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Avatar universal

Painful Acne Only On Chin

I'm 22 years old, and the only one of three children who never suffered a stage of extremely severe acne during my teens (my siblings' doctor determined their outbreaks probably had to do in part with a recent discovery of overactive thyroid in both of them). Usually I get a pimple here and there, nothing too bad, and I manage fine with OtC treatments.

However, once every few weeks, maybe even months (it's hard to remember), I will get one (maybe 2 on extremely rare occasions) huge, pressured, painful bump on my chin. It's not like a regular pimple; it feels like it's embedded deep within the skin, has no visible head, is shiny but not overly-oily, and the only way I can ever get it to open to relieve pressure is by stabbing a (sterilized) needle a few millimeters into my flesh until I "break through," in which case a mix of blood and oil will come out only to eventually seal up and become pressurized again, usually with blood being visibly trapped under the skin. It honestly feels like there's half an extremely pressurized pea embedded under my skin when I get one of these things.

They only show up on the very front of my chin, either below the corners of my lip or towards the bottom on either side of the cleft (never in the middle). I usually end up stabbing them as I said, and eventually after a few days of this the drama will reach its climax when the sucker finally produces a large white head which I squeeze with hopeless abandon. Needless to say my chin is pretty red with scars.

Aside from that, my skin is fine. My chin (like the rest of my face) gets it's random blackheads and the occasional blemish, but nothing out of the ordinary (or painful). I wonder:
A) Whether these things are actually acne or something unrelated, considering how deep under the skin they are
B) Why this happens only on my chin, only once every few weeks/months
C) What I can do to prevent/treat/relieve the pain associated with this
D) What I can do to try and reduce the reddening from previous ones (I've tried scar gel before and it seemed to make me break out more)

Thanks in advance!
14 Responses
640829 tn?1230996060
I think they are called "boils" and are acne related. Are caused from clogged hair follicles, not sure being they are chin related.

Here read this:

Boils are painful, pus-filled, irritated bumps on the skin. Boils are quite common. Many boils are called carbuncles. Boils can be caused by staph infection (staphylococcus bacteria). When staphylococcus infection gets inside the hair follicle, the infection can spread into root of the follicle and the surrounding soft-tissues. As the staph infection works its way to the surface of the skin, the boil develops. Boils can be found almost anywhere on the body. Boils are most frequently found on the neck, face, underarms, thighs, and buttocks.

The one important thing to remember is that boils are most commonly related to low immune system functioning. By boosting the immune system, you’ll be able to prevent boils and recurrent infections.

Home Treatment
Skin boil treatment administered by self-care is usually the only treatment needed, as these boils generally heal by themselves within 4 to 10 days. Healing can be expedited by applying a warm cloth to the area or soaking the boil in warm water. This should help to relieve some of the pain and encourage the pus to surface. Once the boil has drained, the area should be washed with antibacterial soap and kept bandaged and sterile, as the open wound may be susceptible to further infection. Special care should also be taken to prevent the spreading of the bacteria, which can be transmitted to other areas of the skin or to other people through the pus. You should not squeeze or attempt to pop a boil if it is hard and firm, as boils should only be drained once they have become soft or once a head has formed. It is recommended to leave the boil to burst on its own to reduce the spread of infection to other areas.

Medical treatment
If the boil requires some medical intervention, your doctor may drain it by making a small incision on the tip of the boil. This will help speed up the recovery, reduce pressure and pain, and it helps to lessen scarring. If the infection is especially deep, a small amount of gauze can be placed over the boil so that it can continue to drain. In addition, a course of oral or topical antibiotics may be prescribed to help rid you of severe or recurrent infections. If boils are a recurrent problem, your doctor may also suggest vitamin supplements (especially vitamin A and E) and tests may be done to determine if you have an underlying condition that may be compromising your immune system.
309783 tn?1271958229
Hi. Cystic, papular or pustular acne should never be popped. This will spread bacteria under the skin leading to more spots and possibily a secondary infection and permanent scarring.
See your doctor for a topical synthetic retinoid called Differin. It is very effective and well tolerated with few side effects such as peeling or dryness. Differin contains 0.1% adapalene which is effective against the abnormal skin processes associated with acne. It will relieve the inflammation, soreness and irritation you feel.
Acne is caused when androgens (hormones) stimulate the sebaceous (oil) glands. It commonly occurs on the chin as the T-zone is likely to be more oily than other areas.
Avatar universal
I just started getting acne just like this!  I'm 22 and I started getting it over the summer with the same exact issue: the rest of my skin has normal acne or is clear and then every few weeks one of these really swollen zits appears on my chin and they cannot be popped (although I hadn't tried the needle thing).  This is a new situation for me as well, so I was looking up how to handle it.  

Just to let you know, I've tried using Differin for several months and it hasn't worked at all.  Differin works really well on large areas that don't get touched or that you don't put makeup one (such as chest or back) but they do absolutely nothing for these swollen nodules.  

The only things that I've noticed helps at all is a decrease in my stress level and not touching my face.  It's difficult because I'm naturally a picker, but if I don't touch it, they are more infrequent.  

I'm still hoping that someone has a better suggestion.
Avatar universal
Omw I have the exact same problem. On my chin and extremely painful with no white head to press. Maybe it is boils but surely there is a solution.Please someone HELP US!! Its terrible because its on the face and theses pimples look red and angry
Avatar universal
I have done some research because I am suffering from the same thing. I have found out that these kinds of breakouts on the chin and around the mouth are usually associated with hormone imbalances (this may explain why they come once a month...). I have begun to take herbal remedies to balance my hormones (Vitex Agnus Castus and ****-Quai-- be aware though that most hormone-affecting medicationmay neutralize the effect of brith control!!) and hopefully that will address the root of the problem, because topical treatment didn't work either. My breakouts have been the same kind as described above-- hard and painful, and filled with a mixture of blood and pus when popped (which I'm trying not to do)
Avatar universal
im NOT ALONE??!! that's a relief.
I too suffer from a very very similar ailment as the one posted here. the only difference is that the "boils" I experience occur in the exact same spot everytime,and at the end of its course,leaves behind a perfectly circular scabbing,that is flaky and extremely itchy,except ive noticed the itchiness isn't from the boil itself but the skin surrounding it.
what puzzles me is that in the days leading up to the initial outbreak,ill notice my lymph nodes or glands in my neck along my jawbone ,become swollen,and in the hours preceding the outbreak,those nodes form a hard lump that is tender,and a burning tingly itchy sensation on the areas of my face where the outbreak always occurs(chin) when the lump reaches its worst,the discomfort is enough to drive me to cutting it out myself ! its like theres a root to it that needs to be surgically cut out,otherwise its like pulling half a dandelion outta the ground!
Avatar universal
Wow! I really thought I was alone... I am 35 and since I've been in my 30's I have suffered from extremely pain on just my chin. It never fails, once a month usually before or during my time of the month I get giant painful acne just on my chin. It will appear just as my face is staying to heal, look good and feel normal. What's worse is I became obsessed with hiding and fixing the problem that my face is badly scared. I've also used differing with no results. The one thing I can offer to help others out for the inflammation try using Tend Skin. It's for razor burn but it does take away a portion of the pain and flattens the spot. I think we need to start a support group. I think there's more women out there going through this and maybe there is a solution or answer. Not even the dermatologist or my obgyn has given me answers...
Avatar universal
Before three months ago I had very painful acne not on my chin but on cheek but I let it be for a week and it cure by own. I did nothing for it.
Avatar universal
All that reading and no solution): ugh my chin hurts lol
12726288 tn?1427112349
Hi Tip220,

Have you considered other remedy, aside from surgery? Is it really safe and effective. Me too have acne all over my face and even on my back too. Can you tell me what other products you have tried, and its effectiveness to acne.
Avatar universal
A course of Doxycycline will treat it :-)
You may need to go on it for a few months. I suffer from these same angry headless pea under skin monsters and have done for a few years. See your doctor and get on some doxy. Think about reducing dairy and meat and products too, many contain hormones from the animals that can mess with your own hormones! Reducing oil and fatty foods from the diet also can help, along with using an oil free non comedogenic foundation.
15317613 tn?1439816711
I use an oil free non comedogenic foundation, every morning and night I've been taking Doxycycline  for somewhere around 6 months now. I've also been using a topical Adapalene 0.1% Cream for about the same amount of time. I've noticed no improvement in my acne. Keeps appearing everywhere, and I've moved to having to add the Adapalene cream on my arms as well. I've only noticed an improvement on my arms. And now I have this boil on my chin. Great.
Avatar universal
I have this exact thing.  I'm 39 and a guy.  It *****.  I'm going to a doc today and am really hoping there is some good news out there.  If I hear of anything I shall report back.  

I was really hoping to read some good news here :(
Avatar universal
I'm a 34 year old woman and this problem is driving me nuts!! I've spent a ton of money on prescription meds, didn't work! I've tried natural things, didn't work!!! I'm so discouraged. I am a very confident, outgoing person but ever since this started, I find myself hiding from people cause I'm just so self conscious. Has anyone tried going on birth control to see if that helped with leveling out the hormones, if the hormones are even the issue??
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