How to get rid of bum spots, according to the experts

Bum or “butt” acne, as it is often referred to, has to be one of the most unpleasant – and painful – kinds of breakouts you can experience. 

It’s probably more common than you realise, even if it does leave you a little red faced to talk about. 

If you do happen to be prone to a spotty bottom, we sought expert advice from three dermatologists on the how to avoid and treat the pesky condition, just in time for your summer holiday.

What causes butt pimples? 

Despite what you might think butt pimples are not actually considered acne.  

“Whilst they make look like acne, bum spots are usually caused by another skin problem – folliculitis, a common condition in which hair follicles can become blocked, inflamed and infected, leading to a spotty rash that can become very itchy at times,” says Dr Anjali Mahto, a consultant dermatologist at Cadogan Clinic and author or The Skincare Bible. 

The difference is in the role of sebum production, explains dermatologist and founder of Meder Beauty Science, Dr Tiina Meder. “Acne of the chest or back is linked to the hyperproduction of sebum, however the lower part of the body is not. Therefore, using skincare products designed to treat acne on the face will not help treat bottom acne because the majority of these products contain ingredients like retinol and its derivatives that decrease sebum production.”​

Dr Gabriel Serrano, dermatologist and founder of cult Spanish skincare company Sesderma, adds that while acne of the face, chest or back is often due to “hormonal reasons, or simply genetics,” folliculitis (or spots on your bum) is likely to be triggered by wearing and sweating in tight clothing made of non-breathable lycra or polyester, which can allow bacteria and dead skin cells to penetrate your pores.

The athleisure wear trend doesn’t help matters, says Dr Mahto. “Sitting around in tight, synthetic, occlusive clothing can be the cause. Gym kits should ideally be left for the gym and not regular daywear!”

How to avoid breakouts

Take these simple steps to prevent and treat unwanted bottom breakouts.

1. Open up those pores 

You want to try and keep your pores as unclogged as possible, so dermatology nurse Emma Coleman suggests using a warm compress to help open everything up.  

This could be a damp or hot towel, says Dr Serrano, who recommends doing so before getting the shower, “this will allow for a deeper cleanse,” he explains. 

2. Use an antibacterial​ body wash

Dr Mahto recommends investing in an antibacterial soap and remembering to “thoroughly wash regularly,” and always change your clothing right after working out,” she adds.  

Meanwhile, Dr Serrano’s tip is to wash your body last in the shower: “This will help rid any excess shampoo and conditioner which can cause irritation of the skin thus exacerbating the condition,” he says. 

3. Exfoliate, but gently 

Body brushing is a popular wellness ritual, but Dr Meder warns that skin infections and irritations can also be caused by overly harsh body cleansing or brushing with an abrasive loofa, sponge or body brush, so remember to be gentle.

The same applies for when choosing a scrub, says Dr Serrano: “While it’s important to remove dead skin to prevent spots, it’s also important not to strip away too many of your natural oils, so a good balance when using scrubs is essential.  

“Scrubs that contain particles with rough edges can scratch and damage your skin, causing more inflammation and irritation. 

“Exfoliating too harshly, which many people tend to do, can demolish the protective barrier, leading to reddened and irritated skin, and once removed, the skin is exposed to environmental toxins that can cause spots,” he went on.

Instead he recommends using glycolic acid, a chemical exfoliant, which he calls a “miracle ingredient” which will not only exfoliate your skin, but also keep it hydrated.

4. Use the right moisturiser

Just like if you’re prone to acne on your face, it’s important to moisturise your skin but avoid thick moisturisers which can clog pores. Look for ingredients like aloe vera, vitamin E and and glycolic acid, which has a low molecular weight and so can penetrate deep  into the skin, says Dr Serrano.

Finally, he adds, where possible remember to keep moving. “Sitting down for long periods of time means that your bottom doesn’t have a chance to breathe. Try setting an alarm to remind you to move around at work, or perhaps offer to make a tea round and take a walk around the block at lunch, to up your daily step count.”

So the good news is, most cases of butt acne are easily treatable, according to the experts.