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What to do about "dormant" papules?

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I get hormonal acne a few times per month. However, I mostly seem to get papules and pustles, and most of the time when the papules form they stay "dormant" and never become inflamed. They are painful, big, red bumps that just don't seem to go away. A head never forms so I can't do anything to pop it. Cleansers don't seem to work, and neither does BP because the zit stays under the skin.

Any suggestions? Does anybody else get these? They go away after a week or so but leave a bump and awful brown marks even when left untouched.

Edit: photos!

Okay, so here is what one of them looks like. It is on my left cheek and it is the inflamed one, the others around it are just red marks from....months ago. (The thing in the corner is my ear.)

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post-61082-1211856496_thumb.jpg

post-61082-1211856739_thumb.jpg

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I hear you. I had one three weeks ago..and well it's still there. I duac/retin-a micro that thing every night and it doesn't seem to work. The redness/pimple is gone, but now I have a brown elevated bump that's not going away. I guess time will heal it.

If you go to your derm, you can always try a cortisone shot, but man is that thing expensive!


Morning:

1. Wash face with Basic Calming Soap

2. Duac Topical Gel

3. Aveeno Daily Moisturizing Lotion (noncomedogenic)

Night:

1. Wash face with Basic Calming Soap

2. Retin-A Micro Pump


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These sound more like nodules to me than papules. You might try going to a derm who does cosmetic surgeries and see if the spots can be extracted. Sometimes the core of the pimple is so deep under the skin, that the spot just won't heal all the way. I have only ever had one of these - a pea-sized lump that was way under the skin on my jawline. It just stayed dormant on my jawline for a few months. I had it extracted by a cosmetic surgeon and it went away and hasn't come back.


A.M.

-Face Reality Sensitive Skin Cleansing Gel

-Finacea

-MD Formulations AOX Hydrating Gel and/or MD Formulations AOX Lotion (on drier areas)

-Mix a few drops of Niacinamide Gel with Face Reality's SPF 30 for Acne Prone Skin

P.M.

-Face Reality Silica scrub

-Derm A Gel 2 out of 3 nights, PTR Unwrinkle Peel Pads every 3rd night

-Mix Face Reality Hydrating Emulsion with Metazine Niacinamide Gel

-Face Reality's 2.8% BPO (chin only).

*Spot treat any inflamed lesions with Aczone

*Spot treat clogged pores with 8% mandelic

*Diet: Vitamin C and zinc supplements, avoid dairy, avoid iodine, mimimize sugar and salt, avoid peanuts

I also get facials at Face Reality Acne and Skin Care Clinic every 4-6 wks.

My lengthy log:

http://www.acne.org/messageboard/index.php...1620&st=460


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How big are these things for you? Might not be so serious that you need an extraction if they aren't that huge. I get very, very similar pimples (which aren't huge, definitely less than 5 mm), and don't know if they're hormonal - but they take ages to go away, seldom respond to topical treatments, and leave behind brown marks when they heal. It's gross. I'm sorry I don't have any more practical advice (I can't use BP and tea tree oil doesn't do much), but I'm bumping to see if anyone has something constructive to say.

A.M.

-Face Reality Sensitive Skin Cleansing Gel

-Finacea

-MD Formulations AOX Hydrating Gel and/or MD Formulations AOX Lotion (on drier areas)

-Mix a few drops of Niacinamide Gel with Face Reality's SPF 30 for Acne Prone Skin

P.M.

-Face Reality Silica scrub

-Derm A Gel 2 out of 3 nights, PTR Unwrinkle Peel Pads every 3rd night

-Mix Face Reality Hydrating Emulsion with Metazine Niacinamide Gel

-Face Reality's 2.8% BPO (chin only).

*Spot treat any inflamed lesions with Aczone

*Spot treat clogged pores with 8% mandelic

*Diet: Vitamin C and zinc supplements, avoid dairy, avoid iodine, mimimize sugar and salt, avoid peanuts

I also get facials at Face Reality Acne and Skin Care Clinic every 4-6 wks.

My lengthy log:

http://www.acne.org/messageboard/index.php...1620&st=460


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These sound more like nodules to me than papules. You might try going to a derm who does cosmetic surgeries and see if the spots can be extracted. Sometimes the core of the pimple is so deep under the skin, that the spot just won't heal all the way. I have only ever had one of these - a pea-sized lump that was way under the skin on my jawline. It just stayed dormant on my jawline for a few months. I had it extracted by a cosmetic surgeon and it went away and hasn't come back.

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These sound more like nodules to me than papules. You might try going to a derm who does cosmetic surgeries and see if the spots can be extracted. Sometimes the core of the pimple is so deep under the skin, that the spot just won't heal all the way. I have only ever had one of these - a pea-sized lump that was way under the skin on my jawline. It just stayed dormant on my jawline for a few months. I had it extracted by a cosmetic surgeon and it went away and hasn't come back.

Hm, this could be more serious than I thought.

The thing is, I don't get "regular" acne--I rarely get whiteheads and I never have had a blackhead. But I get about 1-3 of these weird papules/cysts/nodules spots a month. Mine are usually around a uniform 5mm. I could never figure out if it was a papule or a cyst or whatever. It sucks because my skin is usually decent but I'll have a huge single zit that is incredibly noticeable.

Now that I have figured out what they are, any suggestions on prevention/treatment?

Also, since I get these pretty frequently, it'd be pretty expensive to go to a derm every month to get them extracted..


A.M.

-Face Reality Sensitive Skin Cleansing Gel

-Finacea

-MD Formulations AOX Hydrating Gel and/or MD Formulations AOX Lotion (on drier areas)

-Mix a few drops of Niacinamide Gel with Face Reality's SPF 30 for Acne Prone Skin

P.M.

-Face Reality Silica scrub

-Derm A Gel 2 out of 3 nights, PTR Unwrinkle Peel Pads every 3rd night

-Mix Face Reality Hydrating Emulsion with Metazine Niacinamide Gel

-Face Reality's 2.8% BPO (chin only).

*Spot treat any inflamed lesions with Aczone

*Spot treat clogged pores with 8% mandelic

*Diet: Vitamin C and zinc supplements, avoid dairy, avoid iodine, mimimize sugar and salt, avoid peanuts

I also get facials at Face Reality Acne and Skin Care Clinic every 4-6 wks.

My lengthy log:

http://www.acne.org/messageboard/index.php...1620&st=460


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On the second pic, I can see some pus xD. Just pop it out and apply some BP. If its hormonal acne, and you know when you get it (maybe in your period i suppose?) then apply BP or AHA to stop the breakout in its track, when that time approches. When you feel your skin greasy/oily, wash it, and you won't get these anymore. It's better to try to prevent as much as possible so you don't have to run the risk of the marks acne can leave, although AHA is good for those, so thats what I recommend.


My Regimen:

Acutane:

Month 1: 80mg

Wash face with Cetaphil

Diet:

I avoid Dairy products & eat tons of fruits & veggies.


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how is your cysts now? or anyone that has experienced this?

i wonder if these dormant things go down by themselves? i have already tried squeezing them out.


1995 - 2002: Acne all over face

Jun 2003 - April 2007: Cleared face - water only. [Melbourne]

April 2007 - Now: New City [sydney]. Itchy skin - red marks. Developed Cysts mainly on the right hand side of the face.


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