Body Acne: Causes, Treatments and Prevention
Body acne, affecting areas like the back, chest, and shoulders, is a common skin condition experienced by roughly half of those who deal with facial acne.1 While often frustrating, body acne is highly treatable, with options ranging from at-home care to prescription medications and in-office procedures. Lifestyle adjustments also play a crucial role in both treatment and prevention.
At-Home Skin Care
Many of the same strategies used for facial acne are effective for body acne. Dermatologists often recommend the following:
- Benzoyl Peroxide Wash: Using a benzoyl peroxide face wash can support reduce acne-causing bacteria.1, 2
- Salicylic Acid: A salicylic acid body wash, lotion, or cream exfoliates dead skin cells, helping to keep pores clear.1, 3
- Azelaic Acid: For individuals with skin of color, azelaic acid lotion or serum can reduce inflammation and minimize the risk of scarring.1
- Topical Retinoids: Topical cream or gel retinoids improve skin turnover and prevent clogged pores.1
In cases of fungal acne, characterized by tiny, red bumps, washing the affected skin with an anti-dandruff shampoo containing zinc pyrithione, selenium sulfide, or ketoconazole can be beneficial. These ingredients possess antifungal properties that help control yeast overgrowth.1 Allow the shampoo to sit on the skin for three to five minutes before rinsing.
Prescription Medications
Depending on the underlying cause of the acne, a dermatologist may prescribe medications. Topical or oral antibiotics are frequently used to treat inflammatory acne.1 Hormonal breakouts may be managed with oral birth control or spironolactone, a water pill commonly prescribed for high blood pressure.1 For fungal infections, a topical or oral antifungal treatment may be prescribed. Severe or cystic acne might require oral isotretinoin, a powerful oral retinoid.
Medical Procedures
When prescription medications aren’t sufficient, in-office procedures can be considered. Chemical peels utilizing salicylic or glycolic acid exfoliate and remove damaged skin layers. AviClear, a laser treatment that reduces oil gland activity, is another option for moderate to severe acne.1
Lifestyle Adjustments
Preventing body acne involves keeping the skin clean and minimizing friction. Promptly changing out of sweaty clothes, especially after exercise, is essential.1 Showering after workouts helps remove sweat and bacteria.1 Opt for loose-fitting, sweat-wicking fabrics over tight clothing to reduce irritation.
Gentle skin care is also crucial. Avoid harsh scrubbing or picking at blemishes, as this can worsen inflammation and lead to post-inflammatory hyperpigmentation, a common concern for those with darker skin tones.1
Key Takeaways
- Body acne is common and treatable.
- Effective treatments include topical medications, prescription drugs, and in-office procedures.
- Lifestyle changes, such as wearing breathable clothing and showering after exercise, can help prevent breakouts.
- Gentle skin care is essential to avoid worsening inflammation and hyperpigmentation.
1 Everyday Health. “5 Places Body Acne Can Show Up and What to Do About It.” March 24, 2026. https://www.everydayhealth.com/skin-conditions/body-acne-common-places-and-what-to-do/
2 Instagram. “Acne isn’t just about what you put on your skin—diet can play a role.” March 5, 2026. https://www.instagram.com/reel/DVhotWSDtXF/
3 CeraVe. “Salicylic Acid vs. Benzoyl Peroxide for Acne-Prone Skin.” https://www.cerave.com/skin-smarts/skin-concerns/acne/salicylic-acid-vs-benzoyl-peroxide