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Blind Pimples: How to Get Rid of Those Stubborn Hard Pimples Under the Skin
Beauty

Blind Pimples: How to Get Rid of Those Stubborn Hard Pimples Under the Skin

5 February 2025


Blind Pimples: How to Get Rid of Those Stubborn Hard Pimples Under the Skin




Are you tired of those pesky pimples that lurk beneath the surface of your skin, seemingly impossible to get rid of? This under skin acne is bothersome to many people and you’re not alone. I have at least 5 patients a week in my dermatology practice that have these hard bumps under their skin and come in to have them removed. Hard deep pimples are called nodular acne if they are 1cm or larger. Blind pimples can turn into epidermal inclusion cysts( EICs) if not treated properly.. These blind pimples can be the bane of many people’s existence because unlike regular pimples that have a visible white or blackhead, these hard bumps under the skin are deep and do not come to a head. They cannot be popped and get worse when picked.



In this article, we will explore effective strategies to get rid of and prevent these hard lumps under the skin and regain smooth, clear skin. From natural remedies to dermatologist-recommended treatments, we’ve got you covered. Discover the power of skin care ingredients in reducing inflammation and promoting healing of these hard pimples under the skin. Learn about the importance of a consistent skincare routine and how to prevent blind pimples. Say goodbye to the frustration and embarrassment of bumpy skin on the face by getting on the best skin care routine to prevent blind pimples. So, if you’re ready to take control of your skin and bid farewell to blind pimples that won’t go away, let’s dive in and discover the best skin care products to clear these hard bumps and lumps forever.




What Are Hard Pimples Under The Skin?



Hard pimples in the skin are usually divided by dermatologists into two categories:




Inflammatory acne lesions



Non-inflammatory acne lesion




Inflammatory lesions that are less than 1cm in size are called acne papules. If they are larger than 1cm, they are called acne nodules. If they have a head or pus in them they are called inflammatory acne pustules.



Noninflammatory acne lesions are comedones.




Hard pimples under the skin with no head on them (blind pimples) are called inflammatory acne papules by dermatologists.



What else can hard bumps under the skin be?




Blind Pimples



Blind pimples are hard bumps under the skin that do not have a head or visible pus. They are believed not to have an opening to the surface but if you look closely you can open see a tiny pore. Blind pimple is not a scientific name. These are called inflammatory acne papules.




A blind pimple may gradually come to a head over days or weeks as the contents expand, allowing it to eventually drain, or it may remain as a tender lump under the skin, or it may slowly resolve over many months.



Epidermal Inclusion Cyst (EIC)




Hard pimples that do not go away and have a smelly discharge may be epidermal inclusion cysts (EIC). These stay there for month or years and won’t go away on their own.



Sebaceous Cyst




This is the same thing as an epidermal inclusion cyst.



Milia




Milia are small white seed looking bumps. They are different than blind pimples because you can see the hard rice looking “seed” of packed keratin inside them. This is because they are closer to the skin’s surface than an inflammatory acne papule is. Milia are deep comedones. Milia are not cysts but they can turn into EICs if picked or removed improperly.



What causes blind pimples?




Blind pimples, or epidermal inclusion cysts (EICs), occur when excess oil, dead skin cells, and bacteria clog the pores. Unlike regular pimples, blind pimples do not have a visible white or blackhead, making them harder to treat. The trapped oil and bacteria cause inflammation deep within the skin, resulting in the formation of hard, painful bumps. These blind pimples can be caused by several factors, including hormonal changes, excess oil production, poor skincare routine, and genetic predisposition.



Characteristics of Blind Pimples




Blind pimples are characterized by their deep, painful nature and lack of a visible head. They often develop as small, red bumps under the skin that gradually grow in size. The skin around the blind pimple may feel warm and tender to the touch. Unlike regular pimples, blind pimples don’t come to a head and cannot be popped. Attempting to squeeze or pop them can lead to further inflammation and potential scarring. These characteristics make blind pimples frustrating and challenging to treat.



How to Prevent Blind Pimples




Prevention is key when it comes to blind pimples. By adopting a consistent skincare routine and making a few lifestyle changes, you can significantly reduce the likelihood of developing these stubborn bumps.



To prevent blind pimples, it’s important to avoid touching your face with dirty hands, as this can transfer bacteria and irritants to the skin. Change your pillowcases and makeup sponges regularly, as they can harbor bacteria and oil that can contribute to breakouts. Incorporate a weekly exfoliation treatment such as a mask to remove dead skin cells and unclog pores. Lastly, be mindful of your diet and try to minimize the consumption of sugary and greasy foods, as they can contribute to excess oil production and inflammation in the skin.




These are tips to prevent blind pimples from occurring:



Cleanse your face twice a day with the right cleanser for your Baumann Skin Type.




Incorporate a toner or serum containing salicylic acid or benzoyl peroxide into your routine to further cleanse and minimize pores.



Avoid moisturizers with comedogenic ingredients




Add a retinoid to your routine



Take the skin type quiz to get on a skin care routine to help prevent breakouts.




Skin Care Products To Treat Blind Pimples



Home remedies for treating blind pimples


Home remedies can be effective in reducing inflammation and promoting healing of blind pimples. One popular remedy is applying a warm compress to the affected area for 10-15 minutes, several times a day. The warmth helps to increase blood circulation and help the skin heal itself.

Another natural remedy is tea tree oil, which has antimicrobial properties that can help kill bacteria and reduce inflammation. Dilute tea tree oil with a carrier oil, such as jojoba oil, and apply it to the blind pimple using a cotton swab. Leave it on overnight and rinse it off in the morning.

Other natural remedies include applying aloe vera gel, apple cider vinegar, or honey to the affected area. These remedies can help soothe the skin and reduce redness and inflammation.

OTC treatments for blind pimples

Over-the-counter treatments for blind pimples

There are several over-the-counter treatments that can help clear blind pimples. Look for products containing ingredients such as benzoyl peroxide or salicylic acid, which are known for their ability to unclog pores and reduce acne-causing bacteria.

These ingredients can be found in cleansers, spot treatments, and acne creams. One of the best products to treat blind pimples is Skinceuticals Blemish and Age Defense Salicylic Acid Serum. I was involved in a study that compared this product to prescription Benzaclin. Both had good results treating inflammatory acne lesions. (9)

Combining salicylic acid with retinol is a good way to get rid of blind pimples, but Sensitive Baumann Skin Types may not be able to tolerate these two strong ingredients together.

Be patient with the results, as it may take a 4-8 weeks of consistent use to see improvements.

Using a strong retinoid can speed up the desquamation cycle of the skin and help clear blind pimples faster.

Listed below are some very strong retinol serums to put directly on the blind pimple. These may be too irritating to use on your entire face so use them for spot treatments only.

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Prescription Treatments for Blind Pimples

There are many prescription acne treatments that contain tretinoin, adapalene, tazarotene, antibiotics, or benzoyl peroxide, These help prevent acne. Retinoids can cause purging which helps the blind pimple come to the surface.

However, the best and fastest way to get rid of a blind pimple is using a prescription steroid cream like triamcinolone. This works but you can only do it in a pimple emergency because there are many downsides to using a steroid on pimples.

Steroids on the face used for more than a few days can cause:

skin thinning

stretch marks

steroid acne

perioral dermatitis

telangiectasias (spider veins)

These side effects are why dermatologists usually do not prescribe steroids to tret blind pimples.

Professional treatments for blind pimples

Professional treatments for blind pimples

There are many professional treatments for blind pimples including chemical peels, laser therapy, and photodynamic therapy, but these are not as effective as a steroid injection.

These treatments target the underlying causes of blind pimples and can provide long-term results, but they do not really make blind pimples shrink faster. (Sometimes the 585nm vascular can help reduce inflammation and speed up resolution of a pimple . However, the best treatment is to prevent blind pimples by using the correct skin care routine for your Baumann Skin Type.

Injections for blind pimples

Dermatologists have access to a range of professional treatments that can effectively eliminate blind pimples under the skin. The best way to get rid of a blind pimple overnight is with an intralesional corticosteroid injection. This must be done by a doctor. This involves injecting a corticosteroid directly into the blind pimple to reduce inflammation and promote healing.

This treatment can provide quick relief and significantly reduce the size and redness of the blind pimple within a few days.

what are pimple extractions

Extractions

Another professional treatment option is extraction, where a dermatologist uses specialized tools to remove the contents of the blind pimple. However, blind pimples cannot be extracted They do not have a central pocket of pus and are not ready to be extracted.

Extractions can turn blind pimples into cysts! This procedure should only be performed by a trained professional who known when to extract and when to inject to minimize the risk of scarring or infection.

Dos and don’ts for dealing with blind pimples

When dealing with blind pimples, it’s important to follow certain dos and don’ts to minimize irritation and promote healing. Resist the urge to pick, squeeze, or pop the blind pimple, as this can worsen inflammation and increase the risk of scarring. Applying excessive pressure can also push the infection deeper into the skin, leading to more extensive breakouts and cysts.

Instead, focus on gentle cleansing and applying appropriate acne treatments mentioned above. Avoid using harsh or abrasive scrubs that can aggravate the skin and increase the amount of blind pimples by disrupting desquamation. Stick to gentle, non-comedogenic products that won’t clog the pores. Lastly, use the right skin care for your Baumann Skin Type and be patient with your skincare routine and give the treatments time to work. Without a steroid injection, blind pimples can take several weeks to resolve completely, so consistent and diligent care is essential.

When to see a dermatologist for blind pimples

When to see a dermatologist for blind pimples

While most cases of blind pimples can be effectively treated with home remedies or over-the-counter treatments, there are instances where a dermatologist’s expertise is necessary. If you have severe or persistent blind pimples that do not respond to at-home treatments, it’s important to seek professional help. A dermatologist can assess your skin condition, determine the underlying causes of your blind pimples, and recommend appropriate treatments such as anti-inflammatory steroid injections into the lesion. They may prescribe stronger topical medications like retinoids or oral antibiotics to target the bacteria and inflammation. In some cases, they may suggest more advanced treatments, such as isotretinoin or hormonal therapies, for long-term management of acne. Remember, a dermatologist has the knowledge and experience to provide personalized solutions based on your skin type and specific concerns.

Blind pimples can be a frustrating and stubborn problem to deal with, but you can get rid of them forever with the right skin care routine and habits (don’t pick!). Take the quiz to find out with medical grade skin care brands will work best to prevent blind pimples in your skin type.

DQH Can I use salicylic acid first and then vitamin C? It’s easy to create a skincare routine, but knowing how to use it is another thing entirely. In most cases, if you’re not getting the desired skin results, it could be due to the layering of conflicting ingredients. So, is it possible that salicylic acid and vitamin C are such ingredients? Or are these active ingredients the duo that’s been missing from your skincare routine? If you want answers, stick around because today we are going to explain the benefits of salicylic acid and vitamin C and how they can be used in your daily life. What are the benefits of salicylic acid for skin? Salicylic acid is one of the most commonly used beta hydroxy acids and is favored by many people with oily, acne-prone skin. This acid is derived from willow bark, and unlike its water-soluble relatives (called alpha-hydroxy acids), salicylic acid is oil-soluble, which means it can penetrate deeper into the lower layers of the skin. Once it reaches the lower layers, it can help unclog pores of excess sebum, dirt, bacteria, debris, and impurities. This results in clearer skin tones and greater definition. Not only does salicylic acid benefit the underlying layers, but the outer surface of the skin benefits as well. When applied to the skin, salicylic acid removes the buildup of dead skin cells. This is accomplished by breaking the bonds that hold dead cells to the surface. Over time, this can cause the complexion to look dull and prone to acne, blackheads, and other blemishes. If you’d like to learn more about salicylic acid and how it can improve your skin, check out this dedicated blog post from a beauty insider. What are the benefits of vitamin C for skin? Vitamin C is considered one of the most powerful antioxidants, which means it is very effective at fighting free radicals and preventing them from causing further skin damage. Examples of free radicals include pollution, central heating, UV rays and harsh climate. They attack proteins, fats and cell membranes as soon as they come into contact with the skin, causing signs of premature aging such as fine lines and wrinkles as well as hyperpigmentation, flaky patches of skin and loss of elasticity. Many people usually prefer to use vitamin C in their morning routine as this ingredient gives the complexion a radiant glow. You’ll also find that vitamin C can target areas of hyperpigmentation, plumping the skin and reducing the appearance of fine lines and wrinkles. The thing about vitamin C is that there are a lot of outdated studies going back to the 1950s that describe vitamin C as an unstable skin component. Thanks to improvements in modern technology, this is no longer the case as all products now contain a stable form of vitamin C. Visit The Beauty Insider to learn more about vitamin C. So please check out our blog post. Can I use salicylic acid first and then vitamin C? Yes, you absolutely can. In fact, it’s thought that using salicylic acid before using vitamin C ensures it penetrates faster and works faster. This is an efficient way to utilize two power sources, and the reason has to do with pH. For example, the skin’s natural pH is about 4.7, making it slightly acidic. Salicylic acid and vitamin C are also both acidic, and you’ll find that vitamin C is absorbed quickly into the skin. Therefore, using salicylic acid beforehand can increase the acidity of the skin and allow vitamin C to penetrate into the skin faster. While this is considered an effective way to combine two powerful ingredients, you need to be aware of your skin type and how it reacts to certain active ingredients. Even people with perfect, normal skin can experience skin sensitivity and irritation. Therefore, always consult a doctor or dermatologist before using any new products on your skin. It’s also important to follow skin application rules. In this case, you need to use the product correctly to ensure you get the best results for your skin. If you’re not sure what I mean, the basic rule for skin is to start with the thinnest consistency and work your way up to the thickest consistency. This prevents a barrier from forming on the surface, preventing other active ingredients from penetrating the skin. Can I use salicylic acid at night and vitamin C in the morning? Yes, absolutely, this is considered the most effective way to get returns without any adverse side effects. This is because there is enough time between applications to ensure that the skin’s pH levels return to balance. You’ll also find that Vitamin C is rich in antioxidants and is perfect for use in the morning to ensure your skin is protected and looking its healthiest. Due to the small size of salicylic acid molecules, it is an acid that is able to reach the deepest parts of the skin. While this is effective at keeping skin clear, it also increases the risk of irritation and photosensitivity. Therefore, many people prefer to use powerful BHAs in their evening routine without exposure to UV rays, pollution, or harsh weather. Warning: If you avoid using sunscreen every day, none of these ingredients will do what your skin needs. The combination of chemical peels and powerful ingredients increases the risk of further damage to the skin’s surface. Use SPF 50 every day to keep your skin protected and your lipid barrier healthy, even on cloudy days, keeping your skin in top condition.
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