Facial skin conditions can range from mild acne to severe infections that require urgent medical attention. The image shows multiple types of skin lesions on and around the nose and upper lip area, including blackheads (open comedones), inflamed pimples, pustules, and possibly infected cystic lesions. These types of conditions are not only painful and uncomfortable but can also lead to serious complications if treated improperly.
The central facial area—often called the “danger triangle” of the face—includes the nose and upper lip. Infections in this region are especially concerning because of the unique blood vessel connections to deeper structures. Understanding what these lesions are, why they occur, and how they should be treated is essential for protecting both skin health and overall well-being.
Types of Skin Lesions Visible
1. Open Comedones (Blackheads)
The small dark dots clustered on the nose are open comedones, commonly known as blackheads. These occur when hair follicles become clogged with:
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Excess oil (sebum)
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Dead skin cells
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Bacteria
When the pore remains open, the trapped material oxidizes when exposed to air, turning dark in color. Blackheads are a common form of acne and are not infections by themselves, but they can become inflamed if irritated or improperly extracted.
2. Pustules and Inflammatory Pimples
Yellow or white-tipped bumps suggest pustules. These are inflamed acne lesions filled with pus, which is a mixture of:
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White blood cells
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Bacteria
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Dead skin cells
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Inflammatory fluid
Pustules are signs that the immune system is actively fighting bacteria inside the pore. These lesions are more painful than blackheads and can leave scars if squeezed or picked.
3. Cystic or Nodular Acne
Larger, deeper, and more swollen lesions may represent cystic or nodular acne. These are serious forms of acne that develop deep under the skin and are often:
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Very painful
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Red and swollen
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Slow to heal
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High risk for permanent scarring
Cystic acne usually requires medical treatment and should not be managed with home remedies.
4. Possible Infected Lesions or Abscess Formation
Some darker, swollen, or discolored areas may indicate secondary infection or early abscess formation. An abscess is a pocket of infection that can form when bacteria multiply rapidly and the body walls off the infection.
Signs of infection include:
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Increasing redness
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Swelling
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Warmth
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Pain
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Drainage of pus
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Skin color changes
These lesions are medical concerns and should be evaluated by a healthcare professional.
Why the Nose and Upper Lip Are High-Risk Areas
The nose and upper lip are part of what doctors call the “danger triangle” of the face. This area has veins that connect more directly to deeper structures inside the head. Because of this, infections here can, in rare cases, spread more easily to serious areas.
This does NOT mean panic is needed, but it DOES mean:
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Never squeeze deep or painful facial lesions
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Avoid using sharp tools at home
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Seek medical care for worsening or painful infections
Common Causes
Several factors can contribute to these types of facial skin problems:
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Hormonal changes (especially during teenage years)
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Excess oil production
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Poor or harsh skincare routines
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Touching or picking at the face
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Bacterial overgrowth
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Stress
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Use of pore-clogging cosmetics
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Poor hygiene of tools or hands
Dangers of Improper Extraction
The image shows attempted extraction using tools. While professional extraction by trained dermatology professionals can be safe, home extraction is risky and can lead to:
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Worsening infection
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Deeper inflammation
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Permanent scarring
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Hyperpigmentation (dark marks)
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Spread of bacteria to nearby skin
Sharp tools and pressure can push bacteria deeper into the skin rather than removing it safely.
Proper Medical and Skincare Management
At-Home Care (For Mild Acne Only)
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Gentle facial cleanser twice daily
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Non-comedogenic (non–pore-clogging) moisturizer
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Avoid scrubbing harshly
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Do not pick or squeeze lesions
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Keep hands off the face as much as possible
Medical Treatment (For Moderate to Severe Cases)
A dermatologist may recommend:
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Topical retinoids
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Benzoyl peroxide
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Topical or oral antibiotics
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Hormonal treatments (in some cases)
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Isotretinoin for severe cystic acne
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Professional drainage if an abscess is present
These treatments help control bacteria, reduce inflammation, and prevent future breakouts.
Scarring and Long-Term Effects
Severe acne and infections can leave:
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Depressed scars
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Raised scars
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Dark spots
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Uneven skin texture
Early and proper treatment greatly reduces the risk of permanent skin damage.
Prevention Tips
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Wash face gently twice a day
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Use oil-free skincare products
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Avoid touching or picking at acne
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Clean makeup tools regularly
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Shower after heavy sweating
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Maintain a balanced diet
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Manage stress levels
When to See a Doctor
Seek medical help if you notice:
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Increasing pain or swelling
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Fever
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Rapid spreading redness
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Thick drainage
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Deep or hard lumps
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Lesions near the nose or eyes
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Scars forming
Conclusion
The image highlights the seriousness of untreated or improperly treated facial acne and infections. While acne is common, especially in teenagers, severe or infected lesions require careful medical attention. Self-treatment with tools can worsen the condition and lead to long-term skin damage.
Healthy skin is not just about appearance—it is an important part of overall health. With proper care, professional guidance, and patience, even severe acne and facial infections can be managed safely and effectively.
