Bottoms Up: Tackling Butt Acne

What is butt acne?

Buttock acne, also known as butt acne or zits on the bum, is a common issue that many people experience. True acne (acne vulgaris) is rare on the buttocks, usually appearing on the face, back, and chest instead. 

What many people usually have and consider “butt acne” is a milder condition called folliculitis. Additionally, conditions such as keratosis pilaris and furuncles/carbuncles can contribute to the development of pimples on butt. Let’s delve deeper into these various factors contributing to buttock skin concerns.

Is buttock acne normal?

People do not often openly discuss buttock acne, but it is a widespread concern. Buttock folliculitis is usually a result of friction or irritation. Severe acne vulgaris extending to the buttocks may indicate a hormonal imbalance. Conditions like polycystic ovary syndrome in females could relate to this imbalance.

What causes butt pimples?

Understanding the Root Causes of buttock acne may be complex. Here are the most common reasons:

  1. When sweat traps against the skin, it can lead to booty pimples.
  2. Continuous rubbing, such as from tight clothes or sitting for a long time, can irritate the skin. This irritation can make butt breakouts worse. Intense exercise can also contribute to skin irritation and worsen acne.
  3. Buttock acne occurs when excess oil, dead skin cells, and bacteria block pores on the buttocks. This is similar to acne that occurs in other areas of the body.
  4. Skin conditions like keratosis pilaris or eczema can cause acne-like bumps on the buttocks.
  5. Psychological stress can exacerbate hormonal imbalances, leading to increased oil production and susceptibility to acne outbreaks on the buttocks.
  6. Genetic predispositions play a significant role in determining an individual’s susceptibility to this type of acne.

What other conditions may mimic butt acne?

Keratosis Pilaris, also known as “chicken skin,” causes small, rough bumps on the skin. People commonly find these bumps on the upper arms, thighs, buttocks, and sometimes on the face. It occurs when keratin builds up and blocks the hair follicles, leading to bumps that may resemble acne lesions.

Folliculitis occurs when the hair follicles become swollen and irritated, usually caused by infections or friction from shaving. It typically presents as small, red bumps or pustules around the hair follicles and can be confused with acne on the buttocks.

Hot Tub Folliculitis, also known as pseudomonas folliculitis, hot tub folliculitis is a type of folliculitis caused by the bacterium Pseudomonas aeruginosa. It often occurs after being in a dirty hot tub or pool. The bumps are red, itchy, and resemble acne.

Fungal acne, also called Pityrosporum folliculitis, is caused by an excess of yeast in hair follicles. It is different from regular acne. It usually looks like small, even bumps or pustules on the chest, back, shoulders, and buttocks, resembling acne.

Hidradenitis Suppurativa (Acne Inversa): This is a chronic inflammatory skin condition that causes painful, recurring nodules or abscesses. It usually occurs in areas where skin rubs together, like the buttocks, groin, and armpits. While it shares some similarities with acne, hidradenitis suppurativa requires distinct treatment approaches.

Boils/Carbuncles: Boils, also known as furuncles, and carbuncles are skin infections caused by bacteria, typically Staphylococcus aureus. They look like big, inflamed acne spots. They are painful and filled with pus bumps or lumps. They are often found on the buttocks.

Contact dermatitis happens when the skin touches things that irritate it or cause an allergic reaction, leading to redness and swelling. Allergic dermatitis, specifically, results from an allergic reaction to certain substances. Both conditions can cause redness, itching, and sometimes bumps or blisters to form on the buttocks. These symptoms may be mistaken for acne.

Recognizing these conditions and distinguishing them from true acne is crucial for implementing appropriate treatment strategies. If you have any skin concerns on your buttocks or any other part of your body, seeing a dermatologist can help. They can accurately diagnose and address these issues.

Is it possible for buttock pimples to be transmitted sexually?

Yes, occasionally. People can spread the herpes virus through sexual contact. Typically, it presents as itchy fluid-filled lesions that often come back. If you suspect you have this, consult a dermatologist promptly.

How to get rid of butt acne?

If you are looking for ways to get rid of butt acne fast, here are a few recommendations:

1.The first step in addressing butt acne is to determine the underlying cause. This may involve assessing factors such as heat, friction, and clothing materials that could be worsening the condition.

2.Practice Proper Hygiene: Maintaining good hygiene is essential for managing butt acne. Showering after sweating or engaging in activities that could cause friction is a good idea. This keeps your skin clean and prevents clogged pores.

To reduce acne formation, consider using antibacterial soaps and antifungal shampoos for fungal acne. These products can help eliminate bacteria and fungi that play a role in causing acne.

3.Monitor for Other Changes: Butt acne may sometimes be indicative of underlying hormonal or metabolic imbalances. If you notice other changes in your body such as weight fluctuations, irregular periods (in females), or other concerning symptoms, it’s advisable to consult your primary care physician to rule out any hormonal or metabolic issues contributing to acne.

4. You may want to think about changing your diet. Although researchers have not fully grasped the connection between diet and acne, some studies indicate that certain foods may worsen acne. Eating a balanced diet with lots of fruits, vegetables, and whole grains can help improve acne for some people. 

5. To ease discomfort and pain from butt acne, use warm compresses. You can sit on a warm cloth or apply warm compresses to the affected area. The warmth can help soothe inflamed skin and promote the healing of acne lesions.

6.Avoid wearing tight clothes and always wash workout clothes after wearing them.

7.Do not pop pimples on your butt to avoid pigmentation and scars.

8. Consider seeing a board-certified dermatologist for the most effective treatment for pimples on the booty. 

Home remedies for bottom acne 

Over-the-Counter Remedies: Many over-the-counter (OTC) skin care products are available for butt acne treatment. Most products for facial acne will work for acne on the butt. Look for body washes, soaps, creams, or lotions containing ingredients such as benzoyl peroxide and salicylic acid.

Benzoyl peroxide helps to reduce bacteria on the skin and clear pores. It also helps to prevent pore blockages. Salicylic acid exfoliates the skin and removes dead skin cells. This helps to prevent pore blockages as well.

Tea tree oil is a natural antibacterial and anti-inflammatory agent that can be effective in treating pimples on buttocks. To treat the affected area, use products containing tea tree oil. 

Glycolic Acid is an alpha hydroxy acid (AHA) that exfoliates the skin by removing dead skin cells and unclogging pores. Products containing glycolic acid can help improve skin texture and reduce acne breakouts on the buttocks.

Regular exfoliation with physical or chemical exfoliants can help prevent clogged pores and promote skin rejuvenation. However, it’s essential to be cautious not to over-exfoliate, as this can lead to overdrying and irritation. Exfoliate your skin 1-2 times a week using a gentle scrub or brush. This helps remove dead skin cells and keeps your skin healthy.

Moisturize. Keep your skin hydrated by applying a light, oil-free moisturizer after washing and scrubbing.

This will prevent your skin from becoming too dry. Look for non-comedogenic formulas to avoid clogging pores. During summer, it’s crucial to utilize sunblock to prevent the development of dark patches.

How dermatologist can help with butt acne?

Dermatologists undergo training to accurately diagnose various skin conditions, including butt acne. They are true experts in treating acne. They can differentiate between acne, folliculitis, and other skin conditions that may mimic acne, ensuring appropriate treatment.

Dermatologists can give you creams with benzoyl peroxide to help clear your skin. Additionally, they may recommend topical antibiotics or antifungals to address bacterial or fungal infections contributing to butt acne.

If you have severe butt acne or if creams are not helping, a dermatologist may prescribe pills. These pills could include oral antibiotics or isotretinoin (Accutane). These medications target acne-causing bacteria or reduce oil production in the skin, helping to clear acne lesions.

For individuals with persistent or recurrent infected ingrown hairs contributing to butt acne, dermatologists may recommend laser treatments. Laser therapy targets the hair follicles, reducing inflammation and preventing future ingrown hairs, leading to improved acne symptoms.

How to treat dark marks and scars after butt acne?

There are several options for treating dark marks and scars left behind after butt acne. One common way to treat dark spots is by using creams or gels with ingredients like retinoids, hydroquinone, or vitamin C. These products can help lighten dark spots and enhance skin texture.

Chemical peels can help reduce the appearance of scars by removing the top layer of skin and promoting new skin growth. Dermatologists may recommend laser therapy or microneedling for severe cases to treat deep scars and increase collagen production for smoother skin.

By combining different modalities, dermatologists can target multiple aspects of scarring and pigmentation, resulting in more significant improvements in skin tone and texture.


+1 (646) 398-9104
+1 (914) 602-4776


801 Madison Avenue, 4th Floor, New York, NY, 10065


Monday 9AM-5PM
Tuesday 9AM-5PM
Friday 10AM-6PM
Every other Saturday 9AM-2PM (please, call in advance)