Effective Ways to Eliminate Neck Acne, According to Dermatologists

Acne is often associated with the face, but these stubborn and sometimes painful red bumps can appear anywhere we have pores, including our backs (bacne), scalps, jawlines, and even on our necks and décolletage.

Neck acne can be particularly bothersome because it’s highly visible, the skin in this sensitive area is delicate, and it’s prone to scarring. Below, we’ll explore some of the most common causes of neck acne, along with valuable skincare advice and treatment options to help you get rid of these unwanted bumps once and for all.

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What Are the Common Triggers for Neck Acne?

Similar to other forms of acne, neck acne has several common triggers. These can vary slightly, as noted by Azadeh Shirazi, MD, FAAD, a board-certified dermatologist and founder of skincare brand AziMD. Dr. Shirazi suggests that paying attention to visual cues can help identify the root cause.

• Hair or Skincare Products: These often present as a rash-like group of small red pimples, commonly around the hairline or back of the neck. Not thoroughly washing off lotions or skincare products daily can also contribute to neck acne.
• Hormones: Acne cysts, especially deep and painful lumps, are typical with hormonal acne or cystic nodules. Dr. Shirazi explains that this is more frequently seen in women.
• Friction/Chafing: Collars or clothing rubbing against the skin can lead to breakouts on the neck, as can shaving this area. Dr. Shirazi notes, “They’re not dry or flaky patches like other irritant rashes, but distinct red bumps.”
• Inflammation/Ingrown Hairs: “Red bumps around hair follicles are often folliculitis, which may result from shaving, ingrown hairs, or follicle infections,” says Dr. Shirazi. Shaving is often the cause of this condition.

How Can You Eliminate Neck Acne?

Identifying the cause of neck acne is the fastest way to address it. Once you pinpoint the trigger, you can remove it, allowing your skin to start healing. Below are other helpful methods to effectively clear up neck acne.

Keep Your Neck Clean

Just as you cleanse your face daily, it’s essential to clean your neck and décolletage. Even if you’re not directly applying products here, this area is exposed to hair care items, facial treatments, and (hopefully) sunscreen. Your regular face wash will work, or Dr. Shirazi suggests using CeraVe’s Acne Control Cleanser. Be sure to pat it dry with a fresh towel afterward.

“Removing your makeup and cleansing the area at the end of the day can significantly improve neck breakouts,” says Dr. Shirazi. “If you sweat or exercise, make sure to wash off right away, and if that’s not possible, I recommend using on-the-go wipes.”

Choose Soft, Clean Clothing

Also, ensure that your clothing is soft and clean, and change out of sweaty workout gear as soon as possible. Dr. Shirazi advises, “Avoid anything that creates friction on the neck skin, whether it’s from your hands or collars, as this can exacerbate acne breakouts.”

Opt for Non-Comedogenic Shampoo & Conditioner

Hair care products are known to contribute to body acne, and the neck is a prime area for product buildup. If you think this might be the issue, try switching to a non-comedogenic hair care line, such as SEEN Hair Care.

Exfoliate—But Gently!

A mild exfoliating product can help address acne, but be careful not to overdo it. “The neck’s skin is thinner and more sensitive, so excessive exfoliation can damage the skin barrier and lead to more breakouts,” says Dr. Shirazi.

Consider trying Colleen Rothschild Beauty’s Overnight Treatment, which blends azelaic acid and licorice root to fight blemishes. Alternatively, you can apply AZELAIC10, a hydrating serum that contains 10% azelaic acid. Dr. Shirazi explains, “Azelaic acid is an excellent option for treating neck acne because it's a mild exfoliant, has antimicrobial properties, and helps reduce redness and inflammation.”

Be Cautious With Perfume

Perfume can be an unexpected cause of neck acne. We often apply it directly to our necks, but fragrances are known to be irritating and drying. Dr. Shirazi advises, “Steer clear of perfume in this area and opt for fragrance-free, sensitive-skin neck products.” If you can’t give up your fragrance, try spritzing it on the outside of your clothing instead of directly on your skin.

Consult Your Dermatologist

If you're struggling with persistent, painful cystic acne on your neck that won’t seem to improve, Dr. Shirazi recommends seeing a dermatologist. They can help target stubborn bumps and create a personalized, effective acne treatment plan for you.

“If you're dealing with nodulocystic acne and topical treatments aren't working, it’s time to consult a dermatologist for oral medications like Spironolactone, as this type of acne is deep and topical treatments alone often aren't sufficient,” says Dr. Shirazi.

Acne treatments require patience, and you might need to experiment with different options to find the right regimen for your skin. Stick with it, and when in doubt, consult your dermatologist.