What should I do if I have a red, swollen and hardened acne? Can it be squeezed?

Mondo Health Updated on 2024-03-08

Acne is a chronic inflammation of the sebaceous glands of the hair follicle, with acne, inflammatory papules, nodules, and cysts. It is actually more intense in the production of androgens during puberty, causing the sebaceous glands to secrete more oil. These oils accumulate in the opening of the sebaceous glands of the hair follicle, which can easily lead to the formation of an anaerobic environment locally, which is conducive to the growth of P. acnes.

Why do you have acne.

Propionibacterium acnes breaks down triglycerides in oil to form fatty acids, which are irritating and cause keratinization of the sebaceous ducts, which blocks the expulsion of sebum and forms the acne we see today. As acne progresses further, the build-up of material inside the sebaceous glands grows more and more, so the sebaceous glands get bigger and bigger.

When it is large enough, the sebaceous gland of the hair follicle cannot hold so much oil accumulation, and it will burst. After rupture, this ruptured oil and some keratinocytes in the dermis will be stimulated**, resulting in local inflammation. The manifestation of this inflammation, visible to the naked eye, is that the acne grows larger, forming a red pimple, which further develops into a large cyst, red and hard, which is why the acne becomes red and hard.

How to deal with red, swollen, hardened acne?

Red, swollen and hardened acne generally requires an oral antibiotic system**, or it can be combined with a Chinese patent medicine to clear heat and detoxify**.

Physics**, if the range is larger, more serious can also use physics**, such as red and blue light, photodynamics, etc.

Can you squeeze the pimple.

Caution: In red, swollen, hardened acne, do not squeeze. Red and swollen but not suppurated, squeezing can easily cause a wider range of inflammation. Anti-acne products with bactericidal properties can be used to aid in anti-inflammatory activities, or prescribed by a doctor**.

In addition, the "triangle" from the base of the nose to the corners of the mouth cannot be squeezed. This is the area where blood is abundant, and the venous vessels in the "danger triangle" lack a "valve" to prevent blood from backing up - venous valves. If there is no vein valve to prevent reflux, when inflammation occurs in the face, it is easy to form thrombosis in the facial veins, affecting the normal venous blood return, and refluxing to the supraocular vein, squeezing will spread the inflammation, through the supraorbital and leading to the cavernous sinus on both sides of the intracranial sella, and in severe cases, there is a tendency to spread to the intracranium.

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