Skin is the largest organ of the human body, and it plays a crucial role in protecting us from infection, environmental damage, and harmful microorganisms. However, when skin problems develop—especially on the face—they can become both medically concerning and emotionally distressing.
The image above shows multiple dark, crusted, and raised lesions clustered around the lower cheek and chin area. These lesions vary in size and appearance, with some appearing thickened and scab-like, while others look round and deeply embedded. Such skin changes should never be ignored, as they may indicate an underlying dermatological condition that requires professional evaluation.
This article explores possible causes, symptoms, risks, treatment options, and prevention strategies related to severe facial skin lesions.
What Are Facial Skin Lesions?
A skin lesion is an abnormal change in the skin compared to surrounding tissue. Lesions may appear as:
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Raised bumps
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Crusted or scabbed areas
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Discolored patches
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Nodules or cyst-like growths
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Ulcerated or inflamed areas
Facial lesions can range from mild and temporary (such as acne) to serious conditions requiring medical intervention.
Possible Causes of Severe Facial Lesions
Several medical conditions may cause clustered, darkened, or crusted facial lesions like those seen in the image.
1. Severe Acne (Nodulocystic Acne)
One of the most common causes of multiple lesions on the face is severe acne. This type of acne can include:
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Deep nodules
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Painful cysts
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Large blackheads
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Thick keratin plugs
If left untreated, severe acne can lead to scarring and secondary infections.
2. Viral Skin Infections
Certain viral infections may cause clustered lesions that crust or darken over time. These lesions can spread if scratched or improperly treated.
Examples include:
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Molluscum contagiosum
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Viral warts
3. Bacterial Infections
Bacterial infections such as impetigo or infected acne lesions may develop thick crusts and inflammation. When bacteria enter damaged skin, lesions can worsen quickly.
4. Keratinized Lesions or Seborrheic Keratosis
Some lesions appear thick, brown, and “stuck-on.” These may represent benign growths such as seborrheic keratosis. However, any new or changing growth should be examined by a dermatologist.
5. Skin Cancer (Rare but Serious Possibility)
Certain skin cancers can appear as:
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Dark, raised lesions
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Ulcerated growths
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Non-healing sores
If a lesion grows rapidly, bleeds, changes color, or does not heal, immediate medical attention is necessary.
Warning Signs That Require Medical Attention
Seek professional medical evaluation if you notice:
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Rapid growth
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Severe pain
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Bleeding or oozing
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Persistent crusting
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Color changes (especially blue, black, or irregular pigmentation)
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Lesions lasting more than 2–3 weeks
Early diagnosis greatly improves treatment outcomes.
Why You Should Avoid Self-Extraction
In the image, the lesions appear manipulated or compressed. Attempting to squeeze or remove skin lesions at home can lead to:
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Infection
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Scarring
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Spread of bacteria or viruses
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Increased inflammation
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Permanent pigmentation changes
Only trained medical professionals should perform lesion removal or extraction using sterile techniques.
Diagnosis
A dermatologist may perform:
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Physical skin examination
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Dermatoscopy
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Swab tests (if infection suspected)
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Biopsy (if malignancy is suspected)
Accurate diagnosis is essential before starting treatment.
Treatment Options
Treatment depends on the underlying cause.
For Severe Acne:
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Topical retinoids
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Oral antibiotics
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Isotretinoin (in severe cases)
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Professional extraction
For Viral Lesions:
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Cryotherapy
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Topical antiviral medications
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Laser removal
For Bacterial Infections:
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Topical or oral antibiotics
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Antiseptic cleansers
For Benign Growths:
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Cryosurgery
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Curettage
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Laser therapy
For Suspicious Lesions:
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Surgical removal
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Pathological testing
Skin Care During Recovery
Proper skincare is essential:
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Use gentle, fragrance-free cleansers
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Avoid picking or scratching
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Apply prescribed medications consistently
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Use sunscreen daily
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Maintain a healthy diet and hydration
Emotional and Psychological Impact
Facial lesions can significantly affect self-esteem and mental health. Individuals may feel embarrassed, anxious, or socially withdrawn. Seeking treatment not only improves physical health but also emotional well-being.
Support from healthcare providers and loved ones is important during recovery.
Prevention Tips
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Maintain regular facial hygiene
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Avoid sharing personal skincare tools
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Use non-comedogenic skincare products
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Treat acne early
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Schedule regular dermatology check-ups
Final Thoughts
Severe facial skin lesions should never be ignored. While some causes are benign and treatable, others may require urgent medical attention. Early diagnosis, professional treatment, and proper skincare can prevent complications and improve long-term skin health.
If you or someone you know experiences persistent or unusual skin changes, consult a licensed dermatologist for proper evaluation and care.
Healthy skin begins with awareness, prevention, and professional guidance.
