Newborns Can Get Acne Too! What You Need to Know About Baby Acne

Learn everything you need to know about baby acne, including what causes it, how to treat it, and when to see a doctor. This comprehensive guide is a must-read for new parents.

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First-time mums-to-be usually have a vision of what their baby would look like once born. But did they factor in baby acne? We think not.

An adorable little face, perfect fingers and toes and petal-smooth skin are just a few of the features mums-to-be dream about. And dreams turn to reality when the new mummy sees her little one’s cute face and tiny digits… but when it comes to smooth newborn skin, a parent’s hopes may be dashed more often than not.

When your little one is born, don’t be surprised if you notice his skin is worse than a teenager’s. Yes, baby acne is real and very common, and there is nothing to worry about.

Still, it’s best to arm yourself with plenty of knowledge about this skin condition to avoid unnecessary anxiety.

What Is Baby Acne? 

Baby acne is a condition that causes red and white bumps on a baby’s skin. These bumps are often found on the cheeks, forehead and chin.

“It’s common for acne or rashes to develop on newborn’s faces, and they are generally benign and without too much cause for concern,” said Dr Lee Hwee Chyen, Medical Director and Consultant Dermatologist at Epi Dermatology & Laser Specialist Clinic.

Baby acne is not serious and will go away on its own without treatment. However, it can be upsetting for parents to see their babies with acne-like bumps on their faces. Baby acne usually starts around two months old and goes away by about three months. Most babies grow out of baby acne by one year old.

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What Causes Baby Acne?

Image source: iStock

According to Web MD, recent research suggests that baby acne may be connected to yeast rather than oil production. The experts also mention that the condition is “often caused by exposure in the womb to maternal hormones.”

Baby acne is most commonly seen on a little one’s forehead, nose and/or cheeks, and sometimes on the back. It is a common yet temporary skin condition.

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There are many theories about what might lead to baby acne, including:

  • Genetics

One of the most significant determinants is whether or not your child will develop acne is genetics. It determines how sensitive your child’s skin is and how quickly it regenerates, so if your family has a history of adult acne, your toddler will likely experience some form of it too.

  • Environmental Factors

Another factor that causes baby acne is environmental factors such as pollution and humidity levels in your area. If there are high levels of these things where you live or if they tend to fluctuate significantly from season to season or day to day, you might want to consider moving to protect your child from exposure as much as possible.

  • Exposure to Hormones in the Mother’s Bloodstream

The exact cause of baby acne isn’t known, but it’s thought that hormones in the mother’s body may be responsible for the breakouts. The mother’s hormones cross the placenta and enter the baby’s bloodstream, increasing the amount of oil on the skin.

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  • Bacteria

Bacteria also play a role in baby acne. Babies often have higher levels of bacteria than adults because they spend more time on their faces when lying on their backs or sitting up—and those are prime spots for bacteria to grow!

  • Irritation From Saliva, Spit-Up, and Sweat

One common cause of baby acne is irritation from saliva, spit-up, and sweat. Saliva contains lipids that can clog pores and cause inflammation, which leads to acne breakouts. Spit-up also contains lipids and can create blockages in the pores, leading to pimples on a baby’s chin or cheeks.

Sweat also has chemicals similar to those found in lipids and can cause an increase in skin oiliness and grease production, which may also lead to acne breakouts.

What Does Baby Acne Look Like?

Similar to acne that appears in adults and teenagers, baby acne looks like pimples — red bumps, white pustules or even whiteheads. Sometimes, the bumps are surrounded by reddened skin, according to Healthline.

Many babies also get little white bumps on their noses, cheeks or chin, known as milia. These emerge when dead skin cells are trapped within tiny pockets of skin. They are unrelated to baby acne and, according to paediatricians, do not need treatment.

When Does Baby Acne Appear?

While you might notice acne on your little one’s face at birth, medical experts think it usually develops two to four weeks after birth.

It can last anywhere from a few days or weeks to several months.

Baby acne can look like actual pimples, or as in this image, red bumpy patches on the skin.

What Could Aggravate Baby Acne?

You may notice an increase in this skin condition if your baby is fussy or cries a lot. Also, rough fabrics may irritate and worsen the acne, as can saliva or spit-up on the skin if left there for too long.

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How Long Does Baby Acne Last

The answer to this question depends on several factors, including the severity of your child’s acne. If your baby has mild to moderate acne, it may clear up within six months. However, severe cases can last for years.

What Does Severe Baby Acne Look Like

How do you know if your baby’s acne is severe? Several signs indicate when it’s time to see a dermatologist:

  • The acne is widespread (i.e., it covers the entire body)
  • The skin around the acne is red or inflamed
  • The pimples are large and deep
  • There are multiple pimples on one area of the face or body

Can Baby Acne Be Prevented or Treated?

Unfortunately, there’s not much you can do to prevent baby acne. But the good news is that it almost always clears up on its own — and without scarring — say the medical experts at Mayo Clinic.

While it usually doesn’t linger on for more than a few days or weeks, sometimes it persists for months. In this case, some paediatricians may recommend treatment in the form of a medicated cream or ointment that could help get rid of the acne.

Do not use over-the-counter ointments or other acne remedies available in pharmacies. Your baby’s skin is susceptible and may react with a worsening of the acne or even another, far more serious skin condition.

What Can You Do to Help Your Baby’s Acne Until It Clears?

“There are several steps parents can take to manage and alleviate these conditions,” said Dr Lee.

“They can begin by cleaning the area with mild, fragrance-free baby soap and gently patting the area dry. Choosing soft, breathable fabrics for the baby’s clothing and bedding will also help to further reduce friction and irritation.

Conversely, excessive rubbing or scrubbing, along with harsh soaps or lotions, should be avoided as this may exacerbate the severity of the acne and rashes,” she advised.

How to clear up baby acne?

Here are a few things you can do to keep your little one’s skin as healthy as possible while waiting for his acne to clear, as recommended by Healthline.

1. Do not squeeze the pimples

Doing this will only irritate your baby’s tender skin and worsen the condition.

2. Keep your little one’s face clean

Wash your baby’s face daily with warm water and a soft cloth, or just use your hands during bath time to gently clean your little one’s skin.

3. Avoid scrubbing

Rubbing your baby’s skin with a washcloth could worsen the acne and hurt his skin. Instead, gently sweep a warm wet washcloth over your baby’s face in a circular motion.

4. No lotions

These could worsen the acne, so skip the lotions until your little one’s skin clears. However, some mums say applying a little expressed breastmilk to the acne can help.

5. Be patient

You might be itching to try various ways of getting rid of your baby’s acne, but only time can heal, so be patient.

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Does Breast Milk Help Baby Acne

Baby acne is a common skin condition that affects many newborns, and parents often search for natural remedies to alleviate it. One such remedy that has gained popularity is using breast milk to treat baby acne. But the question remains, does putting breast milk on your baby’s face help?

According to a health article on Healthline, using breast milk to treat baby acne has benefits because it is natural, free, widely available, and gentle on a baby’s sensitive skin. Breast milk contains lauric acid, which has antimicrobial properties that can help to fight the bacteria causing acne. It also has anti-inflammatory properties that can reduce redness and swelling associated with acne.

However, there is limited scientific evidence to support the effectiveness of breast milk in treating baby acne. A study published in the Journal of Clinical and Aesthetic Dermatology found that breast milk was effective in reducing the severity of infantile seborrheic dermatitis, which is similar to baby acne, but the study had a small sample size and more research is needed to confirm the findings.

In conclusion, while there is anecdotal evidence to suggest that breast milk may help to treat acne, more research is needed to confirm its effectiveness. Parents should always consult with their paediatrician before using any natural remedies on their baby’s skin.

When to Call a Doctor

If you are worried about your baby’s acne, seek a doctor’s opinion without delay. You could even bring it up during your baby’s regular check-ups.
In some babies, baby acne may be confused with an allergic reaction or even eczema. Your baby’s paediatrician can determine if this is the case and suggest appropriate remedies.
“If these conditions continue to persist despite these measures, consultation with a paediatric dermatologist is recommended as prescription medications may be required,” finished Dr Lee. 

Updates from Pheona Ilagan

Here at theAsianparent Singapore, it’s important for us to give information that is correct, significant, and timely. But this doesn’t serve as an alternative for medical advice or medical treatment. theAsianparent Singapore is not responsible for those that would choose to drink medicines based on information from our website. If you have any doubts, we recommend consulting your doctor for clearer information.

Written by

Nalika Unantenne