Acne located on the face, chest and back in men can be a side effect of testosterone replacement therapy (TRT).  Testosterone promotes acne in both sexes by activating the skin’s sebaceous (oil) glands. However, most men who suffer with acne have no identifiable trigger. This can be frustrating. The most efficient and effective acne treatments are easily obtained by consulting a dermatologist who can customize a skin care routine according to your skin type, personal preferences and lifestyle.

A dermatologist may suggest the following:

Topical antibiotics in the form or gels, cleansers and lotions (clindamycin, sulfa, dapsone, minocycline)

Topical retinoids such as adapalene (known as Differin gel, available over-the-counter), retinol, and prescription topical retinoids like tretinoin (Retin-A and others) and tazarotene (Tazorac cream and gel). 

Oral acne medications such as tetracycline antibiotics (ie, minocycline, doxycycline, saracycline). For severe acne associated with scarring, Accutane (isotretinoin) may be prescribed.

Over-the-counter products are widely available and include benzoyl peroxide, salicylic, lactic and glycolic acids (available in cleansers, creams, lotions) and silicone pads.

Usually acne pimples located on the back and chest are best treated with prescription pills. This is because acne found on these body areas tends to be more difficult to treat. A dermatologist can be very helpful in formulating an effective treatment regimen for those who require prescription medication.