Facial skin problems range from mild clogged pores to severe inflammatory lesions that can cause pain, infection, and permanent scarring if not managed correctly. The image above shows a complex combination of blackheads, infected pores, and inflamed lesions around the nose and upper lip area—an area of the face that is particularly sensitive and medically significant.
This article explores what these skin conditions are, why they occur, the dangers of improper treatment, and the safest medical approaches for care and prevention.
1. What Is Happening to the Skin?
The face contains thousands of sebaceous glands, especially around the nose, lips, and chin (often called the T-zone). These glands produce oil (sebum) that normally keeps the skin moisturized. However, when oil mixes with dead skin cells and bacteria, it can block pores and lead to several skin problems.
Common Conditions Visible in the Image:
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Open comedones (blackheads) – dark clogged pores
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Closed comedones (whiteheads) – trapped oil beneath the skin
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Inflamed pustules – red, swollen lesions filled with pus
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Localized skin infection or abscess – deeper, painful swelling caused by bacteria
When multiple lesions occur together, it often indicates moderate to severe acne with secondary infection.
2. Why the Nose and Upper Lip Are High-Risk Areas
The region shown in the image lies within what medical professionals call the “danger triangle of the face.” This area extends from the corners of the mouth to the bridge of the nose.
Why This Area Is Risky:
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Blood vessels here connect directly to deeper facial veins
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Infections can spread more easily
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Improper squeezing or puncturing can push bacteria deeper
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Increased risk of serious complications if infection spreads
Because of this, self-extraction or needle use at home is strongly discouraged.
3. Causes of Severe Facial Skin Infections
Several factors can contribute to the development of advanced facial lesions:
Biological Causes
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Excess oil production
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Hormonal changes (especially during adolescence)
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Bacterial overgrowth (commonly Cutibacterium acnes)
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Thickened dead skin buildup
External Triggers
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Frequent touching or squeezing pimples
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Using non-sterile tools on the face
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Poor skincare hygiene
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Using heavy or pore-clogging products
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Environmental pollution
4. Why DIY Extraction Is Dangerous
While many online videos show dramatic extractions, attempting this without medical training can be harmful.
Potential Risks:
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Worsening infection
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Deep scarring or dark marks
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Spread of bacteria
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Prolonged healing time
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Permanent skin damage
Even small punctures can allow bacteria to enter deeper skin layers, especially in the facial danger zone.
5. Proper Medical Treatment Options
Professional Care May Include:
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Sterile comedone extraction by trained professionals
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Prescription topical medications (retinoids, antibiotics)
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Oral antibiotics for infection
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Anti-inflammatory treatments
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Proper wound care and monitoring
In severe cases, dermatologists may drain abscesses under sterile conditions and provide medication to prevent complications.
6. Prevention and Daily Skin Care
Maintaining healthy skin is the most effective way to avoid severe lesions.
Safe Prevention Tips:
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Wash face gently twice daily
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Use non-comedogenic products
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Avoid picking or squeezing pimples
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Keep hands and tools clean
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Manage stress and sleep well
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Follow a dermatologist’s advice for acne treatment
Consistency is more important than aggressive treatment.
7. When to See a Doctor
You should seek professional medical help if you notice:
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Painful swelling
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Rapid redness or warmth
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Yellow or green discharge
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Fever or facial swelling
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Lesions that do not heal
Early treatment can prevent scarring and serious complications.
8. Final Thoughts
Severe facial skin lesions are medical conditions, not just cosmetic problems. While online videos may make extractions look simple, improper handling can lead to long-term damage. Understanding the causes, respecting facial anatomy, and choosing safe medical care are essential for healthy skin.
Healthy skin comes from knowledge, patience, and proper treatment, not force.
