Acne is one of the most common skin conditions worldwide, but when large, painful, pus-filled pimples develop near sensitive areas like the eyes, they can become especially concerning. The image above shows inflamed pustules located just below the lower eyelid, along with other acne lesions and post-acne marks on the cheek and chin. This type of acne is not only uncomfortable but also potentially risky due to its location.
In this article, we will explore what causes severe inflammatory acne near the eye, why it can be dangerous to squeeze, treatment options, prevention strategies, and when to seek medical help.
Understanding Severe Inflammatory Acne
Severe inflammatory acne develops when hair follicles become clogged with oil (sebum), dead skin cells, and bacteria. When bacteria multiply inside the clogged pore, the body responds with inflammation. This leads to:
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Redness
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Swelling
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Pain
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Pus formation
The yellowish bumps visible in the image are pustules — inflamed acne lesions filled with pus. When acne becomes deeper and more painful, it can form nodules or cysts.
Why Acne Near the Eye Is Risky
The area around the eye is delicate and highly vascular (rich in blood vessels). Squeezing or improperly extracting acne in this region can lead to:
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Spread of infection
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Increased swelling
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Scarring
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Eye irritation
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In rare cases, deeper skin infections
Because the skin is thinner around the eye, aggressive squeezing can cause more trauma than in other areas of the face.
Common Causes of Severe Facial Acne
Several factors may contribute to the development of acne like this:
1. Excess Oil Production
Overactive sebaceous glands produce too much oil, clogging pores.
2. Bacterial Growth
Cut bacterium acnes bacteria thrive in blocked pores.
3. Hormonal Changes
Hormonal fluctuations during adolescence, stress, or medical conditions can increase oil production.
4. Poor Skincare Habits
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Not cleansing properly
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Using oily or comedogenic products
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Touching the face frequently
5. Diet and Lifestyle
High-sugar diets, lack of sleep, and chronic stress may worsen inflammation.
The Dangers of Squeezing Pustules
Although it may be tempting to squeeze visible pus, doing so can:
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Push bacteria deeper into the skin
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Cause more inflammation
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Lead to permanent acne scars
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Increase the risk of infection spreading
Professional extraction, when necessary, should be performed by trained dermatology professionals using sterile techniques.
Treatment Options for Severe Inflammatory Acne
Treatment depends on severity. For acne like this, options include:
1. Topical Treatments
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Benzoyl peroxide (reduces bacteria)
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Salicylic acid (helps unclog pores)
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Topical retinoids (normalize skin cell turnover)
⚠ When applying products near the eye, extreme caution is needed to avoid irritation.
2. Oral Medications
For moderate to severe acne, doctors may prescribe:
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Oral antibiotics
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Hormonal treatments (in some cases)
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Isotretinoin (for severe, resistant acne under strict medical supervision)
3. Professional Procedures
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Sterile drainage of large pustules
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Corticosteroid injections for deep nodules
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Chemical peels
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Laser treatments
Managing Acne Scars and Dark Marks
The image also shows post-inflammatory hyperpigmentation and possible acne scarring. After active acne is controlled, treatments may include:
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Chemical exfoliation
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Micro needling
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Laser resurfacing
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Prescription lightening creams
Early treatment of active acne helps reduce the risk of permanent scars.
Prevention Tips
To reduce future breakouts:
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Wash your face twice daily with a gentle cleanser
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Avoid touching or squeezing pimples
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Use non-comedogenic skincare products
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Change pillowcases regularly
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Manage stress
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Maintain a balanced diet
Consistency is key in acne management.
When to See a Doctor
Seek medical attention if:
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Acne is painful and swollen
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Lesions are near the eye
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There is spreading redness
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Vision changes occur
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Acne leaves scars
Severe acne is a medical condition, not just a cosmetic issue. Early professional treatment can prevent complications.
Final Thoughts
Severe inflammatory acne near the eye can be uncomfortable and potentially risky if handled improperly. While social media videos often show extractions, self-treatment — especially in sensitive areas — can lead to complications.
Proper skincare, medical guidance, and patience are essential for clear and healthy skin. If acne becomes painful, persistent, or leaves marks, consulting a dermatologist is the safest and most effective approach.
Healthy skin is a journey, and with the right care, improvement is always possible.
