Why You Keep Getting 'Bacne'—And How to Stop It"

Welcome to Skin Insights by YSBB.

Back and chest acne, if left untreated, can worsen and leave lasting marks.

“I keep getting pimples on my back.” “My chest gets itchy and red bumps appear.” “Every summer, I avoid certain clothes because of back acne.”

Back acne (commonly called “bacne”) and chest acne are more common than many realize. But unlike facial acne, they often require a different approach due to differences in the structure and behavior of the sebaceous glands.

Today, let’s take a practical and clinical look at what causes them, how to treat them effectively, and how to prevent recurrence.

---

Why does back or chest acne develop?

• Increased sebum production
• Friction, sweat, and lack of moisture
• Follicular keratinization disorders
• Reactions to body lotions or cosmetic ingredients
• Delayed showering after exercise

In summer, with more sweat and skin contact, breakouts on the back and chest are even more likely.

Important: Not all body acne is typical acne. Differential diagnosis is important, especially when considering:

• Folliculitis
• Malassezia (fungal) acne
• Heat rash or contact dermatitis

---

How is it treated?

At YSBB Skin Clinic, we personalize treatment depending on the underlying cause:

• Typical acne: Topical acne medications + antibiotics to reduce oil and inflammation
• Folliculitis or fungal acne: Antifungal agents or targeted antibiotics depending on infection type
• Widespread breakouts: Back-specific peels to exfoliate and calm inflammation
• Dark marks or scars: Laser treatment or regenerative care to fade discoloration

Note: It’s difficult to extract back acne yourself. Improper squeezing can worsen infection or lead to scarring.

---

Everyday habits that help

• Shower promptly after sweating or workouts
• Don’t let rinse or body lotion linger on your back
• Change out of sweaty clothes quickly
• Use soft shower towels for back and chest
• Avoid strong-fragrance body products
• Choose breathable cotton fabrics

Also, avoid oil-based products and rinse-off conditioners that run down your back, as they may clog pores and trigger breakouts.

---

When to consider in-clinic treatment

If breakouts keep coming back or cover a large area, in-clinic care can accelerate recovery:

• Back peels (Aqua Peel, Jessner Peel): Exfoliation + oil control
• Manual acne extraction: Drains deeper pus-filled lesions safely
• Regeneration or redness lasers: Fade post-inflammatory pigmentation
• Anti-inflammatory injections & antibiotics: Reduce large, painful pustules

Because the skin on the back is thicker and breakouts often cover a wide area, regular and consistent treatment is key.

---

Final Thoughts

Back and chest acne originates deep within the follicle, so surface treatments alone may not prevent recurrence. At YSBB Skin Clinic, we look beyond the surface—addressing the root causes, lifestyle triggers, and long-term recovery through tailored treatment plans.

YSBB Skin Clinic, Seoul, Korea