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Main areas affected by nodular acne are the face and back, but it can also occur on other parts of the body such as the neck, chest, upper arms, shoulders, and buttocks, ranging from just a few breakouts to more widespread blemishes.
1 For this reason, zits appear not only on scalp, but also on other parts of the body (face, back, chest). 2  Clogged pores cause reproduction of pathogenic microflora inside the hair follicles, resulting in inflamed pimples on scalp. 3  As a rule, teenage acne fully disappears by 18-20 years.