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Mads TimmermannSkincare specialist
Skin science

Acne mechanica

Also called: Friction acne, Sports acne

Acne mechanica is acne or acne-like breakouts triggered by repeated friction, pressure, heat, or occlusion against the skin.

At a glance

  • Common triggers include helmets, hats, masks, tight collars, sports gear, straps, and sweaty clothing.
  • It often appears exactly where the rubbing or pressure happens.
  • Reducing the physical trigger matters as much as choosing the right cleanser.
On this page

The short answer

Acne mechanica means breakouts triggered by mechanical stress on the skin.

The classic description comes from acne caused by pressure, rubbing, heat, and occlusion[1]. In normal life, think helmets, chin straps, sweaty hats, tight collars, sports gear, and backpack straps.

How to use the word

Acne mechanica usually shows up where the physical trigger sits.

That is the clue:

  • forehead bumps under a helmet
  • jawline spots from a chin strap
  • shoulder or back acne under sports gear
  • cheek bumps where a mask or phone rubs

Acne guidelines[2] still matter for treatment options, but the first step is practical: reduce the trigger. You cannot salicylic-acid your way out of a dirty helmet liner forever.

Mads's practical read

When the breakout follows a friction pattern, fix the friction pattern.

Then use a gentle acne routine. The skin usually improves faster when you stop creating the same irritation every day.

Keep reading

Common questions

What causes acne mechanica?

Repeated pressure, rubbing, heat, sweat, or occlusion can trigger breakouts, especially in people who are already acne-prone.

How do you treat acne mechanica?

Reduce the friction first, cleanse gently, wash gear and clothing, and use acne actives such as salicylic acid only at a tolerable frequency.

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Citations

  1. Mills OH Jr, Kligman AM. Acne mechanica. Arch Dermatol. 1975;111(4):481-483. - PMID 123732
  2. Zaenglein AL, et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2016;74(5):945-973. - PMID 26897386