Lumpy skin disease：Bumps on your face come in a variety of shapes, sizes, colors and textures, and most of them are harmless. Some, however, are more worrying, or require some detective work to figure out exactly who they are.
Overall, if a lump on your face doesn’t bleed, blacken, or have worrisome changes, it probably doesn’t need any kind of medical intervention, says Joel Schlessinger, M.D. Other lumps, such as acne, can usually be treated at home or with a dermatologist through a skin care program. But “if the lump changes color or shape, bleeds, or grows rapidly, you should book an appointment with a board-certified dermatologist,” Dr. Schlessinger said. These are signs that lumps may be linked to more serious health problems, so studying them is crucial.
Here’s what you need to know about some of the most common lumps you’re likely to find on your face, what to do about them, and how to determine if they’re worth seeing a doctor about.
These common bumps, which can occur on the face and other parts of the body, can be divided into two groups: closed pones (often called whiteheads) and open pones (blackheads).
“They’re similar in that they’re both pores, clogged with excess oil and dead skin cells,” Dr. Schlessinger said. The difference is that “the blackhead is open, so the oil and dead skin cells get oxidized and appear brown or black,” he explains. A whitehead, on the other hand, is closed, giving the cocktail inside a white, pink or flesh-colored appearance.
Acne is harmless, but it can also be annoying. To control these problems (and prevent a full-blown outbreak), Dr. Schlessinger recommends always washing your face before bed and using a cleanser that contains at least 2 percent salicylic acid to clear clogged pores and help prevent future breakouts. Vitamin A, benzoyl peroxide, azelaic acid and oral antibiotics may also be helpful, and your dermatologist can help you develop a sound skincare regimen.
It’s also important to avoid using pore strips to remove blackheads. “The adhesive you use to stick to your skin can damage your complexion,” he said. “Plus, they strip the skin of its natural oils and are usually only successful at removing blackheads, clogging pores and leaving your problems intact.”
You know you have it when you notice a painful lump suddenly appearing on your face, sometimes with a big white head with a red circle around it. Acne occurs when bacteria in our pores start to mix with excess dead skin cells and oil. Inflamed acne is usually red, painful, swollen, and may be filled with pus.
If you have inflammatory acne, try not to panic — whatever you do, avoid squeezing or trying to pop the pimple, as this can lead to more redness and inflammation. Plus, it may increase your risk of scarring, says Jerome Garden, MD. She is a dermatologist and director of the Physician laser and Dermatology Institute in Chicago.
To reduce such breakouts, he recommends using mild cleansers that contain benzoyl peroxide and choosing products that don’t contain oil. You can also add some anti-inflammatory treatments: “Once a pimple is in place, a safe way to reduce inflammation is to quickly mix cream and hydrocortisone 1% benzoyl peroxide cream and apply the pimple twice a day until the inflammation is resolved,” he says.
Talk to your dermatologist about prescription options if you have frequent breakouts like this.
These tiny, goosebump-like markings usually appear on the thighs and upper arms, but can also appear on your face, Dr. Schlessinger says. They can also sometimes be genetic, and although they can appear at any age, they are usually more common in children. “Hair follicular keratosis may be confused with ‘goose bumps’ or even acne, but it’s actually caused by small clogs of dead skin cells that block hair follicles,” he explains. “They pose no health risk and do not require treatment, but regular exfoliation can help improve cuticle disease.”
Many people find that the condition improves with age, and most get rid of it by around 30. In the meantime, Dr. Schlesinger recommends using a lotion with uronic acid, which exfoliates and can significantly reduce lumps.
Whether you’ve had moles forever or have a few popping up on your skin as you age, moles are perfectly normal and most of the time harmless. They usually appear as brown, red or flesh-colored spots or bumps on the face, as well as other parts of the body, and are very common. In fact, almost everyone has at least one mole.
These types of bumps or spots form when melanocytes (the skin cells that produce melanin) come together or grow in clusters rather than spread out. The American Academy of Dermatology (AAD) explains that experts aren’t entirely sure what causes moles to form, but it’s thought that exposure to sunlight can increase the number of moles on the skin.
Dr Schlesinger said: ‘Moles can be flat or raised and, if harmless, are usually round. The AAD also says it’s normal for them to get brighter or darker as they get older. Moles that do not have any cancer risk do not need to be treated or removed.
However, if the mole starts to change or get bigger, Dr. Schlesinger warns it could be a sign of something more serious, especially skin cancer. Moles that are asymmetrical in shape, have irregular edges, change or are uneven in color, and are more than a quarter of an inch in diameter are also of concern, the Mayo Clinic says.
If you notice any nevus related bleeding, irritation or dark color anywhere on your body, see your dermatologist as soon as possible to rule out melanoma. Check in with your skin every year to make sure you stay on top of your skin care.
5.Black papular skin Disease (DPN)
These aren’t moles, but another type of skin bump: black papules (DPN), which are completely benign and harmless skin spots that are common on dark skin and usually run in families. According to Dr. Garden, these spots aren’t technically moles, and they don’t turn into cancer. “Moles are deep in the skin, but DPN is a very superficial accumulation of epidermal cells that usually starts to appear in your 20s,” he said. “These brown lumps may be very small, not growing much larger than a few millimeters; However, a person can have dozens of spots on their face.”
If you think you might have DPN, it’s worth checking with a dermatologist. Aside from wearing sunscreen and practicing sunscreen, there’s nothing you can do to prevent DPNs from forming or becoming more visible. If you already have one, you can try an over-the-counter lotion that contains salicylic acid or glycolic acid, “which is a mild chemical exfoliator that may make those spots thinner or smaller,” Dr. Garden adds. “In addition, prescription-strength retinoic acid drugs may also reduce the presence of DPNs, although it is unlikely to remove them.”
You can also use lasers or cauterization and have a board-certified dermatologist gently remove the spots.
These are usually oval, benign skin growths that are connected to the skin on your body or face by a stem. They are soft to the touch and typically appear in the neck, upper chest, eyelids, groin and armpits, Dr. Schlesinger said.
As long as they don’t grow fast, change color, become infected, or hurt, these skin tags are completely harmless. “It’s very common for me to have patients who think they look like something; But it’s really skin cancer or something more worrisome, “Dr. Schlesinger said. So if you have any related changes to your skin label (such as changes in moles), make an appointment with your dermatologist to get it checked out.
That said, if your skin labels aren’t bothering you, there’s no reason to remove them. “But for cosmetic purposes, dermatologists can remove them by cutting them off or applying heat,” Dr. Schlessinger said.
Many types of facial lumps are not worrisome or can be easily treated at home. But, ultimately, if you have any questions about a lump on your face, you should see a dermatologist to make sure you know what it is and can help you get rid of it correctly and safely if you want to.