Best Solution for Butt Acne?

Since I was a teenager, I've had lots of acne on my butt. I drink lots of water, eat healthy, bathe frequently, change my clothes and sheets, don't sit around too much, etc.

I have tried antibiotics (oral and topical), acne wash, loofahs, etc. I used to have this sort of acne on my chest, back, and face when I was a teenager (late 20s now), but no longer do. I am thinking of getting laser treatment or a chemical peel, etc. Help!

Doctor Answers 4

Folliculitis - Need to culture to diagnose

This may be more of a folliculitis than acne. We see this sort of thing a lot in people that sit on their buttocks all day, especially if in an overheated environment. Truck drivers are prime victims.

This should be cultured since it might actually be a recurrent staph (aureus) infection. If so, besides an antibiotic which is sensitive to staph, I would recommend bleach baths ( 1/2 to 1 cupful of Chlorox into the bath during the last five minutes) and Mupiricin applied to the groin.

A combo drug consisting of Clincamycin and Benzoyl Peroxide Acanya, Benzaclin or Duac) would be valuable as a maintenance treatment.

Something like a laser would be foolish, expensive and possibly harmful. Chemical peels would be silly, needless and a waste of money unless you are making plans to live in a nudist colony.

Virginia Beach Dermatologist
4.7 out of 5 stars 14 reviews

Several options available

I like Evoclin and Tazorac or Ziana and Triaz wash. Panoxyl is a good OTC product as well. Theraplex peels are fabulous for butt acne, and it helps the discoloration too! I do not like lasers in this area. See a dermatologist for more information.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Butt Acne

"Acne" on the buttocks is most likely another condition referred to as Folliculitis. Folliculitis causes pimple like lesions centered over hair follicles often found on the buttock.

The condition is often made worse by prolonged sitting or perspiration. You can treat topically with over the counter products like The Pimple Clinic products and system or you can try prescription approaches with a dermatologist prescribing something stronger like oral antibiotics.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

See a Dermatologist to Determine Best Course of Treatment

Acne on the buttocks happens as there are oil glands there and on occasion, they are affected like other oil glands to break out in acne. Or there can be inflammation of the hair follicles, which we call folliculitis. Check with a board-certified dermatologist who will first diagnose the condition correctly and then come up with a treatment regimen that is effective. This might include an oral antibiotic and then a good topical medicine — the choice of which will vary based on the amount of inflammation in the area. Light therapy may also work well here.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.0 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.