I have really bad acne on my back and shoulders, how can i get it to clear up?

Laser or Accutane: You can settle for over the counter topical creams that dry your skin and give temporary relief. But then you also need to buy a whole lot of cream to cover your shoulders and back. A better solution would be a series of laser procedures to clear the acne away. The most effective and permanent treatment, however, is Accutane (retinoid). Given in gradual doses it works wonders, on the back/ face.

Acne: Your doctor may be able to help you with prescribing a antibiotic/acne medicated body wash as well as retin-a. This will help address the 3 ways that lead to acne - oil production, clogged pores, and bacteria. You may also try to wear lose fitting clothing particularly during activities with high perspiration.

Light Chemical Peel: You can have jessner's peel or some mild acid peel on your back and shoulder along with oral antibiotics and retinol or tretinoin. You will see your skin peeling 4-6 days after and it is helping to have less break out on your back.

See a dermatologist : There are a variety of forms and therefor numerous treatments. Not everyone responds the same and treatment may need to be adjusted. See a dermatologist.