Why Are My Skin Spots Raised? Rapid Changes and Care - Dermatology

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Could you please clarify the issue regarding the raised spots?


Hello, doctor.
I have a question about why spots are becoming raised on my cheeks, particularly on the left and right sides of my face.
They are spreading rapidly.
I have oily skin with slightly enlarged pores and often get acne.
I also tend to break out with larger pimples around the time of my menstrual cycle.
Should I temporarily stop using skincare products and seek immediate medical attention? Thank you!

bing ren, 30~39 year old female. Ask Date: 2008/07/28

Dr. Lin Mingxiu reply Dermatology


1.
Raised spots on the zygomatic bone and cheeks are most commonly seborrheic keratosis, but if they spread rapidly (growing significantly or quickly), other lesions should be suspected, and a visit to a dermatologist for diagnosis is necessary!
2.
Acne that worsens with the menstrual cycle can be evaluated at a dermatology clinic.
The physician may use medications to adjust hormones and recommend lifestyle and dietary changes to improve the condition.
You can also bring your skincare products for the physician to review and suggest adjustments.

Reply Date: 2008/07/28

More Info


When it comes to raised skin spots, especially those that appear rapidly and are accompanied by other skin concerns such as oily skin and acne, there are several potential explanations and considerations to keep in mind.
Firstly, raised spots on the skin can be indicative of various conditions, including but not limited to acne, allergic reactions, or even skin infections. Given your description of having oily skin and a tendency to develop acne, it is possible that these raised spots are related to acne lesions or cystic acne, which can manifest as painful, swollen bumps on the skin. Hormonal fluctuations, particularly around menstruation, can exacerbate acne conditions, leading to increased breakouts and inflammation.

Another possibility is that the raised spots could be a form of dermatitis or an allergic reaction. If you've recently changed your skincare products or have been exposed to new environmental factors, your skin may be reacting negatively. Allergic reactions can present as raised, itchy spots that may spread quickly, especially if they are triggered by contact with an irritant or allergen.

In terms of management, it is crucial to assess the situation carefully. If the raised spots are painful, itchy, or spreading rapidly, it would be wise to consult a dermatologist as soon as possible. They can provide a proper diagnosis and recommend appropriate treatment options. In the meantime, it may be beneficial to temporarily discontinue the use of any new skincare products that could be contributing to the irritation. Stick to gentle, non-comedogenic products that are less likely to clog pores or irritate the skin.

For immediate care, consider the following steps:
1. Gentle Cleansing: Use a mild, fragrance-free cleanser to wash your face twice a day. Avoid scrubbing, as this can further irritate the skin.

2. Moisturization: Even oily skin needs hydration. Opt for a lightweight, oil-free moisturizer to maintain skin balance without adding excess oil.

3. Spot Treatment: If you suspect acne, over-the-counter treatments containing benzoyl peroxide or salicylic acid may help reduce inflammation and clear up spots. However, use these sparingly and only on affected areas to avoid further irritation.

4. Avoid Picking: It can be tempting to pick at raised spots, but this can lead to scarring and further inflammation. Keep your hands away from your face.

5. Sun Protection: If you are using any acne treatments, your skin may be more sensitive to the sun. Use a broad-spectrum sunscreen daily to protect your skin.

In conclusion, while raised skin spots can be concerning, understanding the potential causes and taking appropriate steps can help manage the situation. Given your history of oily skin and acne, along with the rapid appearance of these spots, seeking professional advice is recommended to ensure you receive the right treatment tailored to your skin's needs. Remember, early intervention can often prevent more severe skin issues down the line.

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