Deep, Hard Pimples Around Ears and Jaw: Causes and Solutions - Dermatology

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Understanding deep, hard pimples around the ears and jaw can be quite complex, especially for someone dealing with persistent acne. Based on your description, it seems you are experiencing a type of acne that is often referred to as cystic acne. This form of acne is characterized by deep, painful lumps beneath the skin that can be hard to the touch and may not always come to a head. Here’s a breakdown of your concerns and some potential solutions.


1. Scarring from Deep, Hard Pimples
Deep, hard pimples can indeed lead to scarring if they are not treated properly. When these cysts form, they can damage the skin tissue, leading to post-inflammatory hyperpigmentation (dark spots) or even more severe scarring. It’s important to avoid picking or squeezing these pimples, as this can exacerbate the inflammation and increase the risk of scarring. Instead, consider consulting a dermatologist who can provide treatments that reduce inflammation and promote healing.


2. Best Solutions for Treatment
For persistent cystic acne, a multi-faceted approach is often necessary. Here are some options:
- Topical Treatments: While you mentioned using AHA (alpha hydroxy acid) and antibiotics, consider discussing with your dermatologist the possibility of incorporating retinoids, which can help unclog pores and promote cell turnover.


- Oral Medications: If your doctor has advised against isotretinoin (commonly known as Accutane), there may be other oral medications to consider, such as hormonal treatments (like birth control pills) if hormonal imbalance is suspected. These can help regulate oil production and reduce acne.

- Professional Treatments: Procedures like chemical peels, laser therapy, or drainage of cysts can be effective. These treatments can help reduce the severity of your acne and improve skin texture.


3. Hydration and Skin Health
Drinking plenty of water is beneficial for overall health and can help maintain skin hydration. However, it’s not a direct treatment for acne. Staying hydrated supports your body’s detoxification processes, but it’s essential to combine this with a proper skincare routine and medical treatments for effective acne management.


4. Hormonal Imbalance
Hormonal fluctuations can significantly impact acne, especially in teenagers. If you suspect that your acne is related to hormonal changes, it might be worthwhile to discuss this with your healthcare provider. They can evaluate your hormone levels and suggest appropriate treatments, which may include hormonal therapy.


Additional Considerations
- Stress Management: Since you mentioned that exam stress leads to constipation and possibly worsens your acne, consider integrating stress-reduction techniques such as mindfulness, exercise, or yoga into your routine.


- Diet: While you are already mindful of your diet, maintaining a balanced intake of nutrients can support skin health. Some people find that reducing dairy or high-glycemic foods helps with acne.

- Regular Dermatological Care: Since you are preparing for exams and may not have time for regular facials, consider establishing a simple yet effective skincare routine that you can maintain at home. Regular follow-ups with a dermatologist can help you adjust your treatment plan as needed.

In conclusion, while deep, hard pimples can be frustrating and concerning, there are effective treatment options available. It’s crucial to work closely with a dermatologist to find a tailored approach that suits your specific skin type and condition. With the right care and management, you can significantly improve your skin health and reduce the occurrence of these troublesome pimples.