How can a person get rid of really bad back acne?

Bacne is a cruel thing! I'm actually asking this for a friend of mine, who's a guy (I'm a girl--but we're really just friends but good friends). He's a really nice guy and has lots of good qualities but he's got really bad BACNE and I know he's embarrassed and that it totally affects his confidence. He had a really bad experience with Accutane and the thought of having to do that again really freaks him out and I'm afraid he's kind of resigned himself to living with it because his family has tried all of these homeopathic and naturopathic methods because they're unaware, basically. I want to help him and I want to help his parents understand that there's something that will work--we just have to find out what it is. I hope you can help. (I hope I explained it well!)

Most of the time the treatment involves dermatologist visits and potential medications, so that is where you start.  There's no plastic surgery for acne.

Good morning!

I couldn't agree more! Acne of the back is not only scarring physically, but emotionally.

As a board certified dermatologist, I would assume your friend has already tried various topical prescription agents if he has already taken Isotretinoin (previously known as Accutane). With that said, I would advise he continue his fight against his acne if he chooses he wants to. Caring for a friend with any health or appearance issues that can lower their confidence can be a struggle on both sides of the relationship, but he must be ready to start a new journey of trial and error to find the right provider and the right treatment plan. As a side note, we have seen good success in improving recalcitrant body acne with a cosmetic peel called the VI peel. It is a medium depth chemical peel that has shown substantial improvements in one session, and continued results after multiple. 

All in all, it is difficult to say whether or not he can completely rid his skin of acne, but there are certainly providers out there that are willing and able to help when he is ready.

Best of luck to you and your friend,

Jeanine Downie, MD