How to Get Rid of Hairline Acne: Treatments and Causes, According to Dermatologists
Stocksy
Medically reviewed by Morgan Rabach, MDFact checked by Anna Harris
Acne doesn’t discriminate and will gladly grace any and every patch of skin (for us, it's usually the most visible and hard-to-cover spots, IYKYK). Pimples can pop on your chin, forehead, cheeks, and even on your back or chest. But have you heard of hairline acne? It's not out of the norm for breakouts to crop up right in the area where your hair meets your forehead.
This type of acne can feel quite difficult to treat, especially when you’re not sure what causes it, but luckily with the right treatment, you can make it a thing of the past. We spoke to three dermatologists to help us figure out why people break out along their hairline, what to do to prevent it, and the best skincare treatments to help get rid of hairline acne. Keep reading to hear what they had to say about acne on your hairline.
Meet the Expert
Naissan O. Wesley, MD, FACMS, CV, is a board-certified aesthetic and surgical dermatologist based in Beverly Hills, California.
Purvisha Patel, MD, is a board-certified dermatologist, MOHS and cosmetic surgeon, and the owner of Advanced Dermatology and Skin Cancer Associates in Memphis. She is also the founder of Visha Skincare.
Iris Rubin, MD, is a Harvard-trained dermatologist and the founder of SEEN Skin & Hair Care.
Different Types of Hairline Acne
While any type of acne symptoms can, conceivably, break out along the hairline, some types are more common than others.
Inflammatory papules: "I find it is common to see inflammatory papules, which look like pink bumps or pimples," says Naissan O. Wesley, MD, a dermatologist in Beverly Hills. "However, any type of acne can be found, including comedones, which is the medical term for blackheads and whiteheads, pustules, and cysts."
Fungal acne: While this condition is not technically acne, it does result in breakouts due to pores clogged with a buildup of yeast. "There is a condition called Pityrosporum Folliculitis that is caused by the fungus that causes dandruff. Overgrowth of this organism on the scalp can spill down onto the forehead/hairline, behind the ears, and back," explains Memphis-based dermatologist, Purvisha Patel, MD. "It presents as small bumps on the skin and even tiny clogged pores. Using hair products with coconut oil or olive oil makes this type of acne appearing eruption worse, and acne products such as benzoyl peroxide are not as helpful to combat it."
Causes and Prevention of Hairline Acne
Hairline acne, like any other form of acne, occurs when hair follicles (or pores) become clogged with a combination of excess sebum and debris. While debris like dead skin cells or makeup that hasn’t been washed off typically leads to the formation of acne on parts of the face, hairline acne is often the result of debris from hair product buildup, sweat, and dirty fabric rubbing up against the skin, like from a hat.
Hair products: "Breakouts around the hairline are most commonly due to hair product clogging pores, known as 'pomade acne,'" explains Dr. Wesley. "Pomade acne is typically due to buildup of oils near the hairline as a reaction to the hair product, or from clogging of the pores from the product itself." Additionally, while sodium laureth sulfate is well known by many to be a blacklisted ingredient for its drying tendencies, many other haircare ingredients can lead to clogged pores: "Do not use personal hygiene products such as hair products with edible ingredients if you are acne-prone/have oily skin," explains Dr. Patel. Common pore-clogging ingredients in hair care include oils and butters, like marula oil, flaxseed oil, and avocado oil. A good rule of thumb to follow: if it tends to clog the pores on your face, don’t assume that it won’t clog the pores on or around your head, hairline included. According to dermatologist, Iris Rubin, MD, there is conflicting data on whether silicones clog pores. Silicones may have the potential to clog pores in combination with certain other ingredients that they can “trap” on the skin, due to their occlusive nature.
Dirty fabric/materials: The items we wear around our heads, like hats, headbands, scarves, or helmets, says Dr. Wesley, can contribute to clogged pores when sweat or dead skin cells build up on them, especially as they rest close to the skin. She lists "friction or occlusion from things like headbands, hats, or helmets," among factors that can lead to clogged pores, along with "pulling the hair back too tight."
Folliculitis: In addition to the hairline, bumps and breakouts can sometimes be found on the scalp, which may point to a condition known as folliculitis. "If the pimples are also located on the scalp and continue to the hairline, it may be due to folliculitis, which is an inflammation or infection of the hair follicle," Dr. Wesley says. Treating your breakouts is made much easier when you know the exact cause of the symptoms, so spotting the difference between pimples and other conditions can go a long way in your skin’s recovery.
Dirty scalp and hair: "Hairline breakouts are most commonly caused by not washing the scalp/hair as often, or using products with edible ingredients that can increase microbial growth," says Dr. Patel. The best way to clean your hairline? Wash your entire scalp and hair. "The hairline is easily skipped on face washing and is better cleaned with shampooing the hair" she adds. Additionally, anything that comes into contact with the hairline, like headbands or hats, should also be washed regularly, just as you would with your pillowcases and towels.
Poor diet: Our skin is the largest organ on the body, and the healthy habits we practice regularly can benefit the complexion, especially if you have acne. "Drink six glasses of water every day, get eight hours of sleep every day, take a multivitamin daily, take a probiotic daily, and decrease consumption of inflammatory foods such as sugar and dairy," says Dr. Patel. "These foods in the diet tend to make acne—and hairline acne—worse."
Treatments for Hairline Acne
Treating hairline acne should be handled the way any treatment would— by understanding the underlying cause of the breakouts, followed by actionable measures to rid your skin of the problem.
"If using non-comedogenic products alone doesn’t help improve acne, consider over-the-counter topical acne products with salicylic acid or benzoyl peroxide. If the acne persists, a dermatologist visit may be helpful," Dr. Rubin says.
Isolate the cause of your breakouts
This will differ for everyone, but identifying the cause of your hairline acne will help you get rid of breakouts sooner. "If the acne is due to hair product or occlusion from hats, taking the measures previously discussed for prevention can be extremely helpful," says Dr. Wesley.
Stay on top of your skincare routine
Arbonne Deep Pore Acne Cleanser ($36)
"Engaging in a regular non-comedogenic skin care routine to increase skin cell turnover, reduce clogged pores, and decrease inflammation of existing lesions is key," says Dr. Wesley. "Some of my favorite products for this include products in the Arbonne Clear Future Line. The Deep Pore Acne Cleanser contains salicylic acid, prebiotics, sage, calendula, witch hazel, and willow bark extract to treat and exfoliate the skin gently without stripping the skin of its natural moisture."
Witch Hazel
Witch hazel is harvested from the witch hazel plant in North America. It has many uses, including cleansing oily skin, treating minor wounds, treating acne, and removing makeup.
Wash your hair
Living Proof Perfect Hair Day Triple Detox Shampoo ($36)
This is a fairly obvious suggestion, of course, but if you have acne around the hairline you’d like to get rid of, eliminating the scalp of product buildup is key. Clarifying shampoos are designed to do just this, and are available in a wide range of price points and formulas to get the job done, like Living Proof’s Perfect Hair Day Triple Detox Shampoo.
SEEN Skin-Caring Shampoo Fragrance Free ($29)
This award-winning sulfate-free shampoo clarifies your scalp and hair without leaving either feeling stripped. It contains bisabolol, which offers natural skin-soothing benefits such as reducing redness and irritation. "All of SEEN’s fragrance-free formulas have received the National Eczema Association’s Seal of Acceptance?, so they are safe for eczema-prone skin as well," Dr. Rubin adds.
Look for antibacterial and anti-fungal ingredients
Avoiding pore-clogging ingredients, like coconut oil, can keep pores clear, but prevention occurs when hair follicles are kept clean in the first place. "Ingredients for hairline acne should combat both bacteria and fungus as well as cleanse the skin/hair follicles," says Dr. Patel. “Sulfur, tea tree oil, and zinc pyrithione are perfect in washes and shampoos to help with hairline acne."
Clean between washes
Visha Skincare Cheek 2 Feet ($25)
Dry shampoo can zap unwanted oil in-between washes, but those sprays or powders can actually result in buildup over time. To keep oil at bay, try gently massaging the scalp with cool water, which will help loosen up and rinse away dirt and sweat. Can’t get your hair wet? Try an antimicrobial spray. "If washing often is not a viable option, Visha Skincare Cheek2Feet spray has witch hazel, tea tree oil, and thyme oil, and is a scalp, face, and body spray that is a natural deodorant and antimicrobial spray," says Dr. Patel.
Up Next: How to Get Rid of Forehead Acne (And Keep It From Coming Back)
Read the original article on Byrdie.