The question to pop or not to pop the pimple crosses my mind several times a day. Mine are pretty huge and gross ones that come to head full of puss. Ive been on Isotretinoin 30mg for a little over 2 weeks now and still get a few nasty one.
So I experimented.
2 puss filled pimples on the right side of my cheek.
Popped 1 and let the other one dry out.
My observation - The one I let dry out has now turned into a nodule. Does not hurt but is Hard to touch. Like if I gently pinch it feel like a lump beneath my skin. Left a dark patch lets say 5 shades darker than me skin.
As for the one I popped. Its was very sore one day. I generally tend to sleep on my sides ( trying forever to sleep on my back, but its not working out for me) so i decided to pop it. Took a hot shower. It came to head , sanitized my hand and Kaboom it exploded. First puss followed by blood. (sorry for the explicit details) Its worse my i have mellowed it down a notch for squeamish users.
I left a piece of paper towel on the zit to stop the bleeding. Washed the area one the blood stopped oozing out and that was it.
The next morning the swelling in the area reduced and the pimple scabbed and fell of the next day. 3 shades darker than my skin and no nodule or lump.
So im not saying ill pop all the pimples that show up but sometime it feel it better than letting it dry out cause those nodules take forever to heal. I have got a sucker laying on my face for the last 2 months. Wish now that I popped it when I have come to a head. As far as long term scarring goes , I have no idea which one will heal better. I also heard for people getting pitted scar when picking acne, never happened to me but i hope being on accutane does not change that.