Overview

Baby acne, also known as newborn acne, neonatal acne, or neonatal cephalic pustulosis, is a benign skin condition commonly observed on a baby’s face and neck within the initial weeks of life. The symptoms often include small pimples, bumps, or pustules on the baby’s skin, resembling adult acne. Fortunately, this transient issue typically resolves itself without the need for treatment, and it tends to clear up within a few days to a couple of weeks, leaving no lasting scars. As a parent, there is little you can do to prevent baby acne, but rest assured that it is harmless and requires no intervention as it will naturally fade away over time.

Symptoms

Baby acne may appear either at birth or before your baby reaches 2 months of age. It often resembles mild acne seen in adolescents or adults and is characterized by small, swollen bumps (papules) in red to purple hues or pus-filled bumps surrounded by a red to purple or dark brown ring (pustules). This condition is commonly found on the baby’s face, neck, chest, and back.

Parents are advised to seek guidance from a healthcare provider if they have any concerns or worries about their child’s skin during this time. Consulting with a professional can provide reassurance and appropriate recommendations for managing baby acne.

Causes

Baby acne occurs when the pores of a newborn’s skin become blocked, leading to the development of pimples. Hormonal changes during birth or the early weeks of life are believed to contribute to this condition as the hormones from the placenta can affect the production of sebum, an oily substance that can clog the pores.

Babies’ skin can be sensitive and prone to negative reactions if anything is left on it for extended periods, particularly if there are traces of food, vomit, or drool residue. Therefore, it’s essential to promptly clean and care for their skin to avoid any potential discomfort or irritation.

Diagnosis

A healthcare provider can typically diagnose baby acne just by examining the baby’s skin; no particular tests are necessary. A formal diagnosis from a medical professional isn’t mandatory, given that baby acne is generally harmless, unless the parents have concerns about potential effects on their baby’s skin or if additional symptoms are present.

Treatment

Baby acne is a temporary condition that usually goes away on its own without treatment. Within four weeks of delivery, baby acne typically resolves naturally. Since every baby’s skin is unique, treatment recommendations from their healthcare provider may vary accordingly. If treatment is suggested, it could encompass a range of approaches tailored to the specific

needs and characteristics of the baby’s skin. These treatments may include:

  • Anti-fungal cream: like ketoconazole
  • Topical steroid: like hydrocortisone, a low-potency topical steroid.
    You can apply these products to your baby’s skin in a similar manner as you would with a lotion or moisturizer. Follow the advice of the healthcare provider regarding how often to apply the medication. Never use any over-the-counter drugs to a newborn without first consulting their healthcare provider.
    Self care: Self-care practices can be helpful in managing baby acne. Here are some recommendations for skin care when your newborn has acne:
  • Clean the baby’s face each day: Use warm water to wash the baby’s face each day. Alternate between using plain water one day and a mild, moisturizing facial soap the next.
  • Gently dry the baby’s face: Pat the baby’s skin dry. Avoid rubbing or scrubbing the affected area.
  • Avoid pinching or scrubbing the acne: It’s important not to pinch or scrub the acne as this can potentially cause more irritation or lead to an infection.
  • Steer clear of lotions, ointments, or oils: Refrain from using any products such as lotions, ointments, or oils on the affected area, as they can potentially exacerbate baby acne.

Doctors who treat this condition