The appearance of acne on the chin: reasons why subcutaneous and minor inflammations appear in girls, women and men

A common cause of acne in women is hormonal disorders associated with diseases of the ovaries or adrenal glands. An excess of male hormones - androgens - is responsible for a number of unfavorable changes, including the development of acne.

With hormonal acne, women develop numerous purulent rashes on the neck, face and chin. Ulcers are difficult to treat. Treatment for acne caused by disruption of the endocrine system in women after thirty involves the use of creams, ointments, and sometimes hormonal drugs.

Causes

Any skin rashes, be it redness, acne or peeling, are symptoms of problems with the body. It is important to promptly identify the sources of such formations in order to:

• learn in time about the development of a particular disease;
• quickly and effectively treat both the root cause and its consequences.

Fortunately, acne on the face, namely on the chin, does not always signal serious abnormalities; the reasons may lie in a banal lack of hygiene, why does this happen? The answer is simple: in this place the epidermis is dense, and it is more difficult for the resulting fatty secretion to get out. Plugs form that can lead to inflammation.

Let's consider the whole range of reasons, which can be both external (explicit) and internal (hidden).

External factors

The most likely triggers that can lead to skin imperfections are associated with external influences. Some of them are easy to eliminate, but others will have to be dealt with somehow. In any case, external causes have a lesser impact on a person’s overall health.

So, what are the external causes of acne on the chin, as well as under it and on the neck, is presented in the table.

Hidden factors

These include diseases and changes occurring in the body:

• Hormonal. They are characteristic of puberty, menopause, and pregnancy. Also, the background may be unstable during certain phases of the menstrual cycle, after childbirth and during breastfeeding.
• Disturbances in the functioning of the gastrointestinal tract. In this area, the spectrum of the disease is extremely wide. Both constipation and poor-quality food poisoning can cause problems on the skin.
• Genetic predisposition. We inherit a lot from our parents. Skin type is also passed down to us from mom or dad. If they have problematic or oily skin, or they often had acne and red spots in their youth or older years, then the answer to why acne constantly appears on the chin of girls lies in genetics.

Other reasons

Let's name a few more factors that can lead to problems on the face. The options listed below can be attributed to both internal and external sources, so it is worth highlighting a separate group.

• Poor nutrition. Diets, intermittent fasting, limited consumption of fiber and foods rich in vitamins and minerals, increased fat content, spiciness and saltiness of food.
• Stress. Psychological shocks, fatigue, intensity of the work rhythm, lack of rest.
• Lack of sleep and excess of the hormone cortisol, leading to increased formation of sebum.

Topical retinoids (adapalene)

In fact, this is the most important ointment for acne on the face. Topical retinoids are intended for external use. Such drugs are prescribed - 1) for the comedonal form of acne, which means acne, 2) for the papulopustular form of acne (i.e. in the presence of pimples). Previously, the topical retinoid tretinoin was used to treat acne, but it had a lot of side effects, and now there are much safer 4th generation topical retinoids, for example, adapalene.

Such drugs are monocomponent and combined. Monopreparations based on adapalene include Differin, Klenzit or Adaklin. A number of drugs of this type are produced only in the form of gels, but some manufacturers produce drugs with adapalene in both gel and cream form. Gel products will be more effective, but facial acne cream is more suitable for patients with dry and/or sensitive skin (and will help reduce the risk of irritation in such patients).

Examples of combination drugs with retinoids are 1) Klenzit-S, containing adapalene together with the antibiotic clindamycin, 2) Effezel, containing adapalene in combination with benzoyl peroxide. The choice of drug will depend on the severity of the acne, as well as on which inflammatory elements predominate in you (papules or pustules). All this information is schematically reflected in Table 1, which we placed before the description of groups of drugs for the treatment of acne.

How to treat facial acne with retinoids:

• Preparations containing adapalene should be used once a day before bedtime. Before applying a retinoid, you should wash your face with a mild cleanser. Before applying the retinoid, the skin must be completely dry, because... otherwise severe irritation will develop. To get your skin used to it and not be too irritated, start using the drug 3 times a week. After 1-2 weeks, switch to daily use.

When can you expect results: skin oiliness decreases sharply within a few days from the first use. As for acne and pimples, the first noticeable result can be seen only after about 4 weeks of therapy. Good results can be seen after about 8 weeks of using retinoids, but for radical improvement a full course is required, which lasts at least 12 weeks (3 months).

Use of oral retinoids:

In addition to topical retinoids intended for external use, there are also so-called systemic retinoids for oral administration. Such drugs (Acnecutane or Roaccutane) contain the retinoid isotretinoin. These drugs are very effective for treating acne, but they also have very serious side effects. Therefore, such drugs are used only in difficult situations, for example, for the treatment of nodular and conglobate forms of acne.

Use of oral contraceptives in women:

As for the use of oral contraceptives in women, you can read more about this method of treatment in the article at the link below:

→ Oral contraceptives for acne in women

Why do acne appear on the chin in women and men?

Many of these factors apply equally to everyone, but there are also those to which representatives of a particular gender are more susceptible. This is primarily due to the hormonal sphere and anatomical features of organisms. Many processes in the body occur in different ways. Let's look at the main problems.

Causes of occurrence in women

The most common situation is the approaching period. During this period, hormonal changes occur that affect sebum secretion. Gynecological diseases are also the troubles why a lot of acne appears on the chin of girls and women. Increased secretion of male hormones in the female body or hyperandrogenism also leads to acne.

Cosmetics can also be a problem. Of course, representatives of the stronger half also take care of themselves and strive to be beautiful, but this topic is still closer to the female sex. Poor quality makeup, expired or incorrectly selected creams negatively affect the condition of the skin.

Occurrence in men

Hyperandrogenism can cause acne and excess subcutaneous fat. Frequent shaving and the use of dull blades also contribute to irritation. Acne on the chin can appear in male athletes, the reasons lie in the use of any drugs - steroids or glucocorticoids.

Types of acne

There are many types of acne depending on the symptoms. The most common of them are presented:

• milia
  – accumulation of subcutaneous fat;
• vulgar
  – contains pus;
• comedones
  – first a core of sebum is formed, and dirt attaches to the top;
• conglobate
  - deep subcutaneous formation containing pus, areas of contamination, sebum (causes a strong inflammatory process).

Pimples like rashes are classified into a separate row. They can be maintained constantly or disappear periodically. If there is an inflammatory process, they become painful.

Varieties

Skin rashes come in different types. Some of them are painful and dangerous, others are more likely to cause cosmetic discomfort. The color of the formations is also different: from white and pink to black. Conventionally, they are divided into inflammatory and non-inflammatory. The latter include open and closed comedones. And there are many more types of first rashes. These are superficial, nodular and purulent pustules, cystic nodules, subcutaneous pimples on the chin, the causes of which can be found out by accurately determining the type of rash.

Let's talk in more detail about the main types.

Open and closed comedones

The first are plugs that arise in the ducts of the exocrine glands. Outwardly, they look like black dots. Their color ranges from light gray to dark brown. The fatty contents darken due to oxygen exposure.

Closed comedones are non-inflamed bumps that are located under the epidermis. The color of the rash is flesh-colored. They are not always noticeable, but can be felt with your fingers. Such internal pimples on the chin in women cannot be squeezed out, the reasons for this are simple: independent “treatment” of the skin and extraction of the contents leads to the appearance of scars and signs of post-acne.

Papules and pustules

The first are cavityless nodules located above the skin. They have a dense or soft consistency. Pustules are purulent cavity elements with a white head and liquid contents.

Papules may be superficial, appearing as red, outlined dots, or nodular. The latter differ in the size and presence of the inflammatory focus. Such internal pimples on the chin are painful on palpation; the cause may lie in inflammation of the hair follicle. No obvious purulent contents are observed.

Subcutaneous acne

An annoying problem that is difficult to deal with due to the fact that the source of inflammation is located deep under the dermis. The rashes are painful, take a long time to mature, and if you try to squeeze them out, traces remain in the form of fistulas, redness and even scars. It is difficult to quickly cure such a problem. Diagnostics, including laboratory tests, is of great importance.

Why do large or small internal pimples appear on the chin? There are several factors:

• endocrine disorders;
• disruptions in the gastrointestinal tract;
• decreased immunity;
• autoimmune diseases;
• frequent deep peeling;
• demodex.

Pink and whiteheads

Another variety is very similar in name, but very different in origin. It is a mistake to believe that rosacea and whiteheads differ only in color.

The first rash is characteristic of rosacea, a chronic dermatological disease. It is manifested by dilated capillaries, redness, swelling, as well as the presence of papules and pustules. Why such subcutaneous pimples appear on the chin is not entirely clear. The progression of the disease is influenced by hereditary factors, disturbances in vascular tone, and changes in the functioning of the sebaceous glands.

Whiteheads are otherwise called milia, prosyanki or retention cysts. Outwardly, they look like small light subcutaneous nodules. The inside is filled with keratin mixed with sebum. The formations do not hurt or become inflamed unless they are injured. Their usual localization is the eyelids, T-zone and area around the eyes.

Pustules are small pustules on the face

A pustule is an inflammatory acne element, inside of which there is a cavity filled with purulent contents. Its size can reach 10 mm. The shape can be cone-shaped, flat, hemispherical. A pustule can form as an independent element or from a papule. When pustules appear on the face, the cause must be sought in the inflammatory process occurring in the skin.

You can tell that a pustule has formed by looking at the white head of the pimple*. Its contents are usually white, yellowish, and sometimes greenish. The contents of the pustule may dry out, a crust will form on top of it, the fall of which may lead to the appearance of a hyperpigmentation spot.

If even small pustules appear on the face, it is necessary to take action, as they can turn into indurative acne. With this form of acne, inflammation spreads into the deeper layers of the skin. Resolution of such acneous elements may leave behind atrophic scars.32

How to determine the cause

Diagnosis is made based on visual examination, medical history and laboratory tests. It is not always possible to cope with ordinary home remedies, and the use of aggressive substances containing alcohol can worsen the condition of the epidermis. Therefore, to find out why acne appears on the chin, you need to consult a doctor.

If there are menstrual irregularities or hormonal imbalances, women have their blood taken to analyze the level of free testosterone, follicle-stimulating and luteinizing hormones and DHEA-SO4.

Also, in the laboratory, seeding of the contents released from the rashes is carried out. The liquid is placed in a special environment, where the intensity of bacterial growth is visually assessed and inflammatory skin diseases are excluded.

When acne appears on the chin, the causes in women are sought using tests for cholesterol and liver enzymes, and this is also determined by determining the level of potassium in the serum. To rule out polycystic ovary syndrome and other problems in the pelvis, an ultrasound is performed.

Preventive actions

It is impossible to completely eliminate the risk of developing bumps on the chin. But you can use the following techniques to prevent their frequent development:

• prohibition on indentation and other types of mechanical damage to tissues;
• reducing touching with fingers, where many germs are concentrated;
• daily washing off cosmetics, cleansing the skin;
• use of high-quality, hypoallergenic cosmetics;
• using products with gentle ingredients that do not disturb the composition of the epidermis (it is not recommended to use peelings or scrubs too often).

To use the best level of protection, you need to care for it daily and protect your skin from damage. To do this, just apply simple rules:

• rational nutrition without chemicals, fast food;
• frequent exercise;
• giving up alcoholic beverages, reducing caffeine levels;
• smoking ban;
• timely treatment of acute and chronic diseases, periodic examination by a doctor.

To make your skin clear all the time, you need to normalize your metabolism and metabolism. If these processes are established, organs and tissues are quickly cleansed and restored. When their dysfunction occurs, the skin is the first to suffer; it is an indicator of internal diseases.

Cosmetological treatment methods

Hardware and injection cosmetology have a wide arsenal of skin care products. These are techniques based on electric pulses, laser exposure, heat, and magnetic fields. Most procedures are not performed during pregnancy and lactation. Each of them must be prescribed by a cosmetologist. Only after finding out the cause can you begin therapy.

In cosmetology there are two main methods of struggle:

1. Ultrasonic cleaning. The procedure shows high efficiency and successfully eliminates blockage of skin pores. Its essence is to treat the problem area with an ultrasonic nozzle. The device creates vibrations that help break the intercellular connections of the stratum corneum. Dead cells are exfoliated and accumulated impurities are removed.
2. Darsonvalization. If the cause of acne on the chin is not associated with serious diseases, then the procedure will definitely get rid of the cosmetic defect. This is a physiotherapeutic method based on microcurrents. The device stimulates metabolic processes in the skin and stabilizes sebum production. Darsonvalization can be remote (impact on the upper layers of the dermis) and contact (on the deep).
3. Injections with CURACEN, which is widely used to care for various types of facial skin. This is a unique injection product based on human placenta hydrolyzate, which was developed by scientists from the Japanese Corporation Japan Bio Products CO., LTD specifically to eliminate skin imperfections. The most important difference is the natural origin of all components. Therapy using Curasen gives a pronounced and clinically significant result.

Review of La Roche-Posay products for skin prone to imperfections

If you have painful acne on your chin, corrective care for oily problem skin will help reduce visible imperfections. LRP products are highly effective, proven by independent studies. La Roche-Posay's Effaclar product formulas for oily problem skin contain active ingredients that contribute to a noticeable improvement in the condition of the epidermis and noticeable cleansing of the skin.

What products to choose for skin care prone to imperfections:

1. If you have single imperfections, including those on the chin, try a topical product, for example, Effaclar AI Corrective Treatment for Oily Problem Skin The formula contains Niacinamide soothes the skin and prevents the development of imperfections, piroctone olamine is known for its antibacterial properties, lipo-hydroxy acid gently exfoliates , promoting the process of skin cell renewal.

EFFACLAR AI

Local action corrective agent

Effectively affects imperfections and prevents the appearance of post-acne.

RUB 1,417 more details

2. Effaclar Ultra micellar water for oily problem skin will help to gently cleanse your face without water and effectively remove makeup residues; it mattifies the skin well and visibly cleanses pores. For supporters of classic washing, Effaclar gel foaming gel with physiological pH and hypoallergenic non-comedogenic formula is suitable, delicately cleansing pores and removing excess sebum.

EFFACLAR GEL

Cleansing foaming gel against acne

Cleanses the skin and pores of impurities, removes excess sebum.

951 rub. more details

3. After cleansing, wipe your face with a cotton pad moistened with a small amount of Effaclar Pore Tightening Lotion with a mattifying effect, which will help reduce facial oiliness and help even out skin tone and texture.

EFFACLAR

Pore ​​tightening lotion

Smoothes the skin surface, cleanses pores, mattifies.

RUB 1,468 more details

4. Also suitable for caring for oily problem skin are products with antioxidants, epidermis-renewing AHA and BHA acids, niacinamide, piroctone-olamine and hydrofixing agents to prevent skin dehydration. Pay attention to the Corrective Emulsion for Oily Skin Effaclar K (+) or the Moisturizing Mattifying Emulsion Effaclar Mat. The product formulas not only help reduce facial shine, but also intensively moisturize oily skin, help strengthen the protective functions of the epidermis and prevent the appearance of new imperfections on the chin.

EFFACLAR MAT

Mattifying sebum-regulating emulsion

Eliminates oily shine, mattifies the skin for 6 hours, tightens pores.

RUB 1,618 more details

5. Corrective cream-gel for problematic skin against imperfections and post-acne Effaclar DUO (+) with LHA acid, procerad and niacinamide will help to even out the tone and texture of the face, as well as smooth out stagnant spots after acne on the chin. The product stimulates cellular renewal of the epidermis, helps reduce post-acne, and moisturizes the skin well.

EFFACLAR DUO(+)

Corrective cream-gel

Instantly moisturizes and mattifies the skin, reduces imperfections and redness caused by them. After 8 days of regular use, the number of imperfections is noticeably reduced.

RUB 1,187 more details

Homemade beauty recipes

They have existed since ancient times. Among them there are those that help get rid of unpleasant rashes. Many of them are harmless and do not require consultation with a specialist, but it is still better not to self-medicate.

So, knowing why pimples appear or have already appeared in the chin area, you can use the following safe methods to eliminate them:

• Using aloe juice. This plant is known for its bactericidal effects. Nectar is used in its pure form to wipe problem areas or in combination with other ingredients. Its leaves can be stored in the refrigerator.
• Cucumber masks. Cucumber juice tones and helps tighten pores. Lotions are often made from grated vegetables. To do this, pour boiling water over the pulp and leave for three hours.
• Soda. If rashes do not appear due to demodex, then you can use a lotion based on this product. To do this, soda is mixed with sugar and dissolved in warm water.

Rash in the temporal area

They do not occur very often, which is why their appearance alarms many. In some cases, such rashes may indicate serious gallbladder disease. And if they appear regularly, you should consult an endocrinologist.

In addition, acne in the temple area may be symptoms of the following pathologies:

• colon dysfunction;
• avitaminosis;
• disturbances in lymph circulation.

In some cases, acne on the temples appears due to a hormonal surge during adolescence, after childbirth in women, or while taking hormonal medications.

Medications

They are prescribed by doctors in accordance with the data of laboratory tests of blood, smears, cultures and others. These can be gels, ointments, creams, masks, injections and systemic preparations for oral administration. Some are necessary for direct treatment, others for prevention. Most medications should be used in courses.

If it is possible to find out exactly why pimples appear on the chin, and acne comes out along with them, and the problem is the malfunction of the thyroid gland, then hormonal drugs are prescribed. If the problem is in the gastrointestinal tract, then adsorbents are prescribed, and in case of a bacterial infection, you need to take a course of antibiotics.

How to treat acne?

Single blemishes are usually frustrating, but not very worrying. But if the rash is profuse, painful, or there are frequent relapses, you should think about going to the doctor. The specialist will assess the severity of acne and prescribe a course of topical or systemic medications. It is important to adhere to the rules for using medications and not to violate the treatment regimen. For example, Azelik® gel must be used twice a day5. The drug is applied to clean and dry skin5.

It is important that all the products you use are selected by your doctor, and not purchased at a pharmacy based on advice on a women's forum.

Azelik® is an azelaic acid gel that can be used for mild to moderate acne5. It helps reduce the colonization of propionibacteria and Staphylococcus epidermidis, helps reduce the level of free fatty acids on the skin, and normalizes keratinization processes5. The anti-inflammatory effect of the drug is explained by the ability to reduce the metabolism of neutrophils and the free radical forms of oxygen they synthesize5.

*acne

Cosmetical tools

Cosmetics allow you to provide proper care and at the same time proper cleansing and treatment of the skin. Most of them are designed to reduce sebum production and disinfection. This is not surprising, since its large amount creates a favorable environment for the growth of bacteria. The above funds include:

• salicylic and azelaic acids;
• zinc;
• benzoyl peroxide;
• vitamin A.

Another group of drugs is designed to increase local immunity and restore skin. Such products nourish, tone and rejuvenate the dermis. A striking example is Rhana Bb Laboratories gel fluid.

We recommend

Bb Laboratories – Placental cleansing foam

Curacen Essence (20 fl x 2 ml)

Bb Laboratories – Delicate oil for deep cleansing

Premium set “Ideal facial skin. Healthy tone"

Prevention

In order not to wonder why acne appears on the chin, you need to take preventive measures in a timely manner. It is based on proper nutrition and care. It is also worth considering the following tips:

• when a red lump appears, do not squeeze, apply ice, apply a targeted ointment;
• do not increase the number of washes - the dermis needs its sebum to maintain hydration and elasticity;
• You need to play sports in breathable light clothing, and take a shower after training;
• It is recommended to spend more time in the fresh air, and to ventilate the premises.

Proper nutrition for acne

Fine:

• Foods rich in dietary fiber and pectin (buckwheat, pearl barley, bran, broccoli, spinach, Brussels sprouts and others).
• Foods high in zinc: liver, beef, seafood.
• Cooking food by steaming and in a slow cooker. This way, more nutrients are retained and a minimum of fat is used.
• Foods rich in vitamin A (fish oil, carrots, corn), B (cheese, cabbage, wheat cereal), E (vegetable oils, green peas, wheat germ, parsley).

Badly:

• roast;
• salty;
• spicy;
• fat;
• sweet;
• monotonous.

The recommendations are obvious and very simple. Therefore, when they ask why there is acne on the chin, doctors first of all find out the diet.

Caring for problem skin

It is recommended to wash with cool water. It is better to use special lotions, foams, micellar, but not soap with a high alkali content. Once a week you can make cleansing masks based on clay, use a scrub or light peeling.

Creams with hyaluronic acid, collagen and urea are suitable for moisturizing. Nutrition is provided by products containing panthenol, vitamins and microelements.

How to prevent the formation of new acne in the chin area?

To prevent acne on the chin, follow the recommendations of Alexander Prokofiev, a dermatologist and medical expert of the La Roche-Posay brand:

• Don't forget about moisturizing oily problem skin: lack of moisture in cells causes dehydration, which provokes increased sebum production and excessive shine in the T-zone.
• If there are a lot of painful acne on your face, be careful when choosing decorative cosmetics - choose formulas that do not clog pores. Try an imperfection-concealing product for oily problem skin with a non-comedogenic composition and a light degree of concealment, for example, Effaclar Duo(+) Unifant Corrective Cream-Gel, which well evens out the tone and texture of the face without clogging the pores.
• Cleanse your face twice a day using gel cleanser or micellar water for oily skin if you prefer waterless cleansing. Deep cleanse your skin twice a week, use gentle scrubs, peels and clay masks.
• Choose care with antibacterial, soothing, mattifying properties and formulas based on zinc, niacinamide, acids (AHA, linoleic, salicylic, hydroacids), niacinamide, piroctone-olamine, antioxidants, probiotics.

Let's sum it up

Let us briefly highlight the main points:

1. Rashes occur due to excess sebum, which can be caused by both serious diseases of the body and lack of hygiene.
2. Men and women may have different reasons.
3. Treating a problem is always more difficult than following preventive measures.
4. If acne appears, you should see a doctor, because this can prevent serious diseases.

High-quality cosmetics, medications and cosmetic techniques help to achieve good results in treating rashes. But first, don’t forget to find out exactly the reason why your chin breaks out with acne, and then do something about it.

Who to contact

The choice of a doctor depends on the cause, which was found by the therapist during laboratory and instrumental examinations. Then he gives a referral to other doctors.

1. Cosmetologist
   . Helps cleanse the skin of impurities and sebum. Removes acne correctly.
2. Dermatologist
   . Prescribes treatment for infectious and allergic processes.
3. Gynecologist
   . Checks hormone levels. Prescribes treatment methods depending on the presence or absence of pregnancy, the condition of the ovaries and uterus.
4. Endocrinologist
   . Therapy is prescribed for pathologies of the thyroid gland, pituitary gland, adrenal glands and other internal glands.
5. Gastroenterologist
   . Assesses the condition of the digestive tract, helps in treating problems with the esophagus, stomach, intestines and other parts.
6. Nutritionist
   . Creates a correct, rational menu for every day. Indicates a list of prohibited products.
7. Allergist
   . Finds out what types of antigens cause an allergic reaction in a patient. Prescribes treatment depending on their types.

After prolonged treatment, doctors advise re-examination.