Acne on the buttocks: how to get rid of it

Do you have acne on your buttocks? A taboo subject, and yet spots on the buttocks are quite common and sometimes painful, so we need to talk about them. 


But should we be concerned about this? Is it really acne on the buttocks or another type of skin condition? 
Possible causes of spots on the buttocks include folliculitis (infection of the hair follicles), keratosis pilaris (small bumps caused by excess keratin), nappy rash, and heat rash(1) (blockage of sweat glands), and even hidradenitis suppurativa(2) (or Verneuil's disease, chronic inflammation of the follicles). 


So, what should you do if you have acne spots on your buttocks? Answers in this article.

How does acne on the buttocks manifest itself?

What is often described as acne on the buttocks usually manifests as red spots (papules) and/or red spots filled with pus (called pustules). These lesions may be isolated or grouped together, and painful (especially when sitting or when rubbing against clothing).
These spots, which resemble acne on the buttocks, can appear gradually and spread to other areas, particularly the upper thighs, where the skin is subject to the same irritants (rubbing, perspiration, tight clothing). 
Due to a certain resemblance to acne spots, what is commonly referred to as "butt acne" may in fact correspond more closely to folliculitis(3), with the appearance of red spots that become infected, or keratosis pilaris, with small rough spots that may resemble acne. 
Therefore, if you have any doubts, if the spots persist, become infected or particularly painful, it is advisable to consult with a doctor for an accurate diagnosis and appropriate treatment.

Spots on the buttocks

The causes of butt acne

Unlike facial acne, what is known as acne on the buttocks is often linked to everyday factors(4) that promote irritation, pore blockage and skin inflammation.

One of the main culprits is the constant rubbing of clothing, particularly synthetic or overly tight undergarments, which increase perspiration. 

Excessive sweating can also promote the appearance of spots that may resemble acne on the buttocks. The accumulation of sweat after exercise or an active day, especially if it is not quickly removed by a shower, is also a common cause. 


Hygiene also plays a key role: insufficient washing or, conversely, the use of overly aggressive soaps can upset the skin's microbiota and irritate the skin. 


Certain habits, such as sitting for too long or being in regular contact with hot or damp surfaces (such as leather seats, sports benches, damp underwear, etc.) can also cause maceration, which can lead to acne-like spots on the buttocks. 


Not forgetting the summer months: heat, perspiration, sand, sun cream, etc. All these factors can clog pores and create a breeding ground for spots on the buttocks. 
Finally, some hormonal factors could influence the appearance of these types of acne spots on the buttocks.

Relieve pain and itching caused by acne on the buttocks

If the spots on your buttocks are painful or cause persistent itching, it is essential to take appropriate measures to prevent them from getting worse and causing complications (such as scarring or secondary infections).
The ideal solution is still to consult with a doctor to confirm the cause of the spots and tailor the treatment. In the meantime, here are some tips to soothe the area and relieve discomfort: 

  • Clean the area daily with a soap-free, sulphate-free foaming gel to prevent dryness and inflammation (and avoid scented and/or coloured toilet paper).
  • Apply a cold compress or a washcloth soaked in cold water for 5 to 10 minutes, then dry the area thoroughly with a clean towel, without rubbing.
  • Then apply a soothing, fragrance-free moisturising cream.
  • Finally, wear cotton underwear to limit perspiration (which is more likely with synthetic materials) and loose-fitting clothing to limit friction.
Acne on the buttocks caused by moisture

Treatments and advice for acne on the buttocks

To limit what is known as acne on the buttocks and prevent it from getting worse, here are a few rules to follow: 

  • For underwear, opt for cotton and change it as soon as it becomes damp to prevent maceration. Wash your clothes with hypoallergenic and fragrance-free detergent that does not contain fabric softener, which can irritate the skin.
  • For daily hygiene, cleanse acne spots on the buttocks with a soap-free foaming gel specifically formulated for acne-prone skin.
  • After exercise, take a shower as soon as possible to wash away sweat and bacteria. If this is not possible immediately, change your clothes.
  • Avoid actions that aggravate spots: let them heal naturally without squeezing or scratching them. Cut your nails short and keep them clean to reduce the risk of secondary infection in the event of scratching. And of course, scrubs and exfoliating gloves should be avoided, as they promote inflammation.
  • In case of itching or irritation, apply a glove soaked in cold water, a compress of thermal water or a soothing gel made fromaloe vera
  • Beware of hot and humid environments: saunas, steam rooms and prolonged bathing dilate the pores and promote bacterial growth! So if you have spots on your buttocks, avoid them! If this is not possible, ensure that the area is thoroughly cleaned and dried afterwards.
  • In summer, rinse yourself after each swim (chlorine, salt and sand can irritate the skin) and avoid staying in wet swimwear for too long.

If the spots persist, the dermatologist may prescribe a suitable treatment.

Sources :  

(1) https://www.msdmanuals.com/fr/professional/troubles-dermatologiques/troubles-sudoraux/miliaire. 
(2) Revuz J. Hidradenitis suppurativa. J Eur Acad Dermatol Venereol. 2009 Sep;23(9):985-98. doi: 10.1111/j.1468-3083.2009.03356.x. PMID: 19682181. 
(3) Luelmo-Aguilar J, Santandreu MS. Folliculitis: recognition and management. Am J Clin Dermatol. 2004;5(5):301-10. doi: 10.2165/00128071-200405050-00003. PMID: 15554731. 
(4) Yang J, Yang H, Xu A, He L. A Review of Advancement on Influencing Factors of Acne: An Emphasis on Environment Characteristics. Front Public Health. 2020 Sep 17;8:450. doi: 10.3389/fpubh.2020.00450. PMID: 33042936; PMCID: PMC7527424. 

Read also

    Our targeted solutions for acne

    Discover our complete range

    • Foaming Gel

      KERACNYL

      Foaming Gel
      Cleanses - Helps to get rid of imperfections

    • Anti-Blemish Cream

      KERACNYL PP+

      Anti-Blemish Cream
      Avoids skin marks - Helps to get rid of imperfections - Compensates for the effects of drying treatments

      Our skincare routines

      Oily or acne-prone skin