Three words: Do not pick!
Picture this: you’re sitting at your desk when all of a sudden you feel a very tender, large pimple forming on your chin. No one is ever excited to get a zit, but this one brings on a wave of dread because you know (and feel!) it’s deep and brewing under the surface of your skin. Sound familiar? It’s likely a blind pimple.
“Blind acne, or underground acne, gets its name because these pimples are not at the surface and largely occur under the surface of the skin,” says Zenovia Gabriel, MD, a dermatologist, hormonal skin expert, and the founder of Dr. Zenovia Skincare. “Common places for deep acne, A.K.A blind pimples, to appear are the chin, jawline, side of the face, and neck, and this is because there is a high density of oil glands clustered in these areas and the oil glands are deeper in the tissue here,” she explains.
These oil glands are then triggered by a hormonal stimulation at the follicle level so the pocket of oil is deep and not at the skin’s surface like with a whitehead or blackhead, she adds. As a result, blind pimples are often painful and difficult to treat.
What is a blind pimple?
A blind pimple is a small lump or bump that forms under the surface of your skin, and usually develops on the face, chest, or upper back, says Peter Young, MD, a dermatologist and the medical director of Nurx Dermatology.
“They may stay beneath your skin’s surface and cause inflammation and pain, or they may eventually erupt through the surface of the skin and form a whitehead, blackhead, or red bump,” he explains. Blind pimples are also often larger than a normal pimple, and because they live deep in the skin, they are slow to heal, impossible to pop, and usually tender to the touch.
What does a blind pimple look like?
As the name suggests, you usually can’t see a blind pimple. That said, you might be able to feel a small, firm bump if you run your (clean!) fingers over the surface of your skin. You may also notice some swelling, says Dr. Young. Blind pimples can also be red, tender, and larger than a normal pimple, but they do not come to a
“head”
or surface above the skin, adds Carmen Castilla, MD, a dermatologist with New York Dermatology Group and a clinical professor at Mount Sinai.
What causes blind pimples?
Blind pimples develop when your pores become blocked with dead skin cells, sebum (oil produced by your skin), and bacteria, says Dr. Young.
“If your skin produces too much sebum, then the oil and dead skin cells tend to pool up under your skin and become a feeding ground for bacteria, which leads to pus formation,” he explains. “Unlike blackheads and whiteheads, blind pimples are a bit deeper under the skin, and there is no escape route for this collection of sebum, dead skin, and bacteria, so they tend to become more inflamed and painful than blackheads and whiteheads.”
And while acne and blind pimples can happen at any age, they are more common in teenagers and young adults, adds Dr. Young.
How to get rid of blind pimples
First things first. Do not pick, prod, poke, pop, or squeeze your blind pimples! As tempting as it may seem, this can make matters worse and actually turn surface level pimples into blind pimples by pushing the sebum, dead skin cells, and bacteria deeper into your skin, says Dr. Young. If you do try to squeeze, you’ll create more inflammation making the blemish deeper, bigger, and more painful.
Luckily, though, blind pimples typically go away in one to two weeks when treated (if left untreated, they can persist under your skin for a few months), and simple home remedies can be key, says Dr. Young.
1. Warm compresses:
“Warm compresses encourage the pus from a blind pimple to come to the skin surface and form a head, which ultimately turns a deeper blind pimple into a regular surface level pimple which is easier to get rid of,” he explains.
Try placing a clean, warm washcloth over the blind pimple three to four times a day, for around ten minutes at a time.
2. Niacinamide: Niacinamide gel also works as a spot treatment for blind pimples, since it’s an anti-inflammatory which helps resolve the pimple without causing further irritation, says Dr. Castilla.
3. Acne patches: These come in handy if you feel the urge to touch or pick the pimple, says Dr. Castilla. If you have sensitive skin, she suggests opting for the plain hydrocolloid acne patches. However, acne patches with benzoyl peroxide and salicylic acid also work well, adds Dr. Young.
“I find that acne stickers embedded with either of these medications tend to work best, because if you place the small sticker on your skin, it releases the medication over a period of several hours and can penetrate into the deeper layers of your skin where the blind pimple has formed,” Dr Young explains.
4. Benzoyl peroxide: Topical treatments with benzoyl peroxide also work well for banishing blind pimples. Tea tree oil is another great anti-inflammatory that will help penetrate the skin and kill the bacteria, adds Dr. Young.
5. Steroid injections: If your blind pimples are extremely painful, stubborn, and/or persistent, Dr. Castilla recommends visiting your dermatologist for a steroid injection.
“The best way to resolve blind pimples quickly is to see your board-certified dermatologist for an anti-inflammatory steroid injection directly into the pimple, which puts the medication exactly where it needs to go in order to calm down the inflammation.”
How to prevent blind pimples
Prevention is key for blind pimples, so first and foremost, always keep your skin clean by washing your face every morning, night, and anytime you sweat, says Dr. Young. Also make sure to only use non-comedogenic makeup, moisturizers, sunscreens, and cleansers that are specifically noted to not clog pores, he adds. Next, a first line of prevention defense is an over-the-counter benzoyl peroxide wash.
“It is best to use a benzoyl peroxide wash that is less than 5 percent for your face, since concentrations of benzoyl peroxide higher than 5 percent are more irritating without being more effective,” says Dr. Castilla.
Adapalene gel is another great prevention topical, though it may be irritating and/or drying when first starting, says Dr. Castilla. She recommends starting with a pea sized amount every three days, followed by a moisturizer.
For those with sensitive skin, Dr. Castilla also recommends a wash contains salicylic acid to help exfoliate and decrease sebum.
Adapted From: Women's Health
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