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Butt Acne: Causes, Prevention, and Treatments

a woman who treated her butt pimples, butt breakouts and red bumps

Acne is a common skin condition most associated with the face. However, it can occur in other areas of the body, including a less-talked-about region – the buttocks. While it might be a bit embarrassing to discuss, “butt acne” is a reality for many people. 

This article aims to provide a comprehensive guide to understanding the causes of butt acne, preventative measures you can take, and effective treatments. 

What is Butt Acne?

First, let’s clarify a common misconception. “Butt acne” may not be acne but a condition called folliculitis. Acne Vulgaris, the scientific term for acne, typically affects areas with many oil glands, like the face and chest. It happens when oil and dead skin block hair follicles. 

In contrast, folliculitis is when hair follicles get irritated or infected, and it can show up anywhere on your body, even on your buttocks. It can be caused by friction (tight clothing), excessive sweating, or certain skin infections. The resulting spots may resemble acne, but they are distinct. Understanding this difference is crucial to effectively get rid of butt acne and prevent it in the future.

What Causes Butt Acne?

While the same factors do not cause butt acne and folliculitis, there is some overlap in their root causes. Factors that can specifically contribute to butt acne include:

Friction and Sweat

Wearing tight clothing, especially non-breathable materials, can trap sweat and bacteria, leading to clogged hair follicles and inflamed spots on the skin. Prolonged sitting can worsen this issue, as pressure and friction irritate the skin, creating an ideal environment for folliculitis. To prevent acne on the buttocks, it’s best to wear loose, breathable underwear and clothing and take regular breaks from sitting.

Hair Follicle Infections

Hair follicles can get infected by bacteria, fungus, or yeast, causing butt acne or folliculitis. Staphylococcus aureus, a common bacterium on our skin, is a common cause of folliculitis. This bacterium can enter the skin through small breaks or abrasions, worsened by friction from tight clothing or prolonged sitting. Once inside, it infects the hair follicle, causing inflammation and spots.

Similarly, fungi or yeast, like Candida, can infect hair follicles. These organisms thrive in warm, moist environments and multiply under excessive sweating or poor hygiene, leading to folliculitis. Regular skin cleansing, especially after sweating, helps prevent these infections.

Hormonal Changes

Hormones play a crucial role in skin conditions like butt acne and folliculitis. Fluctuating hormone levels during certain life stages or conditions can trigger breakouts. Teenagers commonly experience acne during puberty due to changing hormone levels. Increased androgens cause oil glands to expand and produce more oil or sebum, leading to clogged pores and acne. 

Women may also experience breakouts during certain menstrual cycle stages when progesterone levels increase sebum production. Conditions like Polycystic Ovary Syndrome (PCOS) can lead to hormonal imbalances, increasing the likelihood of skin issues. 

Types of Bumps

a person who is at risk of develping butt breakouts and bumpy skin


Folliculitis is characterised by small red or white-headed bumps or pimples around hair follicles. These spots can be itchy or sore and might be filled with pus. The surrounding skin might look red and inflamed, and you may notice the hair in the middle of each bump. If left untreated, folliculitis may progress to form crusty sores and can leave behind permanent scars or dark spots. 

However, the severity and appearance of the bumps can vary greatly depending on the type and cause of folliculitis.

Keratosis pilaris

Keratosis pilaris is characterised by small, rough bumps on the skin. These bumps are usually light in colour and may have a slight redness around them. Unlike folliculitis, these bumps are not typically inflamed or filled with pus. Instead, they feel hard and have a sandpaper-like texture.

Keratosis pilaris occurs when hardened keratin, a protective protein, builds up and blocks hair follicles. It commonly appears on the buttocks but can also affect the upper arms, thighs, or cheeks. While it is harmless, some people find it aesthetically unpleasing.

Boils (carbuncles)

Boils, or carbuncles, are deep folliculitis or hair follicle infections. They are larger and more severe than typical folliculitis, appearing as red, swollen, and painful lumps on the skin’s surface. As the infection progresses, boils can fill with pus and grow, sometimes reaching golf ball size. The surrounding skin may become red, swollen, and tender. In severe cases, multiple boils can group to form a larger, more painful lump called a carbuncle. Eventually, a yellowish-white tip develops on the boil, bursting to drain the pus and relieve pain.

Prevention of Butt Acne

Skincare Routine

Establishing an effective skincare routine is paramount to preventing and treating butt acne. Including exfoliation and moisturising in your routine can make a significant difference.


Exfoliation is a key step that helps remove dead cells that can clog pores, leading to breakouts. Use a gentle exfoliant specifically designed for the body, and avoid products with harsh or abrasive ingredients that can irritate the skin. Exfoliate the buttock area at least once or twice a week, depending on your skin sensitivity. Be sure to use light pressure and circular movements for an effective exfoliation.


After exfoliating, it’s important to restore moisture to the skin. Choose a non-comedogenic (doesn’t block pores) moisturiser that suits your skin type. If your skin is prone to acne, opt for an oil-free moisturiser. For dry skin, a hydrating moisturiser would be ideal. Apply the moisturiser while your skin is still slightly damp to lock in moisture effectively.

Clothing Choices

Choosing the right clothing can reduce the risk of butt acne. Opt for breathable fabrics like cotton or linen to allow air circulation and prevent moisture buildup, which can attract bacteria. Avoid tight-fitting clothing like trousers, leggings, or underwear that can cause friction and trap sweat, leading to clogged pores and acne. Opt for looser-fitting clothes to minimise these risks.

Diet and Hydration

A balanced diet and hydration are key for healthy skin and preventing conditions like butt acne. A diet rich in fruits, vegetables, lean proteins, and whole grains provides essential vitamins and minerals for skin health. Vitamins A and E, zinc, and omega-3 fatty acids are important for healing and controlling inflammation. Avoiding sugary foods and unhealthy fats can prevent spikes in blood sugar levels and acne. 

Hydration is crucial for skin health. Drinking enough water daily helps flush toxins, maintain elasticity, and prevent dryness and clogged pores. It also supports circulation and nutrient absorption, benefiting the skin.

Butt Acne Treatment Options

a woman treating pimples and preventing not to have butt acne and acne scars.

Several acne treatment options are available for those already experiencing butt acne to help alleviate symptoms, prevent butt acne, and promote healing. These include the following:

Over-the-Counter Solutions

  • Benzoyl Peroxide: This is one of the most common treatments for facial acne and butt acne. It works by killing bacteria beneath the skin, and it can also help dry out pimples on your butt. 

  • Salicylic Acid: This ingredient helps unclog the pores by breaking down white and blackheads. Additionally, it reduces the shedding of the cells lining the oil gland follicles, thus helping to prevent blockages.

  • Sulphur: This helps dry out the surface of your skin to help absorb excess sebum that may contribute to acne breakouts. It also helps reduce skin inflammation.

  • Resorcinol: It helps to break down rough, scaly skin, which is useful for preventing breakouts, as well as helping them to heal if you’re already experiencing them.

These ingredients can be found in various forms, such as creams, lotions, and gels. Given their varied nature, the effectiveness of these acne treatments can differ greatly between individuals. Factors such as skin type, the severity and type of acne, and how diligently you apply the medication will all affect its success. Despite this, many people find that over-the-counter treatments help manage their butt acne.

Prescription Treatments

If over-the-counter solutions don’t work to treat butt acne, stronger treatments from dermatologists may be necessary. Prescription treatments contain stronger ingredients tailored to your skin type and acne severity. Commonly prescribed treatments include topical antibiotics for inflammation and killing bacteria, retinoids to prevent hair follicle plugging, and oral antibiotics for severe acne. Dermatologists may also recommend oral contraceptives for women to regulate acne-causing hormones. Remember to use these potent treatments under dermatologist supervision.

Home Remedies

home remedies for irritated skin, affected skin and it is made to treat acne.

Although home remedies can’t replace professional treatment, they can support healing, reduce inflammation, and soothe skin. However, their effectiveness may vary from person to person, and they should never be used as a substitute for proper medical advice. 

  • Tea Tree Oil: Known for its antimicrobial properties, it can help reduce inflammation and fight acne-causing bacteria. Dilute it with a carrier oil to avoid skin irritation, and apply it directly to the affected area with a cotton ball. 

  • Apple Cider Vinegar: Its acetic acid content helps to kill acne-causing bacteria and reduce inflammation. However, it should always be diluted with water before application as its high acidity can potentially burn the skin.

  • Aloe Vera: This plant has natural anti-inflammatory and antibacterial properties. Pure aloe vera gel can soothe the skin and help wounds heal more quickly. 

  • Epsom Salt Bath: Epsom salts can help exfoliate dead skin cells, draw out toxins, reduce inflammation, and soothe skin irritations. Add a cup or two of Epsom salts to a warm bath and soak for about 15 minutes.

Can I pop or squeeze the pimples on my butt?

The short answer is no. Popping or squeezing pimples on your butt can lead to further inflammation, aggravation, and scarring. Additionally, it can introduce bacteria from your fingers into the skin, leading to infection and worsening of the condition. It’s best to leave the acne alone and let it heal naturally or seek professional treatment if necessary.

Could bumps on my buttocks indicate an STI?

Butt acne is different from sexually transmitted infections (STIs). While STIs can manifest as bumps or lesions on the buttocks, they are caused by different factors and require specific treatments. 

When to Seek Professional Help

If your butt acne persists, worsens, or leads to distress, it’s crucial to seek professional help. You should schedule an appointment with a dermatologist under the following conditions:

  • Severity: If you notice large, painful lumps beneath the skin’s surface, known as cystic acne, you should immediately consult a doctor. This type of acne can cause scarring if not treated properly.

  • Duration: If your acne has not improved after two months of over-the-counter treatments, it’s time to see a healthcare professional.

  • Spread: The condition could worsen if the acne spreads to other body parts, like your back or thighs.

  • Scarring: If you notice signs of scarring or post-inflammatory hyperpigmentation (dark spots), seek help.

  • Emotional distress: Acne can have severe psychological effects, such as low self-esteem or depression. 


Experiencing butt acne is not uncommon and nothing to feel embarrassed about. Each of us, with our unique bodies, has our own set of skin concerns. Practising body positivity, embracing our bodies as they are, and improving our skin health are essential for our overall well-being. Skincare, whether for your face or buttocks, is not a luxury but a crucial health practice.

To manage butt acne, it’s important to know why it happens and find the right treatments. You can try OTC products, prescribed medicines, or simple home remedies. Remember that what works for one person might not work for another because of different skin types and how bad the acne is. If treating it alone doesn’t help or upset you, seeing a doctor is a good idea.

Always take a proactive role in your skin health, but more importantly, be kind to yourself and remember that your worth goes far beyond your skin.


Medical Director

After graduating from the National University of Singapore, Dr Boey’s journey in aesthetics brought him to esteemed institutions such as Harvard Medical School, American Academy of Aesthetic Medicine and Queen Mary University of London in diverse cities like Seoul, London, Boston and New York.