Acne along the chin line occurs when hair follicles become clogged. Factors such as genetics, certain illnesses, or medications can contribute to this. The skin produces oils through the sebaceous glands, which travel through the pores. If dirt, hair, and dead skin cells accumulate, the pores become blocked. Bacteria present on the skin can multiply in these clogged pores, causing inflammation and leading to pimples, blackheads, or other blemishes.

In some cases, chin acne is related to hormonal changes, which increase sebum production. Stress and diet can also play a role. Mild acne is usually treated with over-the-counter products containing benzoyl peroxide or salicylic acid. For moderate to severe cases, doctors may prescribe topical retinoids, antibiotics, hormone treatments, or isotretinoin.