Parenting
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Baby acne: why your newborn has pimples (and when it goes away)
Medically Reviewed Dr. Hannah Kopelman, Dermatologist
Written by Cradlewise Staff
You can’t get enough of that sweet little face gazing up at you—until you spot a few tiny red bumps on those soft baby cheeks. Don’t worry, it’s likely baby acne—a common, harmless condition that many newborns experience.
It might look alarming, but pimples on your baby’s delicate skin are usually nothing to stress about—and they tend to clear up on their own.
In this guide, we’ll cover what causes baby acne, how to care for your baby’s skin with the utmost care, and when it’s time to check in with your pediatrician. Plus, we’ve got insights from board-certified dermatologist Dr. Hannah Kopelman, to help you navigate this stage with confidence. You’re not alone in this, and we’re here to guide you every step of the way.
Because baby skin might be tricky, but you’ve got this—and we’ve got you.
What Causes Baby Acne?
Baby acne, also known as neonatal acne, typically appears within the first few weeks after birth.
“ Newborn acne typically shows up within the first few weeks of life and tends to clear up on its own by around 6 to 8 weeks of age.”
The exact cause isn’t fully understood, but several factors may contribute:
- Maternal hormones: Hormones passed from mother to baby during pregnancy can stimulate the baby’s oil glands, leading to acne.
- Skin irritants: Saliva, spit-up milk, or rough fabrics can irritate your baby’s sensitive skin.
- Yeast: A yeast called Malassezia, commonly found on the skin, might play a role in some cases.
It’s important to note that baby acne isn’t caused by poor hygiene or allergies.
Baby acne on the face
Baby acne most commonly appears on the face, especially the cheeks, forehead, and chin. It presents as small red or white bumps and may become more noticeable when your baby is fussy or warm.
While it might be tempting to treat these spots, it’s best to let them be. Baby acne is usually painless and doesn’t bother your little one.
Did you know?
Baby acne affects about 20% of newborns and typically resolves without treatment.
Baby acne treatment
In most cases, baby acne doesn’t require any treatment and will clear up on its own.
“ For classic newborn acne, medicated creams are almost never needed—it typically resolves on its own without any treatment.”
However, gentle skincare can help:
- Cleanse Gently: Wash your baby’s face with warm water and a mild, fragrance-free cleanser once daily.
- Avoid Scrubbing: Pat the skin dry gently; don’t scrub or pick at the acne.
- Skip Lotions: Avoid applying oily or greasy lotions, which can worsen the condition.
How to get rid of baby acne
“ I always emphasize to parents not to apply over-the-counter acne treatments designed for teens or adults to their baby’s skin without professional guidance—it can cause irritation or even chemical burns.”
While patience is key, here are some tips to care for your baby’s skin:
- Keep it simple: Stick to gentle cleansing routines; over-washing can irritate the skin.
- Avoid adult acne products: These can be too harsh for your baby’s delicate skin.
- Consult your pediatrician: If the acne seems severe or persistent, seek medical advice.
When Does Baby Acne Go Away?
Baby acne typically resolves on its own within a few weeks to a few months. Most cases clear up by the time your baby is 3 to 6 months old.
“ If the acne is spreading aggressively, becomes very inflamed, or your baby seems uncomfortable or has a fever, that’s a sign to get it checked out.”
How long does baby acne last?
The duration of baby acne varies:
- Newborn acne: Appears within the first few weeks and usually clears up by 6 to 8 weeks.
- Infantile acne: Occurs after 6 weeks of age and may last longer, sometimes requiring treatment.
If your baby’s acne persists beyond 6 months or worsens, consult a pediatrician or dermatologist.
How to help baby acne
Here are some gentle ways to care for your baby’s skin:
- Use soft fabrics: Dress your baby in breathable, soft clothing to reduce irritation.
- Keep the face clean: Gently wipe away drool or spit-up to prevent skin irritation.
- Avoid overheating: Keep your baby’s environment cool to minimize sweating.
Remember, your baby’s skin is sensitive, and less is often more when it comes to skincare.
Conclusion
Baby acne is a normal part of many infants’ early development. While it may be concerning to see blemishes on your newborn’s face, remember that this condition is temporary and typically resolves without treatment. By maintaining gentle skincare practices and monitoring your baby’s skin, you can ensure their comfort and health. If you have any concerns or notice unusual symptoms, don’t hesitate to reach out to your pediatrician.
FAQs
Q: When should I worry about baby acne?
A: If the acne becomes very red, swollen, oozes, or spreads beyond the face, or if your baby seems uncomfortable or develops a fever, consult your pediatrician.
Q: What's the difference between newborn acne and infantile acne?
A: Newborn acne appears within the first few weeks and clears up on its own. Infantile acne occurs after 6 weeks of age, may be more severe, and sometimes requires medical treatment.
Q: Can I use acne cream on my baby?
A: No. Over-the-counter acne treatments for adults are too harsh for a baby’s delicate skin. Always consult your pediatrician before applying any medication.
Meet the expert
Dr. Hannah Kopelman is a board-certified dermatologist at Kopelman Aesthetic Surgery. She holds dual fellowship training from Columbia University and Boston University, specializing in cutaneous oncology and hair loss. Beyond the clinic, Dr. Kopelman hosts The Derm Club podcast—a weekly show where she sits down with top dermatologists to discuss new advancements and personal perspectives across the field of dermatology.
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