Skin Issues: What to Do About a White Bump on the Areola - Dermatology

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Issues with the areola?


Hello Doctor, I have a question to ask.
After taking a shower yesterday, I suddenly noticed a small white spot on the areola of my breast, resembling a pimple or acne.
I didn't touch it or squeeze it.
When I checked in the morning, it looked a bit like a pimple and had a slight trace of blood yesterday, but today it seems to be okay and appears to have shrunk a bit.
I haven't applied any medication.
I would like to know if this will resolve on its own? I'm concerned that if I squeeze it, it might become inflamed.
What could be the reason for this sudden appearance? Thank you for your response, Doctor.

v, 40~49 year old female. Ask Date: 2017/11/28

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is causing significant distress, please seek medical attention as soon as possible.
A proper examination is necessary to identify the problem and determine the appropriate treatment.

Reply Date: 2017/11/28

More Info


When it comes to skin issues, particularly concerning a white bump on the areola, it’s essential to approach the situation with caution and understanding. Based on your description, it sounds like you may be dealing with a sebaceous cyst, a clogged pore, or possibly a small pimple. These types of bumps can appear suddenly and may vary in size and appearance.
Sebaceous cysts are common and occur when a hair follicle becomes blocked, leading to the accumulation of sebum (the oil produced by your skin). They can appear as small, white bumps and are generally harmless. If the bump is indeed a cyst, it may resolve on its own without any intervention. However, if it becomes inflamed or infected, it could lead to redness, swelling, and discomfort.

You mentioned that the bump appeared after a shower and had a bit of blood, which could indicate that it was irritated or that you may have accidentally scratched it. It’s good that you haven’t attempted to squeeze or pop it, as doing so can introduce bacteria and lead to infection, which can complicate the situation further.

In terms of what you should do next, here are some recommendations:
1. Leave It Alone: Since the bump seems to be shrinking and is not causing you significant pain or discomfort, it’s best to leave it alone. Avoid touching or manipulating it, as this can exacerbate irritation or lead to infection.

2. Monitor Changes: Keep an eye on the bump over the next few days. If it continues to shrink and eventually disappears, that’s a positive sign. However, if it becomes larger, more painful, or shows signs of infection (such as increased redness, warmth, or pus), you should seek medical attention.

3. Maintain Hygiene: Ensure that you keep the area clean. Gently wash the area with mild soap and water during your regular bathing routine. Avoid using harsh scrubs or products that could irritate the skin further.

4. Avoid Irritants: If you use any skincare products or lotions on your breasts or the surrounding area, consider avoiding them until the bump resolves. Sometimes, certain ingredients can irritate the skin and contribute to the formation of bumps.

5. Consult a Healthcare Provider: If the bump does not improve or if you have any concerns, it’s wise to consult a healthcare provider or dermatologist. They can provide a proper diagnosis and recommend treatment options if necessary.
In conclusion, while it’s understandable to be concerned about any sudden changes in your skin, many bumps, including those on the areola, can be benign and resolve on their own. Keeping the area clean, avoiding irritation, and monitoring the bump for changes are prudent steps to take. If you have any doubts or if the situation worsens, don’t hesitate to reach out to a medical professional for advice. Your skin health is important, and getting a professional opinion can provide peace of mind.

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