Persistent Pimple Between Eyebrows: Causes and Treatment Options - Dermatology

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Persistent pimples or cyst-like formations between the eyebrows can be quite bothersome, especially when they exhibit symptoms such as pus discharge and an unpleasant odor. Given that this has been ongoing for over two months, it’s essential to consider various potential causes and treatment options.


Possible Causes
1. Sebaceous Cyst: This is a common cause of lumps under the skin. Sebaceous cysts occur when a hair follicle becomes blocked, leading to the accumulation of sebum (oil) and dead skin cells. They can become inflamed or infected, resulting in pus and odor.

2. Acne: Acne can manifest as pimples or cysts, especially in areas with a high concentration of sebaceous glands. If the area is prone to oiliness or if there is frequent touching or irritation, it could exacerbate the condition.

3. Folliculitis: This is an infection of the hair follicles, often caused by bacteria or fungi. It can lead to red, inflamed bumps that may ooze pus.

4. Infection: If the area has been repeatedly irritated or if there has been any trauma (like squeezing), it could lead to a localized infection, which might explain the foul odor and pus.

5. Other Skin Conditions: Conditions such as rosacea or dermatitis could also present with similar symptoms, although they typically have additional signs like redness or scaling.


Treatment Options
1. Topical Antibiotics: Since you mentioned using Polysporin, which is a topical antibiotic, it may help reduce infection and inflammation. However, if the condition persists, a prescription antibiotic ointment might be more effective.

2. Benzoyl Peroxide or Salicylic Acid: Over-the-counter acne treatments containing benzoyl peroxide or salicylic acid can help reduce acne and prevent future breakouts. These ingredients work by killing bacteria, reducing oil production, and promoting skin cell turnover.

3. Warm Compresses: Applying a warm compress to the area can help reduce inflammation and promote drainage if there is a cyst or abscess. This can be done several times a day.

4. Avoid Squeezing: It’s crucial to avoid squeezing or picking at the lesion, as this can worsen the infection and lead to scarring.

5. Non-Prescription Treatments: Look for products specifically designed for cystic acne or deep pimples. These often contain higher concentrations of active ingredients.

6. Consult a Dermatologist: Given the persistence of the lesion and the symptoms you describe, it would be wise to consult a dermatologist. They can provide a more accurate diagnosis and may recommend treatments such as corticosteroid injections to reduce inflammation, drainage of the cyst, or even oral antibiotics if an infection is present.


When to Seek Medical Attention
- If the lesion continues to grow or does not improve with over-the-counter treatments.

- If you experience increased pain, swelling, or fever, which could indicate a more serious infection.

- If the odor persists, as this may suggest an ongoing infection that requires medical intervention.

In summary, while there are over-the-counter options available, given the duration and symptoms of your condition, seeking professional medical advice would be the most prudent course of action. A dermatologist can provide tailored treatment options and help ensure that the underlying cause is effectively addressed.