Can Picking Your Nose Worsen Acne on the Nose? Expert Insights - Dermatology

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Nasal acne


Hello, doctor.
I would like to ask if it's okay to pick my nose if I have pimples or large comedones on the tip of my nose.
Does picking my nose cause pressure and distortion that could inadvertently affect the pimples or comedones? Additionally, could the pimples that emerge while taking oral isotretinoin potentially lead to pitted acne scars, even if I don't pick at them? Thank you, doctor.

kathy, 20~29 year old female. Ask Date: 2016/10/23

Dr. Wu Yuxin reply Dermatology


Depressed acne scars are caused by cystic acne, not by the use of retinoids (A acid).

Reply Date: 2016/10/23

More Info


Picking your nose, especially when you have acne or pimples on your nose, can indeed worsen the condition. When you pick at your nose, you are not only introducing bacteria and dirt from your fingers into the area, but you are also causing trauma to the skin. This trauma can lead to inflammation, which can exacerbate existing acne or lead to new breakouts. Additionally, the act of squeezing or picking can push the contents of a pimple deeper into the skin, potentially leading to cystic acne, which is more severe and harder to treat.

Acne is primarily caused by a combination of excess oil production, clogged pores, bacteria, and inflammation. When you pick at your nose, you disrupt the skin barrier, which can increase the likelihood of bacteria entering the pores. This can lead to further irritation and a cycle of picking and worsening acne. Moreover, the physical act of picking can cause scarring or changes in skin texture, leading to what is known as post-inflammatory erythema or post-inflammatory hyperpigmentation, which can appear as dark spots or uneven skin tone after the acne heals.

Regarding your concern about oral isotretinoin (commonly referred to as Accutane), it is known to be an effective treatment for severe acne. However, one of the side effects of isotretinoin is that it can cause the skin to become more sensitive and prone to irritation. While it is less likely for acne to form deep scars if you do not pick at them, the risk of developing atrophic scars (depressed scars) can still exist, especially if the acne is severe or if there is significant inflammation. It is essential to avoid picking at any acne lesions, as this can lead to scarring, regardless of whether you are on isotretinoin or not.

If you are experiencing acne on your nose, it is advisable to adopt a gentle skincare routine. This includes using non-comedogenic products that do not clog pores, maintaining good hygiene, and avoiding touching your face unnecessarily. If you feel the urge to pick at your acne, consider using topical treatments that can help reduce inflammation and promote healing instead. Ingredients like benzoyl peroxide, salicylic acid, or topical retinoids can be effective in managing acne without the need for physical manipulation.

If you find that your acne is persistent or worsening, it is crucial to consult with a dermatologist. They can provide tailored advice and treatment options that suit your specific skin type and condition. In some cases, they may recommend additional treatments such as chemical peels, laser therapy, or prescription medications to help manage and prevent acne effectively.

In summary, picking your nose can worsen acne and lead to further complications such as scarring. It is best to avoid this habit and seek appropriate treatment for your acne to promote healing and prevent future breakouts.

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