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Male 22 cysts and tiny bumps on face what is this?
I am 22 year old male. I have been having issues with the skin on my face for a while now and it has been getting worse. I dont know what to do I have tried everything. I dont have typical acne, its more like cysts around my ears and little white pimples/bumps all around my mouth going towards my chin. The little bumps around my mouth do pop but just come right back and they are in like patches of a lot close together kinda. The cysts are hard dark almost purple and they hurt when i try a hot compress or when i just squeeze them sometimes blood will come out and liquid but no pus. I wash my face often probably not as often as i should but i have tried many products as well as herbs and none have worked. i dont know what is wrong or what to do and this is seriously affecting my self confidence. I do touch my face a lot and i am kind of obsessed with finding and popping pimples on my skin. I dont believe that my skin problems are caused by me touching my face however my significant other of 3 years believes that my skin is this way because of the my constant touching, rubbing, squeezing and picking of my face, poor hydration, poor diet, and possibly stress. Also up until about 6 months ago i would use a lot of make up to cover up whatever I didnt like on my face pretty much daily and rarely washed it off before going to bed at night. I still do occasionally use make up to cover bad spots on my face. I also drink a lot of alcohol and coffee. A LOT of alcohol and coffee. Im not sure if that has anything to do with it. I dont think I eat too much suger i do not like a lot of sugar in my coffee and i avoid high fructose corn syrup. I am very scared that this will never go away or that there will be permanent scarring. I guess i just want to know why my skin is like this, what its called, and how i can fix it because its affecting my quality of life. I have high resolution photos of every area of my face that i can send please just ask.
MEDICAL PROFESSIONAL
Hello,
Thanks for posting your query.
I can understand your concern for these painful bumps on your face. I have checked the photographs and they are suggestive of adult acne. The pimples around the mouth can be due to perioral dermatitis which is a rash that develops around the mouth characterised by multiple small (1 - 2 mm) papules, pustules or vesicles which are localised to the perioral skin (around the mouth) or nasolabial folds (around the nostrils). Although it is found mainly in women, but men can also be effected.
As you have mentioned, diet, hygiene and stress are not the causative factors for acne but yes, definitely they are the aggravating factors for them. They are caused by a combination of several factors: hormones leading to excess oil secretion, faulty closing of the hair duct, and infection. Other than that, perioral dermatitis can be triggered by the make up cover as well. It may be that certain ingredients of cosmetics may act as the trigger.
Now regarding the treatment, you need to change two habits of yours. Firstly picking and pressing the acne. It gets immediate results -- but when you squeeze pimples at home, you are inviting infection and scarring which is more pronounced and stubborn in males. Hence you need to avoid it. Secondly avoid alcohol and coffee which are again aggravating factors for acne.
Start your treatment regime by choosing gentle face washes. Gentle face wash is much more desirable than frequent face wash. Cetaphil and Aquanil are the most gentle and can be used. Use only warm water (hot water is drying). Wash for just 1-2 minutes (more can irritate your skin) and use your hands instead of a rough washcloth. The topical antibiotic clindamycin helps fight bacteria in the skin; so does tetracycline, another antibiotic, taken orally. In fact tetracycline is the treatment of choice for perioral dermatitis as well. Hence you can get them prescribed from your dermatologist. You can also use Benzoyl peroxide 5% lotion or gel once at bedtime. An amount of lotion the size of a pea should be enough to cover most of your face. If your skin becomes red or peels, you are using too much of the medicine or applying it too often.
These should help you in treating the acne. However if they persist then you may need to opt for other treatment options. These include topical retinoids, hormonal therapy, dermabrasion , phototherapy and laser resurfacing. Normally a combination of treatments is followed and if nothing proves effective then dermabrasion and laser therapy are useful.
Hope that this information helps and hope that you will get better soon.
Wishing you good health.
Thanks for posting your query.
I can understand your concern for these painful bumps on your face. I have checked the photographs and they are suggestive of adult acne. The pimples around the mouth can be due to perioral dermatitis which is a rash that develops around the mouth characterised by multiple small (1 - 2 mm) papules, pustules or vesicles which are localised to the perioral skin (around the mouth) or nasolabial folds (around the nostrils). Although it is found mainly in women, but men can also be effected.
As you have mentioned, diet, hygiene and stress are not the causative factors for acne but yes, definitely they are the aggravating factors for them. They are caused by a combination of several factors: hormones leading to excess oil secretion, faulty closing of the hair duct, and infection. Other than that, perioral dermatitis can be triggered by the make up cover as well. It may be that certain ingredients of cosmetics may act as the trigger.
Now regarding the treatment, you need to change two habits of yours. Firstly picking and pressing the acne. It gets immediate results -- but when you squeeze pimples at home, you are inviting infection and scarring which is more pronounced and stubborn in males. Hence you need to avoid it. Secondly avoid alcohol and coffee which are again aggravating factors for acne.
Start your treatment regime by choosing gentle face washes. Gentle face wash is much more desirable than frequent face wash. Cetaphil and Aquanil are the most gentle and can be used. Use only warm water (hot water is drying). Wash for just 1-2 minutes (more can irritate your skin) and use your hands instead of a rough washcloth. The topical antibiotic clindamycin helps fight bacteria in the skin; so does tetracycline, another antibiotic, taken orally. In fact tetracycline is the treatment of choice for perioral dermatitis as well. Hence you can get them prescribed from your dermatologist. You can also use Benzoyl peroxide 5% lotion or gel once at bedtime. An amount of lotion the size of a pea should be enough to cover most of your face. If your skin becomes red or peels, you are using too much of the medicine or applying it too often.
These should help you in treating the acne. However if they persist then you may need to opt for other treatment options. These include topical retinoids, hormonal therapy, dermabrasion , phototherapy and laser resurfacing. Normally a combination of treatments is followed and if nothing proves effective then dermabrasion and laser therapy are useful.
Hope that this information helps and hope that you will get better soon.
Wishing you good health.
pictures are in my album message me if you have trouble finding them
how can i add pictures?
Thank you so much everybody I dont have health insurance and cant afford to see a dermatologist so i appreciate you all very much. Please help me.
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