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Acne on upper shoulders?

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So basically i have no acne on my lower back, but on my upper shoulders and just a tad lower i have lots of acne/scars/whiteheads.

What would be causing my acne only to be on my upper back?

I know that backpacks would cause this and tight clothing, but what else?

It might be something i'm not even realizing that i'm doing.

Please help. (:

Just for your information i wash my back with Neutrogena's Body Clear Body Wash twice a day and spot treat with BP.

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Might seem kinda silly, but possibly it's the way you sit? As im writting this I am sitting on my couch and can feel the backrest pushing into my shoulder acne. So anytime I feel this happening I just change the way I am sitting. So i guess just watch how you sit lol

this wouldnt be the cause of it though, so i guess im just wasting space, hehe

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