Small Bumps on the Areola: Causes and Treatments

Small blisters on the areola?

Hello Doctor, I would like to ask you about a problem with my areola.
Two weeks ago, I noticed something that looks like a small pimple, about the size of a grain of rice, on the right side of my areola.
It is neither painful nor itchy, so I thought it would go away on its own and didn't pay much attention to it.
However, a week later, I noticed that it had multiplied, and there was another similar-looking bump right next to it.
Upon closer inspection, I realized they are not pimples; they resemble something like a heat rash, with a slightly fluid-filled appearance, like small hill-like protrusions.
They are still not painful or itchy.
I thought that since it had been a week, I should do something about it, so I applied a topical ointment called Xinfujing.
Over the past few days, it seems to have improved a bit and has flattened significantly.
I thought they were healing, but then the bump on the right side felt like it filled with fluid again, while the left one has diminished quite a bit but is still not completely flat.
Their persistent presence is quite frustrating.
I have searched online for similar cases but couldn't find any, so I am here to ask you what these might be and how I should manage them.
Thank you, Doctor.

Shuǐpào, 10~19 year old female. Ask Date: 2020/06/22

Dr. Yuan Tianmin reply Breast and Thyroid

There are some openings of glands on the areola that usually do not cause any issues, but occasionally they may suddenly swell.
Generally, these tend to resolve on their own without the need for extensive treatment.

Reply Date: 2020/06/22

More Info

The small bumps you are experiencing on your areola could be attributed to several benign conditions, and it’s good that you are paying attention to these changes. Based on your description, these bumps appear to be fluid-filled and resemble small hill-like protrusions, which could indicate a few possibilities.

One common cause of such bumps on the areola is Montgomery glands, which are sebaceous glands located on the areola. These glands can become more prominent during hormonal changes, such as those associated with menstruation, pregnancy, or breastfeeding. They typically do not cause pain or discomfort and can appear as small, raised bumps.
Another possibility is folliculitis, which is an inflammation of the hair follicles. This condition can occur due to various factors, including irritation, infection, or blockage of the follicles. Folliculitis can sometimes present as small, red, or pus-filled bumps, but it typically resolves on its own or with topical treatments.

Additionally, the bumps could be cysts, which are fluid-filled sacs that can develop in various areas of the body, including the breast. These cysts can sometimes feel tender or cause discomfort, but many are asymptomatic and may not require treatment unless they become bothersome.

Given that you mentioned applying a topical ointment (欣膚淨) and observing some improvement, it suggests that the bumps may respond to topical treatment, which is a positive sign. However, if the bumps persist, change in appearance, or if you experience any new symptoms such as pain, itching, or discharge, it is essential to seek further evaluation from a healthcare professional.

In terms of management, here are some recommendations:
1. Observation: If the bumps are not causing any discomfort and are improving with topical treatment, you may choose to continue monitoring them for any changes.

2. Topical Treatments: Continue using the topical ointment as directed. If you notice improvement, it may be beneficial to keep using it until the bumps resolve. However, if they do not improve or worsen, consider consulting a healthcare provider.

3. Avoid Irritation: Ensure that the area is kept clean and dry. Avoid any harsh soaps or irritants that may exacerbate the condition.

4. Consultation: If the bumps do not resolve or if you have concerns about their appearance, it is advisable to consult a dermatologist or a healthcare provider. They may perform a physical examination and, if necessary, conduct further tests to determine the exact nature of the bumps.

5. Self-Care: Maintain good hygiene and consider wearing loose-fitting clothing to reduce friction in the area, which can help prevent further irritation.

In conclusion, while the bumps you are experiencing on your areola are likely benign, it is essential to monitor them closely. If they persist or cause concern, seeking medical advice will provide you with peace of mind and appropriate management options. Remember, early evaluation can help rule out any serious conditions and ensure that you receive the best care possible.

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