Does Massaging Acne Make It Worse? Expert Advice on Treatment

Does massage make acne more inflamed?

Hello, doctor.
I am a fourth-year male student, and I have a red, swollen, and painful acne lesion on my face that has pus but does not show any whitehead.
It has been present for about a month.
I would like to ask you: 1.
In order to reduce the swelling, I have been massaging it for several days.
Could this make the redness and swelling worse or lead to an infection? 2.
Should I seek medical attention for this type of acne, or is it better to wait for it to resolve on its own? Thank you, doctor.

Jie Jie, 20~29 year old female. Ask Date: 2024/05/06

Dr. Wu Yuxin reply Dermatology

Massage is not recommended.
If you are concerned, please seek medical attention, as asking for advice here cannot provide you with actual assistance.

Reply Date: 2024/05/06

More Info

When it comes to acne treatment, particularly with inflamed lesions that are painful and swollen, it's essential to understand the implications of massaging these areas and the overall management of acne.
1. Does Massaging Acne Make It Worse?
Massaging an inflamed acne lesion can indeed exacerbate the condition. When you massage the area, you may inadvertently increase inflammation and irritation, leading to more swelling and redness. Additionally, if the acne is cystic or has a significant amount of pus, massaging can push bacteria deeper into the skin, potentially causing the infection to spread and leading to more severe acne lesions. This can result in a longer healing time and may increase the risk of scarring. Therefore, it is generally advised to avoid touching or massaging acne lesions to prevent worsening the condition.

2. Should You Seek Medical Attention?
Given that the acne lesion has persisted for a month and is painful, it is advisable to consult a healthcare professional or a dermatologist. While some acne can resolve on its own, persistent lesions, especially those that are painful and swollen, may require medical intervention. A dermatologist can assess the lesion to determine if it is a cystic acne lesion or another type of skin condition that may need specific treatment. They may prescribe topical or oral medications, such as antibiotics or retinoids, to help reduce inflammation and promote healing.
In the meantime, here are some general tips for managing acne:
- Avoid Picking or Squeezing: This can lead to further inflammation, infection, and scarring.

- Use Gentle Cleansers: Opt for non-comedogenic products that won't clog pores.

- Apply Topical Treatments: Over-the-counter treatments containing benzoyl peroxide or salicylic acid can help reduce inflammation and bacteria on the skin.

- Keep the Area Clean: Gently cleanse the affected area twice a day to remove excess oil and dirt.

- Avoid Heavy Makeup: If you wear makeup, choose non-comedogenic products and ensure to remove them thoroughly at the end of the day.

- Consider Lifestyle Factors: Diet, stress, and sleep can all impact acne. A balanced diet, regular exercise, and adequate sleep can contribute to overall skin health.

In summary, massaging acne can worsen the condition, and given the duration and symptoms of your lesion, seeking medical advice is recommended. A dermatologist can provide tailored treatment options to help manage your acne effectively and prevent complications.

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