How to bring hidden pimples to the surface

Hidden pimples are swollen, slightly red or pink bumps without a visible head (the core can be white or black inside). Medically, hidden pimples are called closed comedones or nodules. They develop in a similar way to regular pimples, but because the pores are blocked, the pimple doesn't have a head. These pimples are often painful because they are deep-seated inflammations under the skin. Learning how to treat hidden pimples can help you overcome this concern, allowing you to feel more confident about your skin.

Use exfoliating cream. Peeling or exfoliating the outer layer of skin is an important part of skin rejuvenation. Using a gentle exfoliating product can help remove dead skin cells that accumulate on the epidermis, which in turn helps to unclog pores and prevent further blockages.

• For normal or oily skin, consider exfoliating every 1-2 days. For dry and more sensitive skin, limit exfoliation to 1-2 times per week.
• There are two types of exfoliating products: physical exfoliators (such as facial scrubs and sponges) and chemical exfoliators (such as hydroxy acids). Both types are effective in removing dead skin cells and keeping pores clear.
• Many exfoliating products are available on the market, but some can harm the skin, depending on the skin type. If unsure which product to use, consult with a dermatologist certified by the professional board or another skincare expert to choose the most suitable exfoliant for your skin type.

Use over-the-counter products. Many over-the-counter products help combat acne, including hidden pimples. When using such products, clean the affected area with a gentle face wash twice a day (unless the skin is too sensitive to tolerate more than one wash a day). Apply a sufficient amount of acne treatment to cover the hidden pimples and other acne-prone areas. Popular over-the-counter products contain one or more of the following ingredients:

• Benzoyl peroxide - kills bacteria, removes dead skin cells and excess oil, unclogs pores. May cause dryness, peeling, and stinging; can bleach hair or clothing.
• Salicylic acid - helps prevent pore blockages. May cause a mild stinging sensation and/or skin irritation.
• Alpha hydroxy acids - two common alpha hydroxy acids used in over-the-counter products are glycolic acid and lactic acid. Both acids are effective in removing dead skin cells, reducing inflammation, and stimulating new skin growth.
• Sulfur - removes dead skin cells, excess oil to prevent clogged pores, and kills bacteria. May cause dryness and unpleasant odor.

Try prescription topical treatments. If over-the-counter acne products do not significantly improve your skin, you may need to consult a dermatologist about stronger prescription medications. Prescription topical treatments are applied to the skin's surface. For the best results, wash your face with a gentle cleanser and allow it to dry for about 15 minutes before applying the medication. Strong prescription topicals often contain one or more of the following ingredients:

• Retinoids - prevent clogged pores, which in turn prevents hidden pimples from forming. Retinoids may help reduce inflammation. Start applying Retinoids at night, 3 times a week, and gradually increase to daily use once your skin adjusts.
• Antibiotics - kill excess bacteria on the skin, reduce inflammation, and redness. Topical antibiotics are often combined with benzoyl peroxide to reduce the risk of antibiotic resistance. Some common antibiotic combinations include Clindamycin with benzoyl peroxide (Benzaclin, Duac) and Erythromycin with benzoyl peroxide (Benzamycin).
• Dapsone (Aczone) - kills bacteria and prevents clogged pores. May cause dryness and slight redness.

Warm or cold compress. Depending on your skin type and the severity of the hidden pimple, you should consider using either a warm compress or an ice pack (cold compress). A warm compress can help dry out the hidden pimple and promote drainage, while a cold compress helps reduce swelling and pain at the pimple's site. Do not apply ice at the early stages of hidden pimples. For larger or more inflamed pimples, use a warm compress to drain the pimple.

• You can create a simple warm compress by soaking a clean towel in warm or hot water (being careful not to burn yourself). Apply the warm towel to your skin for a few minutes and repeat several times throughout the day as needed.
• For a cold compress, wrap ice cubes in a clean towel or use a cold pack. Apply the cold compress for no more than 10 minutes at a time, up to 4 times a day.

Make an apple and honey mask. Apples and honey can be useful in treating acne (including hidden pimples) due to their natural properties. Apples contain malic acid that can help firm and rejuvenate the skin, while honey has antibacterial properties that help combat bacteria (which could cause pore blockages).

• Grind the apple into a paste, then slowly mix in 100% natural honey until it thickens and becomes easy to apply.
• Apply the mixture to the hidden pimples and leave it on for at least 10 minutes, then wipe or rinse the mixture off and cleanse your face with a gentle face wash.

Use Tea Tree Oil. Tea tree oil is commonly used as a natural remedy for various skin problems. When applied to hidden pimples, it can help eliminate dead skin cells, oil, and dirt that clog pores while reducing inflammation.

• Apply a small amount of tea tree oil to the affected area 3 times a day. This method works best when combined with other skincare steps, such as exfoliating or using a gentle facial cleanser.

Apply Aloe Vera. Aloe vera has long been used to treat skin issues, and many people believe it can help treat hidden pimples. If using store-bought aloe vera gel, simply apply it directly to the blemish. If using aloe vera leaves, slice them open and squeeze out the gel-like substance.

• Apply aloe vera directly to the affected area and leave it for at least 20 minutes. After 20 minutes, rinse your face with warm water.

Maintain Good Hygiene Habits. Keeping your face clean is the best way to prevent hidden pimples. Most hidden pimples are caused by clogged pores from dirt, bacteria, and oil—factors that can be removed with daily face washing. Additionally, make sure your hands are clean when touching your face, as unwashed hands can introduce new bacteria into your pores.

• Choose a mild facial cleanser. Opt for a cleanser that is non-abrasive and free from alcohol.
• Wet your face with warm, clean water, then use your fingers (after washing your hands) to gently apply the cleanser. Avoid scrubbing the skin to prevent irritation and damage.
• Rinse with warm water and pat your face dry with a clean, soft towel.
• Wash your face twice a day and whenever you sweat excessively.

Stay Hydrated. Drinking enough water helps improve your skin's elasticity. While elasticity isn't directly related to acne reduction, it can contribute to healthier skin as part of a comprehensive skincare routine.

• Try to drink about 8 glasses of water each day. Avoid consuming excess sugar, alcohol, and caffeine to prevent dehydration.

Adopt a Healthy Diet. Avoid foods high in sugar or fat and reduce processed food intake. Opt for whole, nutrient-dense foods like fruits and vegetables. While no conclusive evidence exists, numerous studies suggest a link between acne and diets rich in refined sugars, fats, or animal dairy products.

• Foods that spike blood sugar levels (such as sugars and carbs) can trigger insulin production, which in turn leads to excessive oil production. A diet focused on low-glycemic foods may help prevent acne breakouts.

Reduce Stress. Stress not only causes new breakouts but also exacerbates existing acne. Reducing daily stress can help manage acne, including hidden pimples.

• Try self-relaxation techniques. This stress-relieving method involves repeating soothing words or phrases while focusing on your body’s sensations. Try concentrating on your breathing or progressively relaxing each limb while silently repeating a calming mantra.
• Engage in dynamic relaxation therapy, stretching, and relaxing muscles. This technique involves tensing, relaxing, and stretching each major muscle group. Start at the top of your head and gradually move down or vice versa. Hold each muscle tension for at least 5 seconds, then release and relax for 30 seconds before moving to the next muscle group.
• Visualize a peaceful place or scenario. Close your eyes and sit in a quiet place. Engage your senses as you imagine being in a soothing location. Think about the sensation of sitting on the ground or a bed, the sound of ocean waves, or the scent of salty air surrounding you.
• Meditate. Sit alone in a quiet place, either cross-legged or sitting straight with feet firmly on the floor, whatever feels most comfortable. Close your eyes and focus on your breath. Breathe deeply from the diaphragm (near the stomach) rather than shallow chest breaths. Inhale and exhale slowly, and consider repeating a calming mantra (if you wish). The mantra can be affirmations (e.g., "I love myself") or calming statements (e.g., "I feel at peace"). The key is to focus on being still and centered.