Acne is not just a face issue. is a skin condition that can affect any part of the body.
A particularly troublesome area is the back, where acne can be both stubborn and difficult to treat.
In this article, I’ll explore whether Accutane can help you get rid of back acne, what its potential side effects are, and if there are any alternatives you should consider.
Note: I can show you how to never have acne again. If you have acne and want it to go awayread this message.
What causes back acne and why is it difficult to treat?
Back acne (backne), like facial acne, occurs when pores become clogged with oil and dead skin cells.
However, the skin on your back is much thicker and has more sebaceous (oil-producing) glands, making it a hotspot for more severe forms of acne, such as cystic acne.
Factors such as hormonal fluctuations, genetics, stress and lifestyle habits can also aggravate this condition.
Treating back acne can be even more difficult than treating facial acne because of the difficulty in reaching, cleaning properly, and applying adequate treatment to the area.
Additionally, back acne may be more resistant to topical treatments, as the skin on the back is thicker and less absorbent than the skin on the face.
Back acne may also require stronger treatments to penetrate and clear the acne effectively, which can also increase the risk of skin irritation.
What is Accutane and how does it work?
Accutane, the brand name of isotretinoin, is a drug primarily used to treat severe acne.
It was originally developed as a chemotherapy drug Due to its ability to rapidly divide cells, Accutane has found its place in acne treatment due to its effects on the oil glands of the skin.
Accutane reduces the size and production of the skin’s sebaceous glands and reduces oil production, which prevents pore clogging, thus reducing acne formation.
In addition, Accutane helps in faster skin cell turnover, which helps clear skin and residual acne scars by improving tone and texture.
Although it is a highly effective treatment, Accutane is usually reserved for severe or persistent cases of acne that do not respond to other treatments due to its intense nature and potential side effects, which we will cover later.
Can Accutane Help Get Rid of Back Acne?
Accutane can be extremely effective in treating back acne due to reducing oil production, promoting skin cell renewal and clearing clogged pores.
Dermatologists often turn to Accutane when other treatments have failed, particularly for nodular or cystic acne on the back that can often be disfiguring and leave lasting scars.
Patients treated with Accutane generally see a significant reduction in back acne, with some experiencing long-term remission.
However, Accutane is not a universal solution for everyone.
Its use is usually based on individual factors such as acne severity, medical history, body weight, personal lifestyle and ability to manage potential side effects.
Additionally, while effective, Accutane is not a permanent solution for back acne, and many users have had to go through multiple rounds over several years to maintain clear skin.
Therefore, if Accutane clears your back acne, it is essential to continue with proper skin care and long-term maintenance treatments to prevent future breakouts.
Accutane side effects


While Accutane can effectively treat back acne, it is important to be aware of its potential side effects.
These can range from mild to severe, and not everyone experiences them to the same degree.
Here are some common side effects:
Dry skin and lips: Accutane significantly reduces oil production, which can lead to dryness, especially on the lips and skin.
Sensitivity to sunlight: The lack of oil production also reduces the skin’s natural protection against UV rays, making it more sensitive to sunlight.
Bleeding from the nose: Accutane can cause the lining of the nose to dry out and crack, which can lead to nosebleeds.
Mild aches and pains: Some users report joint and muscle pain during treatment.
In rare cases, Accutane can cause more serious side effects, such as:
Effects on Mental Health: Reports of depression, anxiety, and mood changes have been associated with Accutane use.
Gastrointestinal Issues: Issues such as inflammation of the bowel may occur, although rarely.
Elevated cholesterol levels: Regular blood tests are often required to monitor cholesterol and triglyceride levels during treatment.
Other solutions for back acne
While Accutane is an effective option for severe back acne, not everyone will be a suitable candidate or may not want to take such an intense medication.
So here are some other solutions for back acne, including topical and lifestyle changes, that will help not only achieve clear skin but also prevent future breakouts:
Topical treatments
Salicylic acid: An oil-soluble acid, salicylic acid helps unclog pores and reduce inflammation, making it a popular ingredient in many acne-fighting products. The best way to use it on the back is in a spray bottle or in cleaner form.
Mandelic Acid: Another type of alpha-hydroxy acid, mandelic acid, helps exfoliate dead skin cells and reduce bacteria on the skin’s surface. The best way to use it on the back is in a spray bottle or cleaner.
Benzene peroxide: An antibacterial agent, benzoyl peroxide kills acne-causing bacteria and is available in a variety of over-the-counter topical treatments. It can be used in a cleanser or in ointment form for better results.
Retinoids: Topical retinoids help increase cell cycle and effectively prevent clogged pores. They are available in various formulations, including body lotions in larger sizes for use on the back.
Dietary Changes
Reduce foods with a high glycemic index: Foods that cause rapid blood sugar spikes can contribute to acne by making inflammation worse.
Hydration: Drinking enough water is essential for skin health, as it helps eliminate toxins from the body by improving the function of the lymphatic system responsible for detoxifying the skin.
Nutrition rich in nutrients: Eating foods rich in antioxidants, such as fruits and vegetables, can help reduce inflammation and promote clear skin.
Lifestyle habits
Regular washing of clothes and bed linen: Keeping your clothes, especially workout clothes and bedding, clean can reduce the buildup of oils and skin cells that contribute to back acne by clogging pores.
Hair care: For those with long hair, make sure to wash regularly and be careful using conditioners and leave-in products as they can build up and contribute to clogged pores on the back.
Shower after sweating: A quick shower after exercise or excessive sweating can help prevent clogged pores in the back.
Avoid tight clothing: Tight clothing can trap sweat and oil on the skin, making acne worse. Choose loose, breathable fabrics.
Avoid conditioners: Fabric softeners leave a waxy residue on clothes that can clog pores. Instead, choose fragrance-free detergent or wash non-sensitive ones with white vinegar and a few drops of essential oil to prevent build-up.
Frequent questions
Is Accutane safe for long-term use?
Accutane is generally prescribed for a limited period, often between 4 and 6 months, due to its potent nature and potential side effects.
Long-term use is not usually recommended and continued monitoring by a healthcare professional is vital during the treatment period.
Can lifestyle changes affect back acne?
Lifestyle changes, particularly diet, hygiene and clothing choices, can significantly affect the severity and frequency of back acne.
Incorporating a diet low in high-glycemic foods, maintaining good hygiene, especially after sweating, and wearing loose clothing made from natural materials can all contribute to better skin health.
Are There Immediate Cures for Sudden Back Acne Breakouts?
Over-the-counter topical treatments containing salicylic acid or benzoyl peroxide can effectively relieve acne.
Additionally, adding a retinoid-based body lotion to your body care routine helps reduce breakouts by speeding up cell turnover and preventing clogged pores.
Finally, you can also invest in professional chemical peels a few times a year to maintain clear skin.


My name is Simone and I am a board certified dermatologist. I created this site to teach my readers how to take great care of their skin and I also like to occasionally share my honest opinions on skin care products I’ve tried. You can learn more about me here.
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An extensive, no nonsense course it shows you how to never get acne againby a licensed Esthetician specializing in oily/acne-prone skin;.