Recurring Nose Pimples: Causes, Treatment Options, and When to See a Doctor - Dermatology

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Recurrent nasal acne?


I have recently noticed that I am prone to developing large pimples on my nose.
Initially, I had a painful, red, swollen pimple that disappeared after about a week of medication and topical treatment (without any squeezing).
However, it left behind a small white bump with a tiny hole.
About a month later, that bump became red and swollen again, turning into a pimple (soft and painless).
Now, it has been over a month, almost two months, and it still hasn't resolved.
Could this be because the previous pimple did not completely eliminate the bacteria, leading to a recurrence? Can I purchase topical retinoids like tretinoin over the counter to apply, or do I need to visit a clinic for evaluation? Thank you.

Yu, 10~19 year old female. Ask Date: 2016/10/30

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine.
If it is very concerning, please seek medical attention as soon as possible.

Reply Date: 2016/10/30

More Info


Recurring nose pimples can be a frustrating and uncomfortable issue, and understanding their causes, treatment options, and when to seek medical advice is crucial for effective management.

Causes of Recurring Nose Pimples
1. Sebaceous Glands: The nose has a high concentration of sebaceous (oil) glands. When these glands become overactive, they can produce excess oil, leading to clogged pores. This can result in the formation of pimples.

2. Bacterial Infection: The presence of bacteria, particularly *Propionibacterium acnes*, can contribute to the development of acne. If a pimple is not fully treated, bacteria may remain, leading to recurrence.

3. Hormonal Changes: Fluctuations in hormones, such as during puberty, menstruation, or stress, can increase oil production and lead to breakouts.

4. Skin Care Products: Certain cosmetics or skin care products that are comedogenic (pore-clogging) can exacerbate acne.
5. Diet and Lifestyle: Diets high in sugar and dairy, as well as lack of proper hydration, can also influence skin health and contribute to acne.


Treatment Options
1. Topical Treatments: Over-the-counter treatments containing ingredients like benzoyl peroxide, salicylic acid, or retinoids (like AHA/BHA or adapalene) can help reduce inflammation and prevent clogged pores. A topical retinoid, such as tretinoin (often referred to as A acid), can be effective in promoting cell turnover and preventing new pimples from forming.

2. Prescription Medications: If over-the-counter options are ineffective, a dermatologist may prescribe stronger topical or oral medications, such as antibiotics or hormonal treatments, to address the underlying causes.

3. Proper Skin Care Routine: Maintaining a consistent skin care routine that includes gentle cleansing, exfoliation, and moisturizing can help manage oil production and prevent breakouts.

4. Avoid Picking: It’s essential to avoid picking at or squeezing pimples, as this can lead to scarring and further infection.


When to See a Doctor
You should consider seeing a dermatologist if:
- The pimples are persistent and do not respond to over-the-counter treatments after several weeks.

- You experience severe pain, swelling, or signs of infection (such as pus or fever).

- You notice significant scarring or changes in skin texture.

- You have concerns about the type of acne or if it is affecting your self-esteem and mental health.


Conclusion
In your case, the recurring pimple on your nose may be due to incomplete treatment of the previous acne lesion, leading to a new infection or inflammation. While you can try over-the-counter retinoids, it’s advisable to consult with a dermatologist for a thorough evaluation. They can provide tailored advice and treatment options based on your specific skin type and condition.
In summary, managing recurring nose pimples involves understanding their causes, utilizing appropriate treatments, and knowing when to seek professional help. A dermatologist can help you navigate these options effectively, ensuring you achieve clearer skin and improved confidence.

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