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Baby acne, or acne neonatorum, is an acne-like eruption of the cheeks, sometimes spreading to involve the upper chest, which occurs predominantly in little boys in the first weeks of life. It represents the reaction of the skin to a relative imbalance of male (androgenic) and female (estrogenic) hormones in the baby's system following withdrawal of maternal estrogens after delivery. It is non-scarring and requires no treatment.
Some baby acne is probably not. Milia of the cheeks can easily be confused with acne.