Acne is a very common disease. People who have it tend to have similar kinds of questions about it and its treatment. This section addresses some of the common questions asked by people with acne. Please remember that your dermatologist is always the best source of specific information about your individual health issues, including acne.Questions and Answer does follows: 1. What causes acne? The causes of acne are linked to the changes that take place as young people mature from childhood to adolescence (puberty). The hormones that cause physical maturation also cause the sebaceous (oil) glands of the skin to produce more sebum (oil). The hormones with the greatest effect on sebaceous glands are androgens (male hormones), which are present in females as well as males, but in higher amounts in males. Sebaceous glands are found together with a hair shaft in a unit called a sebaceous follicle. During puberty, the cells of the skin that line the follicle begin to shed more rapidly. In people who develop acne, cells shed and stick together more so than in people who do not develop acne. When cells mix with the increased amount of sebum being produced, they can plug the opening of the follicle. Meanwhile, the sebaceous glands continue to produce sebum, and the follicle swells up with sebum. In addition, a normal skin bacteria called P. acnes, begins to multiply rapidly in the clogged hair follicle. In the process, these bacteria produce irritating substances that can cause inflammation. Sometimes, the wall of the follicle bursts, spreading inflammation to the surrounding skin. This is the process by which acne lesions, from blackheads to pimples to nodules, are formed. 2. I wash my face several times a day. Why do I still get acne? Many people still believe that acne is caused by dirty skin. The truth is, washing alone will not clear up or prevent acne. Washing does, however, help remove excess surface oils and dead skin cells. Many people use all kinds of products, including alcohol-based cleansers, and scrub vigorously, only to irritate the skin further and worsen their acne. Washing the skin twice a day gently with water and a mild soap is usually all that is required. However, acne is actually caused by a variety of biologic factors that are beyond the control of washing. For that reason, you should use appropriate acne treatments for the acne. 3. Does stress cause acne? Stress is commonly blamed for the development of acne. Stress can have many physiologic effects on the body, including changes in hormones that may theoretically lead to acne. In some cases the stress may actually be caused by the acne lesions, not the other way around! If the acne is being treated effectively, stress is not likely to have much impact on the majority of people. 4. I never had acne as a teenager. Why am I now getting acne as an adult? Usually, acne begins at puberty and is gone by the early 20s. In some cases, acne may persist into adulthood. Such types of acne include severe forms that affect the body as well as the face (which afflict males more than females) and acne associated with the menstrual cycle in women. In other cases, acne may not present itself until adulthood. Such acne is more likely to affect females than males. There are several reasons for this. As females get older, the pattern of changes in hormones may itself change, disposing sebaceous glands to develop acne. Ovarian cysts and pregnancy may also cause hormonal changes that lead to acne. Some women get acne when they discontinue birth control pills that have been keeping acne at bay. Sometimes young women may wear cosmetics that are comedogenic-that is, they can set up conditions that cause comedones to form. 5. What role does diet play in acne? Acne is not caused by food. Following a strict diet will not, clear your skin. While some people feel that their acne is aggravated by certain foods, particularly chocolate, colas, peanuts, shellfish and some fatty foods, there is no scientific evidence that suggests food causes or influences acne. Avoid any foods which seem to worsen your acne and, for your overall health, eat a balanced diet--but diet shouldn't really matter if the acne is being appropriately treated. 6. Does the sun help acne? Many patients feel that sunlight improves their acne lesions and go to great lengths to find sources of ultraviolet light. There is no proven effect of sunlight on acne. In addition, ultraviolet light in sunlight increases the risk of skin cancer and early aging of the skin. It is, therefore, not a recommended technique of acne management, especially since there are many other proven forms of treatment for acne. Moreover, many acne treatments increase the skin's sensitivity to ultraviolet light, making the risk of ultraviolet light exposure all the worse. 7. What is the best way to treat acne? Everyone's acne must be treated individually. If you have not gotten good results from the acne products you have tried, consider seeing a dermatologist. Your dermatologist will decide which treatments are best for you. For more information about the types of acne treatments that are available, and for basic acne treatment guidelines, please see Acne Treatments in the main part of AcneNet. 8. What kind of cosmetics and cleansers can an acne patient use? Look for "noncomedogenic" cosmetics and toiletries. These products have been formulated so that they will not cause acne. Some acne medications cause irritation or pronounced dryness particularly during the early weeks of therapy, and some cosmetics and cleansers can actually worsen this effect. The choice of cosmetics and cleansers should be made with your dermatologist or pharmacist. Heavy foundation makeup should be avoided. Most acne patients should select powder blushes and eye shadow over cream products because they are less irritating and noncomedogenic. Camouflaging techniques can be used effectively by applying a green undercover cosmetic over red acne lesions to promote color blending. 9. Is it harmful to squeeze my blemishes? Yes. In general, acne lesions should not be picked or squeezed by the patient. In particular, inflammatory acne lesions should never be squeezed. Squeezing forces infected material deeper into the skin, causing additional inflammation and possible scarring. 10. Can anything be done about scarring caused by acne? Scarring is best prevented by getting rid of the acne. Dermatologists can use various methods to improve the scarring caused by acne. The treatment must always be individualized for the specific patient. Chemical peels may be used in some patients, while dermabrasion or laser abrasion may benefit others. It is important that the acne be well controlled before any procedure is used to alleviate scarring. 11. How long before I see a visible result from using my acne medication? The time for improvement depends upon the product being used, but in almost all cases it is more a matter of weeks or months instead of days. Most dermatologists would recommend the use of a medication or combination of medications daily for 4 to 8 weeks before they would change the treatment. It is very important for patients to be aware of this time frame so they do not become discouraged and discontinue their medications. Conversely, if you see no change whatsoever, you might want to check with your dermatologist regarding the need to change treatments. 12. Would using my medication more frequently than prescribed speed up the clearing of my acne? No--always use your medication exactly as your dermatologist instructed. Using topical medications more often than prescribed may actually induce more irritation of the skin, redness and follicular plugging, which can delay clearing time. If oral medications are taken more frequently than prescribed, they won't work any better, but there is a greater chance of side effects. 13. My topical treatment seems to work on the spots I treat, but I keep getting new acne blemishes. What should I do? Topical acne medications are made to be used on all acne-prone areas, not just individual lesions. Part of the goal is to treat the skin before lesions can form and to prevent formation, not just to treat existing lesions. Patients are generally advised to treat all of the areas (forehead, cheeks, chin and nose) that tend to break out rather than just individual lesions. 14. My face is clear! Can I stop taking my medication now? If your dermatologist says you can stop, then stop--but follow your dermatologist's instructions. Many times patients will stop their medication suddenly only to have their acne flare up several weeks later. If you are using multiple products, it may be advisable to discontinue one medication at a time and judge results before discontinuing them all at once. Ask your dermatologist before you stop using any of your medications. 15. Does it matter what time I use my medication? Check with your dermatologist or pharmacist. If you were taking one dose a day of an antibiotic, you could probably take it in the morning, at midday or in the evening, although you should pick one time of day and stay with it throughout your treatment. With oral medications prescribed twice a day or three times a day, you should try your best to spread out the doses evenly. Some antibiotics should be taken on an empty or nearly empty stomach. For optimal results with topical treatments, you should strictly follow your dermatologist's recommendations. For example, if instructed to apply benzoyl peroxide in the morning and a topical retinoid at bedtime, it is important to follow these directions strictly. If the two were applied together at bedtime, for example, you could decrease the efficacy of the treatment because of chemical reactions that make them less effective. 16. I have trouble remembering to take my oral medication every day. What's a good way to remember? What should I do if I forget a dose? This is a common problem. Many patients try to associate taking their medication with a routine daily event such as brushing teeth or applying makeup. It also helps to keep the medication close to the area where the reminder activity is carried out. In most cases, if you miss a day of your oral treatment, do not double up the next day; rather, get back to your daily regimen as soon as possible--but there may be different instructions for different oral medications. Ask your dermatologist or pharmacist about what to do if you miss a dose of your particular medication. 17. I have been using topical benzoyl peroxide and an oral antibiotic for my acne and have noticed blue-black and brown marks developing on my face and some discoloration on my body. The marks are especially noticeable around acne scars and recently healed lesions. Is this a side effect of medication and is it permanent? It is not possible to make general statements about side effects of medications that apply to individual cases. A dermatologist should be consulted. The facial marks and body discoloration described by the patient in this case do fall within the range of side effects of some antibiotics.Unique patterns of pigmentation are sometimes seen in acne patients treated with certain oral antibioticsparticularly minocycline. The pigmentation patterns that appear may include: * Localized blue-black or brown marks in and around acne scars and in areas of previous acne inflammation * A "muddy skin" appearance that may cover much of the body * Diffuse brownish pigmentation of the feet and lower legs. The pigmentation side effect gradually disappears after the therapy is discontinued. Any side effect of a medication should be noted by the patient and brought to the attention of the physician. While most side effects are temporary they should be discussed with the physician and monitored. 18. My doctor is prescribing a topical retinoid for my acne. He said a retinoid is a substance related to vitamin A. If the drug is related to vitamin A, shouldnt vitamin A dietary supplements be helpful in getting rid of acne? Dietary vitamin A is essential to good health, especially vision. It has healthful effects in the skin. Large doses of vitamin A for the treatment of acne is not recommended on grounds of safety. The retinoids and retinoid-like substances used as topical treatments for acne are prepared especially for their potent effect on the shedding of cell lining in the sebaceous follicle. Their use should be monitored by a dermatologist. Dietary vitamin A has multiple health effects in the human body. Vitamin A is essential for good vision. Extreme vitamin A deficiency can result in blindness, usually accompanied by dry, scaly skin. Vitamin A overdose that far exceeds the Recommended Dietary Allowance (RDA) of 5,000 IU can have effects nearly as catastrophic. Extreme vitamin A overdose can cause the skin to blister and peelan effect first seen in early North Pole explorers who nearly died after eating polar bear liver that has an extraordinarily high vitamin A content. Topical retinoids are usually prescribed as a treatment for moderate to severe acne. Side effects are chiefly dermatologic, including redness, scaling and dryness of the skin, itching and burning. These side effects can usually be managed by adjustment of the amount and timing of retinoid applied to the skin. Dose adjustment must be discussed with the dermatologist who prescribed the treatment. 19. Are there any acne treatments specifically for people with dark skin? Are there any treatments specifically harmful to dark skin? There are no acne treatments specifically for use on dark skin. Acne treatments are generally as safe and effective on dark skin as on light skin. Some treatments for acne scars may cause temporary lightening of dark skin. Acne is a common skin disease that has the same causes and follows the same course in all colors of skin. Very dark or black skin may be less well-moisturized than lighter skin. Topical anti-acne agents such as benzoyl peroxide that have a drying effect on the skin should be used under the supervision of a dermatologist. Benzoyl peroxide also is a strong bleach and therefore must be applied carefully to avoid inadvertent decolorization of a patch of hair, towels or clothing. Darker skin has a tendency to develop post-inflammatory hyperpigmentation (excessive skin darkening at places where the skin was inflamed). Severe inflammatory acne may result in dark spots. The spots resolve over time; a dermatologist may be able to recommend cosmetic measures to make the spots less apparent until they resolve. Some acne treatments, such as topical retinoids and azelaic acid, may also help fade the discoloration. Removal of acne scars by dermabrasion or chemical peeling may cause temporary lightening or darkening of dark skin in the areas of treatment. Scar treatment should be discussed with a dermatologist or dermatologic surgeon before it is undertaken. Alterations of melanin (dark pigments that give the skin its color) pigmentation such as vitiligo and melasma are not related to acne, but they may be present simultaneously with acne. The diagnosis and treatment of melanin pigmentation disorders such as vitiligo requires a dermatologist with knowledge and experience in treating these conditions. 20. Is acne that appears for the first time in adulthood different from acne that appears in adolescence? Acne has a specific definition as a disease of sebaceous follicles. This definition applies to acne that occurs at any age. However, it may be important to look for an underlying cause of acne that occurs for the first time in adulthood. Current understanding of the causes of acne vulgaris is described in the Main Text section Why and how acne happens. In brief summary, acne vulgaris develops when excessive sebum production and abnormal growth and death of cells in the sebaceous follicle result in plugging of follicles with a mixture of sebum and cellular debris and formation of comedones (blackheads and whiteheads). Bacteria in the follicleschiefly Propionibacterium acnes, the most common bacterial colonist of sebaceous folliclesmay contribute to the inflammation of acne by release of metabolic products that cause inflammatory reaction. The pathogenic events, which cause disease, in the sebaceous follicle are believed to be due in large degree to changes in levels of androgenic (male) hormones in the bodya circumstance usually associated with growth and development between ages 12 and 21. Some acne investigators believe that although this understanding is generally correct, there is more yet to be learned about the causes of acne vulgaris. Acne that appears after the age of 25-30 years is (1) a recurrence of acne that cleared up after adolescence, (2) a flare-up of acne after a period of relative quietfor example, during pregnancy, or (3) acne that occurs for the first time in a person who had never previously had acne. Acne that occurs in adulthood may be difficult to treat if there are multiple recurrences. Some patients with severe recurrent acne have undergone repeated courses of treatment with the potent systemic drug isotretinoin. Acne flares in association with pregnancy or menstruation are due to changes in hormonal patterns. Acne that appears for the first time in adulthood should be investigated for any underlying cause. Drugs that can induce acne include anabolic steroids (sometimes used illegally by athletes to bulk up), some anti-epileptic drugs, the anti-tuberculosis drugs isoniazid and rifampin, lithium, and iodine-containing drugs. Chlorinated industrial chemicals may induce the occupational skin disorder known as chloracne. Chronic physical pressure on the skinfor example, by a backpack and its straps, or a violin tucked against the angle of the jaw and chinmay induce so-called acne mechanica. Some metabolic conditions may cause changes in hormonal balance that can induce acne. Some lesions that appear to be acne may be another skin disorder such as folliculitisinfection and inflammation of hair folliclesthat require different treatment than acne. Acne that appears for the first time in adulthood should be examined and treated by a dermatologist. 22. My 15-year-old daughter has what I would describe as a very mild case of acne. She has made it much worse by constant picking and squeezing. She looks in the mirror for hours, looking for some blackhead or blemish she can pick or squeeze. Does she need psychological counseling? Excessive picking and squeezing of otherwise mild acne is a condition called excoriated acne, seen most often in young women. A dermatologist may provide effective counseling. The typical person with excoriated acne is a personoften a young womenwho is so distressed with her appearance due to acne that she literally tries to "squeeze the acne out of existence." The acne is often very mild, but the persons face may constantly be covered with red marks from squeezing, and open sores where lesions have been picked open. The word excoriate means to scratch or abrade the skin. Excoriated acne is a medically recognized condition that should be discussed with a dermatologist. Occasionally giving in to a temptation to squeeze a blackhead is not defined as excoriated acne. Hours in front of a mirror, squeezing and picking every blemish, is a definition of excoriated acne. A dermatologist may be able to counsel the patient regarding a course of treatment in which the patient can participate, but keep "hands off." 23. Can the rate of secretion or the composition of sebum be altered by diet? If it can, shouldnt alteration of diet be considered a treatment for acne? Diet has never been proven to have a role in the cause or treatment of acne. Dietary manipulation may have a role in the treatment of some scaling diseases of the skin, but not in the treatment of acne. Dietary cause is one of the most persistent myths about acne. Foods, such as chocolate or greasy foods, do not cause acne, but certain foods seem to make some peoples acne worse. The following can bring on or worsen it: * Hereditary factors * An increase in male hormones found in both males and females * Menstruation * Emotional stress * Oil and grease from cosmetics, work environment No food has been shown to be effective in preventing or treating acne. A healthy diet is, of course, necessary for good general health. 24. Shouldn't I just try to eliminate sebum from my body? No. When it isn't blocked in your pores, sebum helps keep your skin healthy. 25. Why does acne usually start at puberty? No one knows for certain. What is known is that the sebaceous glands that produce sebum get much larger at puberty than they were before. 26. Why does the skin around a pimple turn red? This redness is caused by the body's inflammatory response. Inflammation is a sign that your immune system is working to fight an infection. However, the inflammatory response doesn't always work perfectly, and can even be the cause of scarring. 27. If my skin turns red, does that mean that I'm going to have scars? Usually, no. Even when there will be no permanent scar, the aftereffects of the inflammatory response can leave the skin red for months, sometimes for more than a year. 28. What are free radicals? Free radicals are byproducts of oxidation in your body. We all need oxidation to occur as part of our life process, but there is concern that the buildup of unrecycled free radicals contributes to many conditions, including skin damage. Antioxidants, including several of the active ingredients in Acuzine, help prevent the buildup of free radicals.
First of all, and you probably know this, you shouldn't squeeze acne, spots or pimples. Let's face it, you're going to do it anyway right? If you must there's a way to do it safely.Thoroughly clean your face and then apply a wet, warm facecloth over your entire face for around 10 minutes. Next, pat your face and hands dry with a soft, clean towel, try not to rub with the towel as this can spread infection. Next, cover your fingers with dry tissue and apply gentle, even pressure to the sides of the blemish. Gently press downward first and then upwards, toward the pimple or spot. Try it once or twice and then leave it. If it's not ready, forcing the issue will only make matters worse and might even lead to scarring. If the blemish does squeeze out, remove the head and oil with the tissue to avoid spreading bacteria. Finally, immediately apply a treatment product., zit or pimple.Your path to clear skin is based on 3 basic methods. Each area can have a profound impact on your skin so make sure to pay careful attention to all of these methods.1. Topical Regimen - What you put on your skin This section consists of scientific and natural ingredients that have been shown to combat acne or have skin beneficial effects. Topical creams can have the most immediate impact on the look and feel of your skin.2. Lifestyle - Everyday mistakes are too frequent Proper exercise is an important aspect of anyones life. To keep your body, and your skin, in proper health, you must exercise on a regular basis. Your body must be efficient at eliminating waste in order to help curb your acne problem. Sweating is one of those mechanisms and a healthy heart and circulatory system also make a big difference.1. Exercise at least 2 times per week for 30-60 minutes. This should include cardiovascular and resistance training. Note: Wash your face (and body) within 30 minutes of finishing your workout to minimize the chance the bacteria buildup.3. Diet - You are what you eat Whether or not what you eat affects your skin is a matter of some debate. We feel that what you eat affects your body in many ways, including your skin. Our diet section includes a list of foods that may cause acne flare ups and also a list that can have benefits for your skin.
Most people will suffer from acne at some point in their life. Everyone's skin condition and chemistry are different so there can be no set remedy to prevent or clear existing acne. The good news is that it can be treatable. People make the mistake of letting it run its course, thinking they will outgrow it. Sometimes that is just not good enough. With so many acne medications available over-the-counter or by prescription, it can be frustrating finding one that works. But something out there will work for you if you just keep trying. If you find that you are getting nowhere with your acne, try finding something more specific to your skin type.Common over-the-counter (OTC) "acne medication" s available are: Stri-dex, Clearasil, Oxy, Neutrogena On-the-Spot, Cetaphil, and Persa-Gel 10. These can be found in most drug and grocery stores. The prices may vary ($4-$14) but price does not necessarily mean it will work the best on your acne. There is also a variety in the form of the medication, such as: gels, lotions, creams, and medicated pads. The form of the acne medication does not usually effect how well it treats your skin. Do not be discouraged if a product that you try makes your acne worse. Sometimes we must take a step back to make progress. Make a note of the ingredients in what you used and, in the future, only use medicines that do not contain any or much of this. You should always read the labels before purchasing a product. You wouldn't order a dish at a restaurant if you didn't know what was in it, would you? If you skin is oily, then you may choose to purchase something that is especially for treating oily skin.If your skin is too sensitive for OTC acne medications that you have tried, then perhaps you should consult a Dermatologist. Some forms of acne can not be treated without a prescription. The doctor may prescribe an oral antibiotic instead of a topical acne medication for severe cases. These are commonly used to decrease inflammation that can contribute to acne. Topical prescription acne medication for severe cases of acne usually contains retinoids. Retinoids prevent blackheads and whiteheads, while un-clogging your pores. The downside to this is that you could have increased sensitivity to the sun or develop an irritation. It is possible for fine lines and wrinkles to be reduces with this treatment, which is a bonus advantage to having younger and healthier looking skin.In addition to typical acne medication options, there are some home remedies include treating with Hydrogen Peroxide, toothpaste, or diluted alcohol. If you experiment with these, you may end up with a cheap solution to your acne. Peroxide could speed up the healing process of existing acne. It kills germs to drastically reduce inflammation. Toothpaste can be applied lightly on spots that appear before the actual acne has formed. Usually, this is left on overnight and washed off in the morning. It dries up excess oils that can contribute to the formation of acne. Pure alcohol should never be applied to the skin. However, if you dilute it half with water to gently wash your face, you can dry up excess oils without completely drying out your skin.Acne is a common problem and getting treated is nothing to be ashamed of. No one should have to live with the embarrassment of acne. There is an effective method out there for you, as long as you are willing to take the time to find it.
Acne is not confined to teenagers and puberty, it also prevalent in adults and in women mostly during pregnancy. Acne is often characterized by pimples and breakouts all over the skin in large numbers, frequently seen on the face and the back. It is caused due to the over activity of the sebaceous glands or the oil producing glands. When it combines with dead skin cells, hormones and bacteria, the oily substances are trapped inside the pores and causes swelling. The lumps often have a crown of a white head or a black head or even red lumps, which are very tender. Acne, if not treated on time, can even lead to scarring. Some acne go so deep inside the skin that they form into nodules and cysts, which leaves scars which may not disappear even after healing. Acne can be caused due to stress, fatigue, and cosmetics and even due to humidity, although nothing has been proved till date. Dos and Donts on the acne prone skin:Professional treatment is the best for acne, the earlier the treatment provided, the better. A good doctor will be in a position to treat acne-using medications by controlling the over-active sebaceous glands, hormonal imbalance, or even stress.It is good not to squeeze or break the pimples and acne, as it will lead to spread the infection and can make the area swell and might even lead to permanent scarring.Usage of oily cosmetics are also not recommended, as the acne prone skin already is oily enough, usage of such cosmetics will add up to it. Instead of using oily cosmetics, it is better to go for water based ones, which might be less harsh. It is always good to remove make up at night, if left on the whole night might cause irritation to the skin.The acne prone skin should be pampered with gentle wash and pat dry. Vigorous scrubbing needs to be avoided as it only worsens the condition and may even block the pores.Regular shampooing is recommended as it may reduce the pimple appearing on the forehead, it is good to avoid hair products like gels and pomades, as they are oily.Cosmetics which are non comedogenic should be used. Acnes sometimes can make the skin hypersensitive, hence sunscreens can be used to avoid sunburns. It is good to avoid tanning, as it cannot make the skin clearer. Over-the-counter products containing salicylic acid or benzoyl peroxide can curb mild acne.
Back acne comes in all sizes and forms of acne, ranging from mild forms like whiteheads to serious forms of acne including cystic acne. "Bacne" as it is referred to in slang terms, can consist of pimples, pustules and blackheads as well. Back acne affects people ranging from age ten to age forty or older yet. Understanding the causes of back acne and available treatment options, are very important is treating and preventing the condition.Like all of the other forms of acne, there is no one thing that causes back acne. As far as the medical community stands, back acne also happens when oil glands start functioning more rapidly around puberty. The hormone group androgens, found in both females and males, get overactive which in turn causes a reaction in the oil glands, which make extra oil. The oil glands are located just underneath the skin surface. Oil glands constantly are producing and secreting oil through the pores in the skin. When too much of the oils are produced the pores and hair follicles become clogged. The clogs obstruct the way that dead cells escape the skin, which in turn results in a mess of oil and dead cells plugging the hair follicle. This attracts bacterium, which causes the acne to be formed.Back acne can be found on any part of the body and does not necessarily have to be on a person's back. It can be very severe with large lesions and painful cysts. Back acne may just be something that certain people are prone to or it could be caused by other things such as tight clothing or a heavy backpack. Not having anything in contact with the back is not a logical prevention step, as we all must sit down and everyone has to wear clothing. It is easier to treat back acne than to try and prevent it because most people suffer from back acne at one time or another. Skin on the back is much thicker and therefore allows for stronger topical treatments, such as ten percent Benzoyl peroxide. This strength of Benzoyl peroxide is not suitable for other skin that is typically thinner and will not be able to sustain itself under harsh treatment. You can get all the same types of acne, blackheads, whiteheads, papules, pustules and cysts, on your back just as you can on any other part of your body.There are some differences in back acne and acne located elsewhere on the body however. Back acne is not caused by genetics as other acnes can be. Some severe cases of back acne may be genetically passed on but most likely it is just the individual's body type or personal genetic make up. People all over the world suffer from back acne at some point in their lives. Unlike other acne, food does not contribute to the formation or flare up of back acne. There is absolutely no evidence that foods cooked in grease, or high in fat content contribute to back acne. It is also known that excessive oil production and dirt build up does not have a huge impact on developing back acne. Perspiring excessively and not washing or showering immediately has been shown to not increase the chances of developing back acne. Back acne also does not seem to be affected by stress. There are some who think that facial acne is increased due to stress. However stress can cause back acne to not heal. Oftentimes, stress causes people to pick and bother the pimples, which make the condition worse.Taking some over the counter medicines may treat breakouts of back acne in conditions that are not complex. Some skin specialists or dermatologists should treat severe forms of acne on the back, such as cystic acne. Most of the simpler forms of acne might disappear with daily washing and cleansing routines but as cystic acne goes deep into the skin and can cause permanent scarring, it should be given more serious medical attention than simple pustules or blackheads on the back. Always speak to your healthcare provider about treatment before starting a back acne treatment program never attempt to treat severe acne on your own or with an over the counter product without consulting a professional.