Ear Lobe Pimples: Causes, Treatment, and Concerns - Dermatology

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There is a small pimple on the earlobe?


Hello Dr.
Wu, I have a small pimple under my left ear that initially did not come out.
After visiting a dermatologist and applying medication, it felt like it matured today, so I squeezed it out.
There was a little blood and some yellowish-white substance.
I would like to ask, isn't blood usually fluid like water? Why does it feel somewhat paste-like? Is it because it mixed with the dirty yellowish-white material from the pimple, or is it just that I caused some coagulation while rinsing? I'm not sure if this is normal.
Additionally, if I apply a topical ointment containing fusidic acid, is that okay? This was the only ointment prescribed by my doctor before, but the pimple had not ruptured previously.
I'm unsure if this is permissible.
Thank you for your response.

Mei, 10~19 year old female. Ask Date: 2020/05/21

Dr. Wu Yuxin reply Dermatology


It may be a cyst.
Whether medication is needed depends on the presence of inflammation.
If it is very bothersome, please seek medical attention promptly, as it needs to be evaluated for proper management.

Reply Date: 2020/05/21

More Info


When it comes to ear lobe pimples, or any similar skin lesions, it's essential to understand the underlying causes, treatment options, and potential concerns. Based on your description, it seems you have developed a pimple-like lesion on your left ear lobe, which you have attempted to pop, resulting in some bleeding and the expulsion of yellowish-white material.
Firstly, the appearance of a pimple on the ear lobe can be attributed to several factors. Common causes include clogged hair follicles, which can lead to the formation of acne-like lesions. These can be exacerbated by factors such as poor hygiene, excessive oil production, or irritation from jewelry or skin products. In some cases, these lesions can also be cysts, which are benign lumps filled with fluid or semi-solid material.

The yellowish-white substance you observed could be pus, which is a common sign of infection or inflammation. When you popped the pimple, the pressure likely caused the contents to be expelled, which can include a mixture of sebum (oil), dead skin cells, and bacteria. The presence of blood mixed with this material can occur if the skin was broken during the extraction process. Blood that appears thicker or more viscous than usual can be due to clotting factors or the presence of other materials, such as the pus you described. This is generally not a cause for concern unless there is excessive bleeding or signs of infection, such as increased redness, swelling, or warmth around the area.

Regarding the use of fusidic acid ointment, this topical antibiotic is typically prescribed to treat bacterial infections of the skin. If your doctor recommended this ointment, it is likely appropriate for your situation, especially if there is a risk of infection following the extraction of the pimple. However, it is crucial to follow your doctor's instructions regarding its application. If the pimple was not previously broken, applying the ointment can help prevent infection and promote healing.

It’s important to avoid further irritation to the area. Refrain from squeezing or picking at the pimple, as this can lead to more significant inflammation or even scarring. Instead, keep the area clean and apply the medication as directed. If you notice any signs of worsening infection, such as increased pain, swelling, or discharge, you should consult your healthcare provider promptly.

In summary, while it is common to experience pimples on the ear lobe, proper care and treatment are essential to prevent complications. The yellowish-white material you observed is likely pus, and the thicker blood could be due to a combination of factors. Continue using the fusidic acid ointment as prescribed, and monitor the area for any changes. If you have any concerns or if the lesion does not improve, do not hesitate to seek further medical advice.

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