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Causes of Acne Behind the Ears and How to Treat Them, According to Dermatologists
Beauty

Causes of Acne Behind the Ears and How to Treat Them, According to Dermatologists

3 January 2025


Causes of Acne Behind the Ears and How to Treat Them, According to Dermatologists




Pimples are a common occurrence for many of us—in most cases, we’re used to them on our face, neck, chest, or back. However, pimples can also appear in other places, such as behind the ears. If you’ve ever struggled with annoying pustules behind your ears, you may have wondered about their causes and treatment options. To help answer your questions, we turned to two board-certified dermatologists for the answers. Learn everything you need to know about acne behind the ears below.



What causes acne behind the ears?




Clogged pores



Clogged pores can cause acne behind the ears. They are caused by excessive oil production or reduced skin exfoliation and usually appear as blackheads or comedones. “[The distinguishing feature] is the presence of a ‘blockage’ in the pore,” notes Dr. Chilukuri. “For treatment, you can use PanOxyl Acne Creamy Wash ($9) as a wash and then a retinoid. Before, you had to go to the doctor to get a prescription for a retinoid like Differin or Retin-A. Now, [acne sufferers] can order PanOxyl Adapalene 0.1% Leave-On Gel ($11) online for a fraction of the original price.”




Acne



Acne is what Dr. Murphy-Ross calls a hyperacne. Pustular acne can appear behind the ear as one- to three-millimeter red bumps that are usually tender and can be identified by inflammatory lesions.




“In this type of acne, bacterial growth leads to more inflammation, which results in red papules or pustules,” says Dr. Chilukuri. “If necessary, salicylic acid can be used to reduce inflammation. For painful bumps, you can use PanOxyl PM Night Spot Patches ($8). I also recommend using a retinoid to improve cell turnover and skin exfoliation so pores don’t clog as easily.”



Cysts




Acne can also occur behind the ears; the bumps that are usually visible are deeper and more painful. “Cysts are caused by a buildup of oil, bacteria, and pus beneath the surface of the skin,” says Dr. Chilukuli. “They are likely to cause permanent scarring and can be hereditary and hormonal. It’s important to see a licensed dermatologist to assess whether you’re a good candidate for oral medications to prevent permanent scarring.”



Ingrown Hairs




Ingrown hairs often appear as small, red or skin-colored bumps on or behind the ears and can be identified by the hair trapped within them. “Ingrown hairs occur when a hair follicle curls and becomes trapped beneath the surface of the skin,” says Dr. Chilukuli. “I don’t often see ingrown hairs behind the ears because there’s no noticeable hair growth there, but they can appear on the neck and at the base of the hairline.”



Hair Products That Clog Pores




Not surprisingly, products that clog pores can lead to acne, and it’s often hair products that cause breakouts, especially behind the ears where hair comes into contact with your hair 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.



“Choose non-comedogenic hair products both in and out of the shower,” advises Dr. Chilukuri. “Cleanse the affected area thoroughly to remove debris that’s clogging the pores. If you think styling products are the cause of your breakouts, use a toner pad or toner with salicylic acid to wipe away residue and provide an anti-acne ingredient.”




How to Treat a Pimple Behind the Ear



Try a Topical Treatment




The first line of treatment is usually a topical treatment, both experts note. “Salicylic acid is a great choice for acne prevention,” says Dr. Dr. Murphy Ross. “The molecular size of this acid allows it to enter the pores, thoroughly clean and dissolve sebum, and its exfoliating action can treat and prevent further pore blockage. Prescription retinoids or retinol are also good options. Using Skincare Junkie’s Pore Therapy Daily Toner Pads ($38) can help prevent and treat existing blackheads.”



Consider oral medications




When topical treatments don’t work, oral medications can be the next line of defense against acne, including behind the ears. “Oral antibiotics, isotretinoin (such as Tretinoin), and spironolactone are most commonly prescribed, 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 ears, such as: B. 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 certainly help fight acne.”



It’s worth noting, however, that our experts don’t recommend homemade topical cocktails to treat pustules. “I don’t recommend applying homemade mixtures to the skin, as they can often cause a rash. Breakdown 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 crucial step in preventing acne behind the ears. “Using a gentle, non-irritating cleanser will keep the skin free from acne-promoting bacteria without irritating the skin and disrupting the skin’s protective barrier,” notes Dr. Murphy-Ross.



Avoid Products That Clog Pores

As mentioned earlier, clogged pores can lead to blackheads and pimples, so it’s best to avoid comedogenic products. “Choose hair products carefully and choose those that are labeled non-comedogenic,” says Dr. Chilukuri. “Be sure to rinse your hair thoroughly after conditioning and wipe off any excess styling products that have clinging to the skin of your hair to prevent further breakouts.”

Keep your hair away from your ears

Dr. Murphy-Ross notes that keeping your hair up, especially when you’re playing sports, can help prevent acne behind the ears. “Keeping your hair away from your ears reduces the transfer of oils or hair products from your hair to your skin, which can lead to clogged pores or irritation,” says Dr. Chilukuli.

Conclusion

While it’s not the most common location for pimples behind the ears, they can occur there, too. Pore-clogging hair products and acne are just a few possible causes of pimples behind the ears. But luckily, there are ways to treat them when they do occur. Our experts recommend using topical treatments (products with salicylic acid and retinoids are great), applying tea tree oil, or using warm compresses to soothe the area. Of course, if the problem persists or you experience severe symptoms (such as redness, swelling, flushing, or increased discharge), you should consult a dermatologist for further advice.

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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