Acne is a frustrating and common skin concern, but not all acne is created equal. While most people are familiar with acne caused by bacteria Cutibacterium acnes, fewer are aware of fungal acne. Officially known as Malassezia folliculitis, this condition is caused by an overgrowth of yeast on the skin, and it often masquerades as regular acne. If you’ve tried countless acne treatments and still haven’t found relief, fungal acne might be the culprit.

Here’s how to tell and what you can do about it.

WHAT IS FUNGAL ACNE?

Fungal acne occurs when a yeast called Malassezia, a normal part of your skin’s microbiome, overgrows and invades your hair follicles, causing inflammation. This can lead to clusters of small, itchy, uniform bumps that resemble pimples but don’t respond to typical acne treatments. Unlike bacterial acne, fungal acne isn’t driven by oil and clogged pores but rather by an imbalance in your skin’s microbiome.

Learn more about microbiome-friendly skincare and how it can help rebalance your skin.

SIGNS YOU MIGHT HAVE FUNGAL ACNE

Wondering if fungal acne could be causing your skin troubles? Here are some key signs to look out for:

1. Small, Uniform Bumps: Fungal acne typically appears as small, red, or skin-colored bumps that are roughly the same size. They’re often mistaken for bacterial acne but lack the variability in size and type (like blackheads or cysts).
2. Itchy Skin: Unlike bacterial acne, fungal acne can be itchy, making it feel more like a rash.
3. Appears in Specific Areas: Fungal acne often shows up on areas prone to sweating and friction, like your forehead, chest, upper back, and shoulders.
4. Worsens After Sweating or Heat Exposure: Warm, humid conditions create the perfect environment for Malassezia to thrive, so fungal acne can flare up after exercise or during hot weather.
5. Doesn’t Respond to Acne Treatments: If over-the-counter or prescription acne treatments haven’t worked, fungal acne might be the cause. In fact, antibiotics can worsen fungal acne by disrupting your skin’s microbiome.

CAN YOU HAVE BOTH FUNGAL AND BACTERIAL ACNE?

Yes, it’s common to have a combination of fungal and bacterial acne. In some cases, both types of acne can appear in the same area, or flare-ups may alternate between bacterial and fungal acne. Because these conditions often coexist, combining antifungal and antibacterial treatments may be the best approach. Treating both simultaneously ensures you’re addressing all potential causes of your breakouts.

HOW TO TREAT FUNGAL ACNE

If you suspect fungal acne, don’t worry, there are effective ways to treat it and restore balance to your skin. Here’s what to do:

1.         USE ANTIFUNGAL TREATMENTS

Over-the-counter antifungal creams, such as those containing ketoconazole or clotrimazole, can help target yeast. Medicated shampoos with selenium sulfide or zinc pyrithione can also be applied to the affected areas as a treatment mask for 2–5 minutes before washing off.

2.         INCORPORATE ANTIBACTERIAL TREATMENTS

If you suspect a combination of fungal and bacterial acne, include products with antibacterial ingredients like salicylic acid in your routine alongside products with antifungal ingredients. This combination can help reduce both bacterial and yeast overgrowth.

3.         KEEP YOUR SKIN CLEAN AND DRY

Since Malassezia thrives in warm, humid environments, keeping your skin clean and dry is essential. Shower immediately after sweating and wear loose-fitting, breathable fabrics to reduce friction and moisture.

4.         AVOIDS OILS AND HEAVY SKINCARE PRODUCTS

Certain oils and emollients can feed Malassezia and worsen fungal acne. Opt for lightweight, non-comedogenic, and oil-free products instead. Look for ingredients that won’t clog your pores or disrupt your skin’s microbiome.

5.         REBALANCE YOUR SKIN’S MICROBIOME

A healthy microbiome is key to keeping fungal acne at bay. At Dermala, we specialize in microbiome-based solutions that restore balance to your skin, helping you achieve clearer, healthier skin. Our patented products support your skin’s natural defenses without disrupting its delicate ecosystem.

6.         CONSULT A DERMATOLOGIST

If over-the-counter treatments aren’t working or you’re unsure about the diagnosis, see a dermatologist. They can confirm whether you have fungal acne, bacterial acne, or both, and recommend prescription-strength treatments if necessary.

PREVENTING FUNGAL ACNE FLARE-UPS

Once you’ve gotten your acne under control, preventing future flare-ups is key. Here’s how to keep both bacterial and fungal acne at bay:

• Stick to Microbiome-Friendly Skincare: Avoid harsh products that strip your skin and disrupt its balance. Incorporate both antibacterial and antifungal cleansers into your routine.
• Shower After Sweating: Don’t let sweat sit on your skin for too long. Regular cleansing can help keep both bacteria and Malassezia yeast levels in check.
• Wash Workout Clothes Frequently: Sweaty fabrics can harbor bacteria and yeast, so be sure to clean your clothes regularly.

NOT SURE IF YOU HAVE FUNGAL ACNE? WE CAN HELP!

At Dermala, we understand how confusing it can be to identify and treat skin issues like fungal and bacterial acne. That’s why we’re working on developing a rapid, at-home diagnostic test to help you identify your skin concerns quickly and accurately. In the meantime, check out our microbiome-friendly skincare solutions, which are designed to target the root causes of acne and improve overall skin health.

You don’t have to go through your acne journey alone. Whether you’re dealing with bacterial acne, fungal acne, or both, Dermala is here to help you achieve your best skin yet.

FREQUENTLY ASKED QUATIONS (FAQs)

1. How do I know if I have fungal acne or bacterial acne?
   Fungal acne appears as small, uniform bumps that often itch, while bacterial acne includes a mix of blackheads, whiteheads, and cysts. If your acne doesn’t respond to traditional treatments, fungal acne could be the cause.
2. Is fungal acne the same as yeast acne?
   Yes, fungal acne is often referred to as yeast acne because it’s caused by the overgrowth of yeast (Malassezia) on the skin. However, it’s not true acne but rather a skin condition that mimics acne.
3. Can fungal acne go away on its own?
   Fungal acne often requires antifungal treatments to resolve. Without intervention, it may persist or worsen in warm, humid environments.
4. Can I treat fungal acne at home?
   Yes! Over-the-counter antifungal creams and medicated shampoos used as cleansers or body washes are effective. Dermala’s microbiome-friendly products can also help rebalance your skin.
5. Why doesn’t my acne treatment work?
   Many acne treatments are designed for bacterial acne and won’t work on fungal acne. In fact, antibiotics can worsen fungal acne by disrupting your skin’s microbiome.

TAKE CONTROL OF YOUR SKIN HEALTH TODAY

Clear skin starts with understanding your unique microbiome. Explore Dermala’s products to find microbiome-friendly solutions tailored to your needs. And stay tuned for exciting developments in our diagnostic technology, we’re working to make skin health easier and more accessible than ever! Meanwhile check out our topical products and supplements for microbiome-friendly solutions.