Dealing with Painful Pimples After Facial Extraction: What to Do? - Dermatology

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Popping a pimple can lead to swelling and pain?


Hello, doctor.
Three days ago, I had a facial treatment where the beautician extracted some blackheads, but it seems she was a bit too aggressive.
Now I have about four or five swollen, round areas on my face that are slightly red, hard to the touch, and painful.
I'm not sure what to do since I live in a rural area without access to a dermatologist, and I will be traveling abroad for a year in a few days.
I'm busy preparing for the trip and wondering if I can apply acne medication.
Would it be okay to leave it alone and let it heal on its own? I hope you can answer me, and I would be very grateful.

Xiao Fang, 20~29 year old female. Ask Date: 2007/08/12

Dr. Jiang Yujiao reply Dermatology


Xiao Fang: After squeezing a pimple, if it feels hard and painful, it may be inflamed.
You can apply an anti-inflammatory ointment, and if necessary, you may need to take antibiotics.
This is the response from Dr.
Jiang Yu-Jiao, the Director of the Dermatology Department at Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2007/08/12

More Info


Dealing with painful pimples after a facial extraction can be quite distressing, especially when you're preparing for an upcoming trip. It sounds like you may be experiencing post-extraction irritation or even a mild inflammatory response to the extraction process. Here’s a comprehensive approach to managing your symptoms and promoting healing.


Understanding Your Symptoms
The red, swollen, and painful bumps you’re experiencing are likely a result of trauma to the skin during the extraction process. When a beauty therapist performs extractions, they apply pressure to the skin, which can sometimes lead to inflammation, bruising, or even small localized infections if bacteria are introduced into the pores. The fact that these bumps are hard and painful suggests that there may be some inflammation or irritation occurring in the affected areas.


Immediate Care
1. Avoid Picking or Squeezing: It’s crucial to resist the urge to pick at or squeeze the pimples. This can exacerbate inflammation and increase the risk of scarring or infection.

2. Cold Compress: Applying a cold compress to the affected areas can help reduce swelling and soothe pain. Use a clean cloth soaked in cold water or an ice pack wrapped in a towel, and apply it for 10-15 minutes several times a day.

3. Topical Treatments: If you have access to over-the-counter acne treatments, look for products containing benzoyl peroxide or salicylic acid. These ingredients can help reduce inflammation and clear clogged pores. However, be cautious with the application; if your skin is already irritated, you might want to test a small area first to ensure it doesn’t worsen the irritation.

4. Hydration and Moisturization: Keeping your skin hydrated is essential for healing. Use a gentle, non-comedogenic moisturizer to help maintain skin barrier function. Avoid heavy creams that may clog pores.

5. Avoid Sun Exposure: If you’re going to be outdoors, protect your skin from sun exposure, as UV rays can worsen inflammation and lead to hyperpigmentation. Use a broad-spectrum sunscreen with at least SPF 30.


When to Seek Help
Given that you live in a rural area with limited access to dermatologists, it’s understandable that you might want to manage this at home. However, if you notice any of the following signs, it’s important to seek medical attention as soon as possible:
- Increased redness or swelling
- Pus or drainage from the bumps
- Fever or systemic symptoms
- Persistent pain that doesn’t improve

Long-term Care
If you find that the bumps do not improve within a few days, or if they worsen, consider reaching out to a healthcare provider, even if it means traveling to a nearby city. They may prescribe topical antibiotics if there’s an infection or recommend other treatments to help with inflammation.


Conclusion
In summary, while it’s possible to manage mild post-extraction irritation at home, it’s essential to monitor your symptoms closely. Use cold compresses, avoid picking at the bumps, and consider gentle topical treatments if appropriate. If your condition does not improve or worsens, don’t hesitate to seek professional medical advice. Safe travels, and I hope your skin heals quickly!

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