Neonatal acne: symptoms and treatments

When we think of acne, we immediately imagine adolescence with its share of unsightly spots...
But did you know that even babies can get them? This is commonly referred to as baby acne, also known as neonatal acne.

This may seem surprising to new parents, but rest assured: it is a common phenomenon and completely harmless. These small spots often appear in the first few weeks of life and disappear spontaneously without leaving any marks. 

But then, why does your baby have neonatal acne? Is it related to their diet? What can be done to help them? Can its appearance be prevented? 

Read on, we'll explain! 

What are infant blemishes?

Baby acne, also known as neonatal acne, is a form of acne; that affects approximately 20% of newborns under 6 to 8 weeks of age(1). Beyond this age, we refer to it as infantile acne, which is a slightly different form(1)
It manifests itself as small red or white spots, usually located on the cheeks, chin, forehead and sometimes even the eyelids. 
Unlike teenage acne, acne in babies does not cause pain or discomfort and disappears spontaneously within a few weeks or months. 
And the good news is that having baby acne does not increase the risk of developing acne as a teenager!

Symptoms and appearance of acne in babies

Here is what you may observe if your baby has neonatal acne: 

  • small red, pink or white spots (completely painless for your baby).
  • These breakouts are concentrated on the face, particularly on oily areas such as the cheeks, chin or forehead, and sometimes on the scalp or upper chest. 

In any case, neonatal acne does not leave scars, unlike certain forms of acne in adolescents or adults. 

Acne in infants

What causes neonatal acne?

Neonatal acne, or baby acne, is mainly caused by hormonal stimulation of the sebaceous glands.

Explanation: androgens, transmitted to the baby during pregnancy, promote excess sebum production, which can lead to acne in babies.

Contrary to popular belief, neonatal acne is not related to breastfeeding, breast milk, or the use of a specific infant formula. There is therefore no need to change the baby's meals.

However, applying cosmetics that are too oily can promote neonatal acne, so it is best to choose products that are suitable for their delicate skin. 

Ultra-rich cleansing gel suitable for neonatal acne

What can I do about neonatal acne?

Baby acne usually clears up on its own. Baby acne therefore does not require any specific treatment. Adopting an appropriate skincare routine can nevertheless help manage and reduce lesions:

  • Opt for gentle cleansing using a dermatological soap or an ultra-rich and soap-free cleansing gel that respects the skin's natural pH.
  • Gently pat the skin dry. 
  • Do not touch the lesions or attempt to squeeze the spots, as this may cause secondary infections and/or scarring. 

Consult with a doctor if acne lesions worsen, change in appearance, or persist for more than 6 months. 

Conseils pour prévenir l'acné chez le bébé

Voici quelques conseils complémentaires pour prévenir l’acné chez le bébé :  

  • Utilisez des soins qui mentionnent bien être adaptés pour les bébés, sans ingrédients comédogènes, car la peau du nourrisson est fragile et immature.
  • Nettoyez quotidiennement la peau de votre bébé, et toujours en douceur, pour ne pas créer d’irritation.Bas du formulaire 

 

Sources :  

(1)  Schachner, L., Eichenfield, L., Andriessen, A., Benjamin, L., Cohen, B., Ghali, F., Gonzalez, M., Hebert, A., & Kwong, P. (2020). Consensus on Neonatal Through Preadolescent Acne.. Journal of drugs in dermatology : JDD, 19 6, 592-600. 

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