The Back Regimen Perform twice per day

Optimal efficacy achieved only when followed exactly as directed.
  • Effective
  • Detailed
  • Back acne treatment guide

(click here for the moderate to severe regimen)

My light to moderate Back Regimen is a two step process that uses over-the-counter products. The products I use are important, but how I apply them and how much I use is of equal importance.

To get started you'll need a gentle cleanser and plenty of 10% alpha hydroxy acid (AHA). In my experience, an AHA which also contains licochalcone works best. These products, when applied correctly using the step-by-step instructions on this page keep me clear. But keep in mind that my back acne is only light nowadays. When it was moderate to severe, I needed a regimen which incorporated both benzoyl peroxide and AHA.

My acne started on my face. In high school and especially in college the acne spread to my body, particularly my back area. I tried everything I could including salicylic acid washes, medicated body scrubs, antibacterial washes, retin-a, antibiotics, and finally Accutane. The Accutane cleared up my back acne, but only temporarily. Upon completion of Accutane, my back acne came back, albeit to a lesser degree. Through years of trial and error, I finally developed a back acne regimen that helped keep my body acne under control without side effects. I'm happy to share it with you guys so you can avoid the long term side effects from Accutane that I live with.

Gentle body wash: A gentle cleanser will help prep your back for topical treatment by removing surface oils that will allow the topical products to work as indicated. Washing very gently is important as it helps reduce irritation. In back acne, just like in facial acne, avoiding irritation is extremely important.

For me, 10% alpha hydroxy acid with licochalcone keeps my light back acne under complete control. Alpha hydroxy acid rapidly exfoliates the surface of the skin, which helps bring new cells to the surface. Licochalcone calms and soothes the skin.

Wash Gently (in the shower works best)

  • Vital: When washing, your fingers should gently glide over your skin.

    [Medical research shows reducing irritation is vital to clear acne.]

How
Why
dispense

A.

How

Dispense a generous amount of cleanser into your palm and get a good lather going. If using Acne.org Cleanser, use 2 full pumps.

Why

Using a generous amount of cleanser will allow you to generate a good lather. The more lather you generate, the more easily your hands will glide across your skin, thereby reducing irritation.

lather

B.

How

Gently wash each side of your back for only 5 seconds and with a gentle touch.

Why

Cleansing is necessary because it removes surface oils which allows the alpha hydroxy acid (AHA) to penetrate, but you can easily achieve this goal with bare hands and only a few seconds of washing. Washing for this short a period of time reduces irritation and is one of the most important steps in The Back Regimen.

Note: Washcloths are far too irritating and should be completely avoided.

dry

C.

How

Upon exiting the shower, gently dry your back. Do not rub. Just let the towel sit on your skin and absorb the wetness. You may not get it completely dry with the towel this way, but that's preferable to irritating rubbing.

Why

Anything which rubs, scratches, or scrubs the skin can cause irritation. Stay very gentle with your towel.

wait

H.

How

Wait 10-15 minutes until your skin is completely dry. Feel free to do other normal daily activities during this time.

Why

Letting your skin dry completely allows the AHA to absorb. Do not apply the AHA until your skin is completely dry.

Apply 10% alpha hydroxy acid (AHA)

How
Why
wash hands

A.

How

Wash and dry hands.

Why

This helps remove any oils that may have accumulated on your hands. Exposure to oils can aggravate acne.

wash hands

B.

How

Dispense one thick finger's length worth of alpha hydroxy acid (AHA) cream or gel to each side of the back.

Why

The back is a large area and requires a lot of AHA to properly treat. Don't skimp!

avoid eyes

C.

How

Apply very gently, allowing your hand to gently glide over the back until the AHA is more or less absorbed.

Why

Staying super gentle reduces irritation.

Tips

backpack Backpacks: Reducing irritation is important in clearing acne. But let's face it, you have to sit in chairs and wear clothes, so something will be touching your back much of the day and there's no need to obsess about it. Backpacks in particular, however, can create more direct and ongoing irritation which may aggravate back acne in some people. You may want to try carrying your stuff in something other than a backpack until you are clear on this regimen. At that point, you can start wearing your backpack and see if you stay clear, or if a backpack in your case is simply too much irritation.

fabric softner Fabric softener: Fabric softener can leave a waxy residue on clothing and while there exists no research on the topic, this theoretically may aggravate acne. Anti-static balls may be an alternative. You can google "anti-static balls" to find them.

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