Banishing Butt Acne & Scarring: Effective Strategies and Expert Tips

Dr. Evan Goldstein

March 08, 2024

Many of us experience butt acne and scarring for various reasons, and it can significantly affect us both physically and mentally. For those involved in butt play, it's particularly concerning as you aim to feel and look your best. Confidence allows you to fully engage without worrying about your partner's perceptions. However, whether you're interested in anal play or not, butt acne can cause discomfort and embarrassment. The good news: prevention and treatment methods exist. Here's a hole-istic guide to address it and regain your confidence in and out of the bedroom.

Causes of Butt Acne & Acne Scarring

So, what causes butt acne and acne scarring? Unfortunately, there can be many culprits, and sometimes they work together. They include:

  • Sweating: Your booty is where the sun doesn’t shine, and moisture tends to lurk down there, especially after working out. Some people notice itchiness, when they stay in their gym clothes or bathing suits for too long, and others notice visual manifestations — like tiny red bumps and pimples — from not showering and properly cleansing the skin after a sweaty activity. If someone is hairy, the combination of sweat and hair can cause further irritation to the skin.

  • Friction: There’s good friction (sex with plenty of lubrication) and bad friction (clothes or sheets excessively rubbing up against skin and body hair). The latter has a tendency of causing redness, chafing, bumps, and even acne.

  • Poor Hygiene: Much like properly washing your face has a huge impact on facial acne, properly washing your booty — especially in between the cheeks — is essential for helping fight butt acne. We need it to be clean and dry. This includes properly moisturizing without feeling greasy and oily (more on that below). Bacteria is ridden in everything we do, own, and wear. Our bodies, most of the time, can keep the balance between the good, the bad, and the ugly. It’s when the imbalance is present that one can have negative consequences. And it’s not only bacteria, it’s also fungal and viral infections that can manifest from poor overall hygiene.

  • Shaving and grooming: Shaving, waxing, sugaring, and chemical hair removers (like Nair) can all cause skin irritation and ingrown hairs, which often result in butt acne. These methods of hair removal are traumatic to the skin, and if they aren’t done by a professional who specializes in hair removal in intimate areas, you run the risk of developing painful red bumps or pus-filled pimples when the hair grows back in.

  • Wet wipes: People use these because they like the freshly-showered feeling post-poop, without the hassle of actually having to shower. Unfortunately, many patients come to me with itchy, irritated booties and most frequently use wet wipes. Wet wipes do two things: they produce excess moisture, and they wipe away both the good and bad bacteria (called the anal microbiome), which creates an imbalance in this otherwise harmonious relationship. The result? Skin irritations, itching, butt acne, and even an HPV or Herpes outbreak.

  • Proper skin hydration: Some people use moisturizers that include irritating ingredients for sensitive skin, or they’re so thick and occlusive that they can clog your pores and make your skin excessively greasy, making it the perfect breeding ground for acne.

 

How To Get Rid of Butt Acne

Now, onto some good news: let’s talk about ways you can clear up your skin and glow from head to toe (and everywhere in buttween).

1. Upgrade Your Hygiene

Just because it’s your booty doesn’t mean it doesn’t deserve the same TLC your other body parts do. Here are some ways that you can pamper your booty and protect it against acne:

  • Shower after working out: I cannot stress enough how important it is to shower right after you exercise, which helps prevent sweat from accumulating and festering on your skin, especially when it’s trapped in sweaty underwear. Some people may exhibit physical manifestations of irritation, like itching, while others may only experience acne. Either way, getting out of those sweaty clothes, into the shower, and then into fresh clothes is a great place to start to get rid of butt acne.

  • Shower at night before bed: There are few things grosser than hopping into bed while still wearing the day’s leftover poop, sweat, and grime. No matter how clean you think you were during the day, showing before bed is a must. I love a nighttime scrub routine and make sure you get every nook and cranny (yes, even in between your cheeks). Then, be sure to fully dry yourself off before leaving the bathroom. I love using a hair dryer because it helps ensure you’re completely dry, and finishing with a soothing cream to help moisturize the skin. How you sleep is up to you, but I recommend sleeping naked, or at least in very loose clothing, which helps to let everything breathe. If you sleep in clothes, make sure you also let your moisturizer dry completely before pulling up whatever you’re wearing on bottom.

  • Change your underwear regularly: Believe it or not, I have so many patients who re-wear the same underwear for a couple of days or after working out. This is a recipe for butt acne because you’re subjecting your genitals to constant interaction with poop, sweat, and other particles that can cause irritation and acne. Not only do I recommend changing into a new pair of underwear at least once a day, but I also want people to get into the habit of replacing underwear regularly, especially ones that have dri-fit technology because repeatedly washing them will cause features like this to stop working.

  • Change your bedding regularly: This is another habit that people should abide by. Sure, changing and washing sheets can be a pain in the ass, but not as big of a pain in the ass as butt acne and other skin irritations. Frequently changing your sheets and pillowcases will help avoid bacterial buildup, which can irritate the skin. Same goes for towels.

 

2. Switch to Breathable, Loose Clothing

This simple trick can make a big impact on your skin. Tight clothing can cause unnecessary friction, and can trap sweat, dirt, and feces on the skin, which can all cause butt and body acne to develop.

This applies to being out and about, as well as while you’re sleeping. For the latter, sleeping naked isn’t just about feeling sexy (though that’s definitely a benefit) — it actually serves the same purpose: helping reduce skin irritation and potential butt and body acne. It’s easy for moisture to get trapped in between the cheeks, especially when it’s warm and you’re wearing clothes or using heavy sheets that don’t breathe.

Light, airy, breathable fabrics can help minimize friction and irritation by keeping the skin cool, calm, and dry. Great choices for sheets, underwear, and clothing include linen and cotton because they keep air flowing. Even better, if you can find sheets and underwear with dri-fit technology, these were made to do an even better job at wicking away moisture during even the sweatiest of activities.

The cleaner and dryer you can keep your skin, the less likely it is to become irritated.

 

3. Exfoliate Your Booty To Remove Buildup

Butt acne is a big reason why we launched our fan-favorite Butt + Body Scrub three years ago, and is why we have enhanced our formula with even more acne-fighting ingredients. Our new and improved formula helps:

  • Unclog Pores: Exfoliating the skin on and in between your butt cheeks helps to remove dead skin cells and other impurities that can clog pores. By unclogging the pores, you reduce the likelihood of acne breakouts as it prevents the accumulation of debris and bacteria that contribute to acne formation.

  • Promote Skin Renewal: Regular exfoliation stimulates the skin's natural renewal process. By removing the outer layer of dead skin cells, you encourage the growth of new, healthy skin cells. This not only improves the overall texture of your skin but also reduces the chances of developing acne by maintaining a smoother and more balanced skin surface. Yes, even your booty benefits from this!

 

4. Try A Warm Compress

If you’re experiencing an active breakout on your booty, I recommend taking a warm Epsom salt bath (also known as a sitz bath), or applying a warm compress to the area. Benefits include:

  • Reducing Inflammation: Warm compresses increase blood circulation, open up pores, and soothe the skin, reducing inflammation associated with butt acne.

  • Promoting Pore Opening: The heat from warm compresses helps to open pores, facilitating the release of trapped oils, dead skin cells, and bacteria, which aids in preventing and treating butt acne.

 

5. Remove Allergens From Your Routine

Besides products that we use topically on the skin, there are other products that linger on fabrics and clothing that can also cause irritation and acne. You’ve probably noticed laundry detergents that are free and clear of dyes and fragrances. That’s because some people’s skin is so sensitive that these potential allergens can affect the skin. If so, you should consider hypoallergenic alternatives.

 

6. Try a Gentle Home Remedy

A spa day for your booty? Yes, please! There are other natural remedies that you can use on your delicate behind to help spot treat sudden breakouts (and help prevent breakouts from starting in the first place):

  • Tea Tree Oil offers many benefits, including antibacterial and anti-inflammatory properties, which help fight bacteria, and reduce redness and swelling, as well as the ability to unclog pores and regulate oil production.

  • Aloe Vera is known as having anti-inflammatory, antibacterial, antiseptic, and moisturizing properties, which work together to help prevent the growth of bacteria that causes breakouts, reduce the effects of acne, as well as keep the skin hydrated without clogging the pores. It also helps promote healing, which can assist in the recovery of breakouts and preventing scarring.

  • Witch Hazel contains tannins, which creates its astringent qualities that help tighten the skin’s pores, reduce sebum production, and remove excess oil, all together preventing clogged pores and breakouts.

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What Not to Do for Your Butt Acne

We’ve discussed what to do, but now it’s time to educate you on what not to do when you suffer from butt acne.

  • Avoid Harsh Scrubbing: Refrain from harsh scrubbing or aggressive exfoliation, as it can irritate the skin and worsen butt acne. Instead, opt for a gentle scrub that utilizes different types of exfoliants to target skin imperfections without causing more.

  • Don't Pick or Squeeze: For some people, this one is hard to do, but try to resist the urge to pick, squeeze, or pop butt acne lesions, as it can lead to scarring, infection, and prolonged healing.

  • Avoid Tight Clothing: Steer clear of tight-fitting underwear or clothing that may cause friction, as it can exacerbate irritation and contribute to acne development. When grime and moisture get trapped on the skin, there isn’t a way for the skin to heal and can even cause more acne.

  • Skip Heavy, Occlusive Products: Avoid using heavy, occlusive creams or oils on the buttocks, as they may clog pores and worsen acne. Similar to tight clothing, it’s crucial for your skin to be able to breathe.

  • Don't Overuse Harsh Chemicals: Believe it or not, there’s a fine balance between essential cleansing and over cleansing. That’s why it’s best to refrain from overusing harsh chemical products, as they can strip the skin of natural oils, leading to increased irritation and potentially worsening acne.

 

How to Get Rid of Butt Acne Scarring

What happens when you’ve already experienced butt acne, and now you’re looking for ways to reduce and remove acne scarring in sensitive areas, like on your booty?

  • Adopt a new nightly routine: Use the Future Method Butt & Body Scrub daily to help remove any old, dead skin so that you can reveal newer, younger and brighter skin that is free of acne and acne scarring. Follow up with the Future Method Butt + Body Smoothing Cream to help moisturize the skin and resurface the skin barrier. Key ingredients have been known to improve calmness and reduce irritation.

  • Topical Treatments: Use ones containing ingredients like vitamin C, retinoids, or alpha hydroxy acids to promote skin cell turnover and fade scars gradually. Just make sure to spot test to make sure you don’t experience any reactions. Sometimes acids can be quite harsh on the delicate anal skin, especially if the concentration is high.

  • Moisturize Regularly: Keep the affected area well-moisturized with a non-comedogenic moisturizer to improve skin texture and reduce the appearance of scars.

  • Sun Protection: Protect the scars from sun exposure by applying sunscreen regularly, as UV rays can worsen pigmentation and hinder the healing process.

  • Professional Treatments: Consult a dermatologist for advanced treatments such as laser therapy, microdermabrasion, or chemical peels to target stubborn butt acne scars more effectively. Early evaluation is critical because if your doctor prescribes topical or oral medication early enough, you can prevent acne scarring from happening in the first place.

 

Key Takeaways for Your Booty

By adopting a gentle cleansing routine, implementing preventive measures, and addressing acne scars with appropriate remedies, you can confidently bid farewell to butt acne and embrace healthier, scar-free skin. Unlock the path to smoother, blemish-free buttocks with our recommended regimen: the Scrub + Soothing Cream Kit. By incorporating these targeted products into your skincare routine and embracing our outlined tips, we hope you will find a renewed sense of booty and body confidence.

About the author

Dr. Evan Goldstein is the Co-Founder of Future Method and the Founder and CEO of Bespoke Surgical, the leading private practice in health and wellness for gay men. He received his MD from the University of Medicine and Dentistry School of Osteopathic Medicine. Dr. Goldstein is the go-to butt and bottoming expert, having been published in Huffington Post, Men’s Health, Healthline, and more. Learn about Dr. Goldstein by visiting his practice, bespokesurgical.com.

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