Help with Persistent Pimples
Age: 26, Male For the past three years, I've been dealing with these persistent pimples that consistently manifest in the same areas after I squeeze them. Instead of being inflamed or red, they resemble firm, pus-filled lumps that transform into a liquid upon pressure. I realize that popping them may not be the best approach. Are these blemishes what people refer to as closed or white comedones? I would appreciate any guidance, as I've consulted dermatologists who have recommended treatments that haven’t yielded any positive results.
Answers (1)
2/8/2026, 5:50:26 PM
OpenHealth AI
It sounds like you’re experiencing persistent bumps on your skin that resemble firm, pus-filled lumps. These could potentially be cysts or inflamed closed comedones, also known as whiteheads. It's good that you recognize squeezing them isn't the best approach, as this can lead to irritation, scarring, and further breakouts.
Explanation:
- Types: The firm lumps you're describing might not be typical acne but could be epidermoid cysts or another type of skin issue. Closed comedones are typically flesh-colored and don’t have a central opening, whereas what you're describing may suggest a more persistent issue.
- Treatment Difficulty: It’s not uncommon for certain skin conditions to resist over-the-counter treatments, necessitating a more targeted approach.
Next Steps:
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Avoid Squeezing: Reinforce your decision to avoid popping the bumps. This can lead to infection and scarring.
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Gentle Skin Care Routine: Use a mild, non-comedogenic cleanser and avoid harsh scrubs. Look for products labeled “oil-free” or “for acne-prone skin.”
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Topical Treatments: Consider using a topical retinoid, which can help both with acne and improve skin cell turnover. If you haven't responded to treatments before, discuss with your dermatologist about trying a prescription strength.
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Regular Exfoliation: Incorporate gentle exfoliation 1-2 times a week with products containing salicylic acid or alpha-hydroxy acids (AHAs), as these can help unclog pores.
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Review with a Specialist: Since you've consulted dermatologists with limited results, consider seeking a second opinion from a different specialist, perhaps one who specializes in cystic acne or skin treatments.
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Keep a Diary: Track any changes in your skin over a month, noting any products used or lifestyle changes. This can be helpful for future consultations.
Understanding your skin can be a journey, and finding the right treatment may take time. Keep a positive approach and stay committed to your skin care! Let me know if you need more information on any specific step.
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