter acne cream containing benzoyl peroxide, resorcinol or salicylic acid. Moderate to severe back acne may require a prescription retinoid, such as tretinoin, tazarotene or adapalene, or even topical antibiotics, like erythromycin or clindamycin.
Oral Treatments
If topical treatments fail to improve back acne, your dermatologist may recommend using an oral medication. In severe acne, isotretinoin may be prescribed. This medication helps reduce the production of excess sebum, which could be contributing to your acne breakout.
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