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Dermatologists Explain Causes and Treatments for Ear Acne
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Dermatologists Explain Causes and Treatments for Ear Acne

20 May 2025


Dermatologists Explain Causes and Treatments for Acne Behind the Ears

Pimples are common to many people, and they usually appear on the face, neck, chest, or back. However, pimples can also appear in other places, such as behind the ears.

If you’ve ever been bothered by annoying pustules behind your ears, you may have wondered about their causes and treatments. To help answer your questions, we asked two board-certified dermatologists. Learn all about pimples behind the ears.

What causes pimples behind the ears?

Clogged pores

Clogged pores can cause pimples behind the ears. They are caused by excessive sebum production or insufficient skin exfoliation and usually appear as blackheads.

“(Their distinguishing feature) is the presence of a ‘plug’ in the pore,” Dr. Chilukuri notes. Treatment recommends using PanOxyl Acne Cleanser ($9) first, followed by a retinoid.

Previously, a doctor’s prescription for a retinoid, such as Differin or Retin-A, was required.

Now, [acne sufferers] can order PanOxyl Adapalene 0.1% Leave-On Gel ($11) online for a fraction of the original price.

Pimples

As Dr. Murphy-Ross says, pimples are the supergroup of acne.

Pustular acne presents as red, one- to three-millimeter-sized bumps behind the ears that are often painful and identifiable by inflammatory lesions.

“In this type of acne, bacterial growth leads to increased inflammation, resulting in red papules or pustules,” Dr. Chilukuri says. Salicylic acid can be used to reduce inflammation if necessary.

For painful pimples, we recommend PanOxyl PM Nighttime Acne Patch ($8). I also recommend using a retinoid to promote cell turnover and exfoliate the skin so pores don’t clog as easily.

Cysts

Acne can also occur behind the ears; the visible nodes are usually deeper and more painful.

“Cysts are caused by a buildup of oil, bacteria, and pus beneath the surface of the skin,” Dr. Chilukuri explains.

They are likely to cause permanent scarring and can be determined by genetics and hormones.

It is important to consult a dermatologist to determine if oral medications to prevent permanent scarring are right for you.

Ingrown Hairs

Ingrown hairs usually appear as small red or skin-colored bumps on or behind the ears and can be identified by the hair inside them.

“Ingrown hairs occur when a hair follicle curls and becomes trapped beneath the surface of the skin,” explains Dr. Chilukuli.

I rarely see ingrown hairs behind the ears because hair growth there is not noticeable. They may appear on the neck and hairline, however.

Pore-Clogging Hair Products

It’s no surprise that products that clog pores can cause acne. Hair products are often the cause of acne, especially behind the ears, where hair comes into contact with the skin every day.

“The occlusive action of oils, conditioners, and some dry shampoos can clog pores, leading to blackheads and pimples around the ears and hairline,” says Dr. Murphy-Ross.

“Whether you’re in the shower or on the go, use noncomedogenic hair products,” advises Dr. Chilukuri. Cleanse the affected area thoroughly to remove any residue that’s clogging pores.

If you think styling products are to blame for your breakouts, use facial toners or a liquid toner with salicylic acid to remove any residue and apply acne-fighting ingredients.

Treatments for Acne Behind the Ears

Try Topical Treatments

Both experts note that the first treatment is usually a topical application. “Salicylic acid is very effective for preventing acne,” says Dr. Murphy-Ross.

The acid’s molecular size allows it to penetrate pores, deep clean and dissolve sebum. Its exfoliating action can treat and prevent further clogging of pores.

Prescription retinoids or retinols are also good options. Skincare Junkie’s Pore Therapy Daily Toner Pads ($38) can prevent blackheads and treat existing ones.

Consider Oral Medication

If topical treatments don’t work, oral medications may be the next step in treating acne, including behind the ears.

“The most commonly prescribed medications are oral antibiotics, isotretinoin (such as Accutane), and spironolactone, depending on the patient and the type of acne,” says Dr. Murphy-Ross.

Try home remedies

Home remedies can also help treat pimples behind the ear, such as warm compresses. “One of the most common home remedies for treating acne is tea tree oil,” adds Dr. Murphy-Ross.

“While other acne treatments may be more effective, the antibacterial and anti-inflammatory effects of this natural topical treatment can significantly help fight acne.”

However, our experts advise against making your own local cocktail to treat pimples. “I do not recommend applying homemade concoctions to the skin, as they can often cause skin irritation.”

“This can lead to acne breakouts, which can make acne worse,” adds Dr. Chilukuri.

How to prevent pimples behind the ears

Use a gentle cleanser

According to our experts, cleansing is a simple but key step in preventing acne behind the ears.

“Use gentle, non-irritating cleansers to remove acne-causing bacteria from the skin without irritating the skin and disrupting the skin’s protective barrier,” advises Dr. Murphy-Ross.

Avoid clogged products

As mentioned earlier, clogged pores can lead to blackheads and pimples. Therefore, comedogenic products should be avoided.

“Choose hair products carefully and look for ones labeled non-comedogenic,” advises Dr. Chilukuri.

“After using conditioner, rinse your hair thoroughly to remove any excess styling product that may be on the skin to prevent further breakouts.”

Keep your hair away from your ears

Dr. Murphy-Ross notes that tying your hair up, especially when exercising, can help prevent acne behind the ears.

“Keeping your hair away from your ears reduces the transfer of oil or hair care products from your hair to your skin, which can clog or irritate your pores,” says Dr. Chilukuri.

Summary

Although it’s not the most common spot for pustules to appear behind the ears, it can happen there too.

Pore-clogging hair products and acne are just some of the possible causes of pustules behind the ears. Luckily, there are ways to treat them when they occur.

Our experts recommend topical treatments (products containing salicylic acid and retinoids work well), applying tea tree oil, or using warm compresses to soothe the area.

If the problem persists or you experience severe symptoms (such as redness, swelling, warmth, or increased discharge), see a dermatologist.

DQH Knowledge drop: In your 20s, your skin cell turnover decreases. (Cell turnover is a key component in keeping your skin youthful.) You know what else slows down? Your collagen production. Starting in your 20s, collagen decreases by about 1 percent per year. Should you want to prevent fine lines and wrinkles, start by eliminating behaviors that contribute to premature aging. “If it’s bad for you, it’s bad for your skin,” says dermatologist Michel Somenek. “Cigarette smoking reduces blood flow to the skin and causes premature wrinkling and a dull skin texture. Making the repeated pursed motion to inhale can also cause smoker’s lines. Alcohol and recreational drugs are toxins for the skin that damage its cellular structure and DNA,” Somenek tells us. “The faster you eliminate vices while you are young, the better chance your skin and body have to recuperate.” Also, adopting an anti-aging routine in your 20s is key. After all, the best offense is a good defense. We spoke to Somenek and experts Joshua Ross and Audrey Kunin to find out more. Keep reading for the best anti-aging products for your 20s, according to skincare professionals. Sunscreen “We all know that the sun is the number one cause of skin aging and starting the prevention in your 20s is very important,” Ross says. “The majority of your sun damage won’t start to appear until you’re in your 30s, so don’t wait until you see it surface or you’ll be behind the curve. Stay ahead of it with a good-quality zinc-based sunscreen worn daily.” Farmacy Green Defense Daily Mineral Sunscreen An invisible sunscreen with SPF 30, plus botanical extracts meant to protect skin with tons of antioxidants. Bonus: It’s clean and fine to use under makeup. Bareminerals Complexion Rescue™ Tinted Moisturizer Broad Spectrum SPF 30 Although we recommend you use your SPF and moisturizer separately, we also understand moments when you don’t have time or energy for that extra step. For those times, this bareMinerals moisturizer is a great thing to have on hand. Vitamin C Serum “A great introduction to anti-aging is to start with a vitamin C serum in your morning skincare routine,” Ross says. “It’s a powerful antioxidant that will neutralize free radicals and brighten the skin.” He adds that it’s a great way to counteract the effects of the sun’s harmful rays, which, as previously mentioned, are among the biggest causes of premature aging. Drunk Elephant C-Firma™ Vitamin C Day Serum The Drunk Elephant C-Firma is a lightweight serum that promises to give skin a glow by combining the brightening powers of vitamin C with ferulic acid, l-ascorbic acid, and vitamin E. The included sodium hyaluronate is meant to replace hydration loss, so you shouldn’t have to deal with any irritation. Sunday Riley C.E.O. Rapid Flash Brightening Serum This potent serum is jam-packed with vitamin C (15 percent, to be exact), which means it’s a potential superstar at both brightening skin and dousing it in antioxidants. Peptides Using peptides on your skin has many benefits, says Somenek. “The skin barrier is what defends the body against pollution, UV rays, bacteria, and toxins. It can be damaged by several everyday factors. Using topical peptides aids in building a stronger barrier,” he says. “Peptides comprise elastic fibers, which are a type of protein. These fibers help to make skin appear taut and firm. Peptides can also help repair damaged skin, relieve inflammation, and even out skin tone. Some peptides can kill acne-causing bacteria that is common in 20-somethings.” Kunin agrees, saying, “Peptides are an excellent entry point for supporting collagen.” She recommends looking for face and eye treatments that contain these collagen-boosting powerhouses. Charlotte Tilbury Magic Eye Rescue Cream This Charlotte Tilbury super-emollient eye cream has a base of coconut oil and shea butter (read: it’s incredibly hydrating). Botanicals plus peptides are meant to help reduce dark circles and boost collagen, respectively. This creamy moisturizer serves up potent collagen-boosting peptides and pycnogenol, and antioxidant-rich vitamin C. “Instead of sitting on top of the skin, peptides penetrate the outer layer so they go deep. The ‘signals’ they send tell the cells to produce elastin and collagen, which are needed for youthful-looking skin,” explains Somenek. At-Home Peel Pads Remember that skin cell turnover fiasco we talked about earlier? One way to help support it is by exfoliating. “Exfoliation is important to help keep skin fresh and luminous,” Kunin says. She recommends using at-home peel pads as an easy and effective way to exfoliate. “The goal in your 20s is to fight the slowing pace of cell turnover. It is wise to use products that gently exfoliate, yet still remove oil and other impurities. Products that have Alpha Hydroxy Acids (AHA) or Beta Hydroxy Acids (BHA) are a good choice.” According to Somenek, you should only exfoliate two to three times a week. “People of all ages are guilty of over-exfoliating and that can be too much of a good thing,” he says. Dermadoctor Kakadu C Intensive Vitamin C Peel Pad A few swipes of this Derma Doctor powerful peel pad promise to leave your skin glowing and smooth, thanks to the seven (yes, seven) types of chemical exfoliants, including AHA and BHA. It also contains vitamin C via Kakadu plum extract for added brightening and antioxidant protection. KEY INGREDIENTS Kakadu plum extract is sourced from the Kakadu plum, a fruit grown in northern Australia. It contains vitamin C, which restores the skin’s natural barrier, increases collagen production, and soothes irritation. Dr. Dennis Gross Skincare Alpha Beta® Universal Daily Peel Pads These are the gold standard of peel pads, with a cult following and over 900 five-star reviews on Sephora. They’re easy to use and contain a blend of anti-aging exfoliating acids. Emollient Night Cream “In your 20s, you need to start upping the hydration in your skincare routine. You may have been cautious of over-moisturizing because of acne in your teens, but as you enter your 20s, your skin transitions and becomes drier,” Ross says. “I recommend an emollient night cream added into your evening skincare regimen.” “Twenty-somethings need to make sure that they are not using creams that will clog their pores and cause excess oil production,” says Somenek. Opt for non-comedogenic products. Cerave Skin Renewing Night Cream One great choice is the CeraVe Skin Renewing Night Cream, which is a non-comedogenic night cream that leaves skin soft and glowy. It combines the moisturizing powers of ceramides and hyaluronic acid. RoC Retinol Correxion Max Hydration Creme “The best night cream ingredients contain retinol, benzoyl peroxide, and/or salicylic acid or hyaluronic acid. The goal is to moisturize, yet remove excess oil,” says Somenek. This Roc Retinol Correxion cream fits the bill as it contains both hyaluronic acid and retinol so it promises to moisturize while also being non-comedogenic.
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