Body Acne: Why You Might Be More Prone — And What to Do About It
Dr. Pimple reveals why you tend to get body breakouts — and what you can do about it.
Published:
2 minute read
If you struggle with breakouts on your back, chest, shoulders — or even your butt — you’re not alone. Body acne (aka bacne or buttne) is incredibly common, and while several factors contribute to these below-the-neck breakouts, one stands out above the rest.
We asked SLMD founder and board-certified dermatologist Sandra Lee, MD (aka Dr. Pimple Popper) to explain what makes some people more prone to body acne — and how to prevent and treat it.
What causes body acne?
Just like facial acne, body breakouts happen when your pores become clogged with oil, dead skin cells, and bacteria. But because the skin on your body is thicker and has larger pores (especially on the back and chest), it’s often more prone to:
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Blocked follicles from sweat and friction
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Bacterial buildup from dirty clothes, towels, or equipment
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Inflammation triggered by stress, hormones, or harsh products
Hot, humid weather, tight clothing, and poor hygiene habits can make body acne worse — especially if you’re already acne-prone.
Dr. Pimple Popper's Body Acne Solutions
So, who's more prone to body acne?
Here’s the truth: If you have facial acne, you're more likely to develop body acne. Genetics and hormones play a big role in how much sebum (oil) your skin produces — and excess oil leads to clogged pores.
Other risk factors include:
- An active lifestyle (frequent sweating, friction from workouts)
- Stress (which raises cortisol, increasing oil production)
- Certain fabrics or gear (like synthetic workout clothes or backpack straps)
- Oily or comedogenic body products (which can trap debris in pores)
“In my experience, people who have oily or acne-prone skin on their face often see the same issues show up on their back, chest, and shoulders,” notes Dr. Lee. “But the good news is, there’s a lot we can do to manage it.”
The best way to treat body acne
The skin on your body is tougher than your face — so treating body acne requires ingredients that penetrate pores and exfoliate deeply, without over-drying.
Salicylic acid (BHA)
This oil-soluble exfoliant helps break down oil and dead skin inside pores to treat and prevent blackheads and whiteheads.
SLMD Skincare to try:
Salicylic Acid Body Spray, SA Acne Spot Treatment, Salicylic Acid Pimple Patches
Benzoyl peroxide
An acne-fighting powerhouse that kills bacteria and reduces inflammation — ideal for red, inflamed body breakouts.
SLMD Skincare to try:
BP Body Wash and BP Acne Spot Treatment
Alpha hydroxy acids (AHAs)
Glycolic and lactic acids help exfoliate the surface of the skin, smoothing rough texture and helping to fade post-breakout marks.
SLMD Skincare to try: AHA/BHA Swipes and Glycolic Acid Body Scrub
Pro tip: Use breathable, moisture-wicking fabrics, and shower as soon as possible after sweating to avoid clogged pores and irritation. To manage body acne at every stage, try SLMD Body Acne System.
Dr. Pimple Popper answers body acne FAQs
Q: What’s the difference between body acne and fungal acne?
A: While both can cause breakouts, fungal acne is caused by yeast overgrowth — not clogged pores. It often appears as uniform, itchy bumps. Learn more about how to identify fungal acne in our blog.
Q: Why do I only get acne on my back or chest?
A: These areas have more sebaceous glands and are prone to friction from clothes or gear — making them hotspots for breakouts. Check out our body acne map.
Q: What’s the best treatment for sensitive skin with body acne?
A: Start with gentler formulas, like salicylic acid sprays or low-concentration BHA products. Patch test and limit exfoliation to 2–3 times per week until your skin adjusts.
Dr. Lee's Last Word
Some people are just more prone to body acne — often because of their skin type or genetics. A consistent routine with ingredients like salicylic acid and benzoyl peroxide can make all the difference.
