Bumps Around the Areola: Causes and Healing Tips - Dermatology

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Pimples around the areola?


Hello, doctor.
Last month, I discovered a bump near my areola that resembled a pimple.
I picked at it and removed something similar to a blackhead, but I applied too much pressure, which caused the skin to break and bleed a little.
After a week, the wound scabbed over and fell off, but the skin in that area is still red.
Will this leave a scar? If so, how long will it take to fade back to my original skin color? Thank you.

123, 20~29 year old female. Ask Date: 2021/10/06

Dr. Wu Yuxin reply Dermatology


To assess the depth of the wound, but since it has been picked at, generally the wound should not be too deep, so there is no need to worry too much.

Reply Date: 2021/10/06

More Info


When it comes to bumps around the areola, there are several potential causes, and understanding these can help in managing and healing the area effectively. The bumps you described may be related to a few common conditions, including Montgomery glands, folliculitis, or even acne.
Montgomery Glands: These are small sebaceous glands located around the areola. They can become more prominent during hormonal changes, such as those occurring during menstruation or pregnancy. They typically do not require treatment unless they become inflamed or infected.

Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. It can present as small red bumps that may resemble acne. If you have picked at these bumps, it could lead to irritation or even secondary infection, which might explain the bleeding and subsequent scabbing.

Acne: Just like on other parts of the body, acne can also occur around the areola. This can be due to hormonal fluctuations, sweat, or irritation from clothing or products.

Regarding your concern about the wound you created by picking at the bump, it is essential to take care of the area to promote healing and minimize scarring. Here are some tips for healing:
1. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid scrubbing, as this can irritate the skin further.

2. Moisturize: Applying a gentle, fragrance-free moisturizer can help keep the skin hydrated and promote healing. Products containing ingredients like aloe vera or vitamin E may be beneficial.

3. Avoid Picking: It’s crucial to avoid picking at the scab or surrounding skin, as this can lead to further irritation and increase the risk of scarring.

4. Sun Protection: Protecting the healing skin from sun exposure is vital. UV rays can darken scars, making them more noticeable. Use a broad-spectrum sunscreen with at least SPF 30 if the area will be exposed to sunlight.

5. Patience: Scars can take time to fade. Depending on your skin type and the severity of the injury, it may take several weeks to months for the redness to diminish and for the skin to return to its normal color.
6. Consult a Dermatologist: If the area does not improve, becomes increasingly red, or shows signs of infection (such as pus or increased pain), it is advisable to consult a dermatologist. They can provide treatments such as topical antibiotics or other interventions to promote healing.

In terms of scarring, the likelihood of developing a permanent scar depends on several factors, including the depth of the injury, your skin type, and how well you care for the area during the healing process. Generally, superficial wounds heal well and may not leave significant scars, but deeper wounds can result in more noticeable scarring.

If you notice that the redness persists beyond a few weeks or if the area becomes painful or swollen, seeking medical advice is crucial. A healthcare professional can assess the area and provide tailored recommendations based on your specific situation.

In summary, while bumps around the areola can be concerning, they are often benign. Proper care and attention to the healing process can significantly reduce the risk of scarring and promote healthy skin recovery.

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