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Location of acne | What are the signs of facial pimples?


Mahlagha Homayouni


June 22, 2021


A skin disorder named acne

There is little scientific evidence for this theory to prove that the health of organs is related to the location of acne on the face. However, some research suggests that certain factors may be involved in causing acne in certain areas of the face. The location of pimples and acne on the face (Face Mapping) and the diagnosis of the cause of pimples originated from ancient Chinese and Ayurveda medicine.

Location of acne

This approach is a traditional method to find the cause of acne in different areas of the face such as cheeks, chin, eyebrows, forehead, etc. (examine specific areas of the face that suffer from acne). It concludes that environmental factors or body systems have caused the problem. In this text, we will diagnose the cause of pimples in different parts of the face and ways to treat them.


skin assessment

Chapter 1

How do acne and pimples form?

Acne is a common problem in adolescence that is usually caused by the accumulation of dead skin cells and fat in the pores of the skin around the hair follicles. Different people may experience blackheads, whiteheads or inflammation, especially if it is found on the cheeks, forehead and chin. In adulthood, you can also see a variety of it that may be due to factors such as hormonal changes due to pregnancy or childbirth, some diseases or improper skin care. In the following, we will examine each type of acne. And after that, we will discuss about the location of acne and pimples and their reasons!

Type of pimple

In general, pimples can be classified into two categories: inflammatory and non-inflammatory. Whiteheads and blackheads are a type of non-inflammatory acne. These pimples are easier to treat than inflammatory pimples, and over-the-counter home remedies can also work. Other types of pimples, such as papules, pustules, nodules, and cysts, are inflammatory and difficult to treat.


Whiteheads are one of the most common types of acne and are usually caused by clogged pores. Blockage of the pores can be caused by excessive oiliness of the skin, the presence of bacteria, an increase in dead skin cells, or hormonal changes. However, whatever the reason for closing the pores, it results in whiteheads in different locations of the body at different ages.

These pimples, also known as “closed comedones”, are usually seen as a white bump on the closed pores of the skin and are purulent. The area around these pimples is usually red and may be a little painful. The skin around the pimple may also look a little stiff or wrinkled.

The important thing is that the solution to get rid of these pimples is not to squeeze them and remove the fat or pus in them. This only leads to scarring of the pimple and its persistence and has no effect on opening the pores of the skin and preventing their recurrence.


These pimples appear black on the surface of the skin and are caused by clogging of the hair follicles with fat or dead skin cells. This type of pimple, known as “open comedones”, is usually seen as small black spots on the skin.

The pimples of this type of acne are open on the surface of the skin and the skin around it is usually normal in color and condition and is not painful. The black color of these pimples is caused by clogging of the hair follicles. Blackheads can be removed by pressing. But we recommend that you do not try this. This is because it will scar the skin and eventually leave a scar.

Location of acne


Papular pimples are small, red or pink bumps caused by the closing of skin pores with dead or fat cells. Papule pimples form under the surface of the skin and their location appears to be firm and bulging. This acne usually contains bacteria called catechins that come out of the pimple and penetrate into the surrounding skin. As a result, squeezing these pimples and removing their contents can aggravate them and cause damage to the surrounding skin.

Papules are not pus-filled pimples, but the bacteria in them can cause inflammatory lesions on the skin. Also, their increase can indicate the presence of moderate or severe acne, which will require longer and stronger treatment. Papules form when blackheads or whiteheads become so irritating that they damage the skin around them and cause inflammation.

Pustules or pus

These pimples are large, red bumps with a white or yellow center. White and yellow center next to the red and inflamed skin around the pimples indicates that the pustules are a type of purulent inflammatory acne. These pimples are more common on the chest, face, or back and are caused by the infection of closed pores of the skin due to the accumulation of immune and bacterial cells or hormonal changes.

Like papules, these pimples have a subcutaneous condition, except that their dirty head protrudes from the skin. If you squeeze these pimples and remove the pus, the bacteria will spread on the surface of the skin and the damage will be intensified. Therefore, we strongly recommend that you refrain from squeezing them yourself and leave them to a specialist. Because pressing these pimples by yourself will cause sores or dark spots on the skin.

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Chapter 2

Location of acne and its reason(s)

Acne, or pimples, can occur when the pores of the skin become clogged with dead skin cells and fat. The result of these interactions is blackheads and whiteheads. Bacteria called Propionibacterium acnes are also involved in the inflammation that causes red bumps on acne. For a variety of reasons, some areas of the face may be more prone to pimples and acne. In the following, we will refer to these areas.

Cause of acne on hairline and temples

Acne around the hairline and temples, also known as forehead acne, may be due to the use of certain hair care products. In this case, they are called pomade acne (Acne caused by using pomades and skincare products).

Ointments are products that often contain mineral oils and substances such as coconut oil, alcohols, and sulfates. These substances clog pores. Gels, creams, crystals and hair ointments prevent the natural oil (or sebum) in the hair follicles from escaping the skin.

Location of acne

This blockage is what causes acne. This complication can affect men and women with any skin type. In general, some ingredients in cosmetics, especially hair straighteners, may cause acne. Including dimethicone and acrylate. If you regularly see pimples along your hairline, it is best to:

  • Stop using hair care and beauty products.
  • Wash your face after using them.
  • Use non-comedogenic products that can be found easily in pharmacies.

Preventing contact of oily hair products with the face is of particular importance. Using natural moisturizers and skincare can prevent acne around the hairline and temples. One of the simple ingredients is mint shampoos.

Cause of pimples in the T-zone of the face: above the forehead and nose

Numerous studies on pimples in the T-zone of the face have shown that factors such as facial fat and stress play a large role in the development of pimples in the T-zone of the face.

Location of acne

If your acne and pimples are in this location you may have some problems as followed:

  • The sebaceous glands produce sebum, which is an oily substance that moisturizes and protects the skin. Excessive production of sebum causes acne. If you have oily skin, wash your skin with products containing salicylic acid.
  • Excessive stress does not affect the production of oil and fat on the face, but it can increase the risk of acne. Listening to music or exercising (even for a minute) are also natural ways to relieve stress.
  • Studies show that people who wake up tired and do not get enough sleep also develop T-zone acne. Try to meditate before bed or follow sleep hygiene.
  • Dehydration is also one of the reasons of developing acne in this location
  • Digestion problems are certainly the roots of emerging acne in this location

Cause of acne on the cheeks

When acne emerges on the cheek location is usually due to touching objects or infected hands on the cheek area.

Location of acne

condition is called mechanical acne, which is caused by friction or rubbing of the skin. For example, this may happen in the following cases:

  • When someone holds her or his cell phone in front of their face.
  • When a person moves on his or her pillow in sleep.
  • When a person wears a device or clothing that has a tight collar.
  • milium
  • Hyperpigmentation
  • Sun damage
  • Allergies and sinus problems
  • The presence of comedogenic substances in cosmetics
  • smoking
  • Inflammation of the intestine

The incidence of mechanical acne is not limited to the cheeks. Depending on the type of clothing you wear or specific obstructive activities, it can occur in different parts of the body. This condition is more common in athletes.

Location of acne: around the eyes

Pimples around the eyes are usually caused by the use of substandard cosmetics that contain comedogenic substances. Other reasons include:

  • Allergies
  • Insufficient water consumption (Dehydration)
  • Improper eating habits
  • Lack of sleep
  • Stress

It is best to drink plenty of water or natural fluids throughout the day and stop consuming cheese, fats and processed foods.

Location of acne

Location of acne: between the eyes and eyebrows

Factors that lead to acne between the eyebrows or eyes are:

  • Inflammation
  • Dehydration
  • Poor quality cosmetics
  • Excessive production of facial oil
  • Consume heavy and fatty foods
  • lactose intolerance
  • Eat late at night
  • Low consumption of vegetables

Here are some steps you can take to stop developing acne in this location

  • Cut off alcohol completely.
  • Take care of your diet.

Location of acne: on the chin and around the mouth

  • Closing open pores of the facial skin
  • Excess hair grows above and around the lips
  • Use inappropriate facial cleansers
  • Smoking and Food allergies
  • Rubbing contaminated hands on chin and mouth
  • Allergy to cosmetics such as lipstick or lip liner
  • Hormonal disorders
  • Sensitivity to light and aromatic substances
  • High stress levels

Location of acne

Location of acne: under the throat and near the jaw line

Studies show that the cause of pimples and acne on the lower chin and under the throat is often due to hormonal disorders. However, some studies have rejected these theories. However, the mismatch of DHEAS hormone in men and women and its relative increase leads to pimples in these areas.

Research has also shown that 39% to 85% of women with acne have more pimples in the days before their period. All this evidence shows the effect of hormonal disorders on the occurrence of acne. However, because many people with acne do not have hormonal abnormalities, other factors may be involved, including increased sensitivity of the sebaceous glands to hormones.

Chapter 3

Recognize your problems and diseases with the location of acne and pimples!

Cause of forehead acne

Traditionally, the forehead is connected to your digestive system. If you have acne in this location and area, help your treatment progress by drinking water and eating natural foods without additives. You may have indigestion (such as wheat or gluten).

Here are some steps you can take to reduce the appearance of acne on your forehead:

  • Go to bed earlier.
  • Drink more water every day to rid your body of toxins.
  • Reduce stress through relaxation techniques.
  • Eliminate refined foods, sugar, and salt from your diet.
  • Check if cosmetics, shampoos do not cause acne.

Cause of center of forehead acne

The middle of the forehead, between the eyebrows, is connected to the liver. Acne and pimples can be related to alcohol consumption, fatty foods, or food allergies (such as lactose intolerance). Avoid eating or drinking fatty foods at the end of the night and cut down on wine and cheese!

Location of acne and pimples: Ears

The ears are connected to the kidneys. If they are swollen or you feel hot in them, reduce their inflammation by consuming less caffeine.

Location of acne and pimples: Cheeks

Cheeks represent respiratory problems. Smokers or those who are prone to allergies usually have broken capillaries and blocked pores. Quit smoking and include antihistamines in your diet (if you have not already) to clear the affected areas.

Location of acne and pimples: Eyes

The eyes are attached to the kidneys like the ears. Reduce dark circles and bruises under the eyes by drinking more water and simplifying digestion.

Location of acne

Location of acne and pimples: Nose

Your nose indicates blood pressure. If it is red and abnormally inflamed, your blood pressure is probably higher than it should be.


Chin acne is associated with hormones and usually emerges before and after your period!

Around your mouth

The corners of the lips are attached to the ovaries and usually swell during menstruation.

Around the neck and temples

Pimples on the neck and temples are also linked to the adrenaline rush. Our adrenaline glands, located above the kidneys, secrete vital hormones. If these glands work abnormally, you may feel bored or stressed during the day and may swell! Remember that the skin of your neck is important to the skin of your face, do not forget to take care of it.

Pimples on the back, arms and thighs

Most hormonal and genetic fluctuations are the most important factors that cause pimples on the back, arms and thighs, so it will be very difficult to control pimples in these areas. In addition, the moist fibers caused by sweating and rubbing them into the skin irritate the skin and then emerge pimples in these areas.

In this regard, doctors advise: Try to reduce the pressure of carrying a backpack and handbag, which causes skin rubbing and resulting in pimples. Wear clothes that are clean and loose. Choose the shampoo, soap, body lotion, detergent, and sunscreen that contain natural oils and compounds.

The cotton clothes you use should not have irritating seams or stickers. Despite all these precautions, if your back and arms still have acne and pimples, use clothes with different fibers. In fact, yarns can absorb irritating chemicals and cause acne on sensitive skin.

Chapter 4

Acne treatment for any types of skins

A range of topical treatments can be effective in counteracting the bacteria, inflammation and excess fat that can all cause acne. People can buy topical medications without a prescription or can use the following ingredients to treat their acne:

Benzoyl peroxide: This drug is primarily effective in fighting acne bacterium Propionibacterium acne.

Topical retinoids: These drugs work to reduce excess facial fat and clear clogged pores. For example, Adapalene gel (Differin 0.1%).

Salicylic acid: This substance works primarily to remove clogged skin pores. The location of acne is not important, but if your acne becomes inflammatory, you should be visited by a doctor.

Location of acne

Treatment of inflammatory acne

To treat inflammatory acne, including severe cases, your doctor may prescribe a course of antibiotics to fight the bacteria and reduce the inflammation. It can be taken as a topical or oral antibiotic.

Isotretinoin or Accutane

It is a medicine that people can take to treat severe acne. Affected people usually consume it for more than 4 to 5 months. However, the duration of treatment may vary from person to person. However, Isotretinoin can have serious side effects. People should discuss these effects with their doctor before starting treatment. They should only take this medicine under constant medical supervision.


Experts believe that birth control pills may help treat acne (Does not matter the location of acne and pimples) by reducing the hormones that contribute to acne by producing sebum. After 6 months of using combined oral contraceptives, they may be just as effective as taking oral antibiotics.

Location of acne

Anti-androgen drugs

When the above methods do not work, people can use anti-androgen drugs such as Spironolactone as a non-specialized treatment to get rid of acne. A study of 27 women who used combination oral contraceptives and Spironolactone found that 85% of participants were successful in treating their acne after six months.

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Chapter 5

Last word

In this article, we talked about the causes of acne on the face and body and what the location of acne shows to us. For example; A facial acne mapping is a way to determine the root cause of acne. If you notice that the pimples are less or more each month, your body is probably trying to tell you something. Concepts and principles of the location of acne are based on Chinese techniques.

Traditional Chinese medics (TCM) believe that there are points on the body that are connected to different major organs. As a result, if you are prone to have acne constantly, for example on your right cheek, the problem is most likely in the liver, hormonal glands, and intestinal function.

Therapists then prescribe medications to improve this imbalance and treat acne from its roots and improve lifestyle. Different parts of the face and the location of acne indicate imbalances in different organs.

But if you want to get rid of acne and pimples (the location of acne is not the case!) here are some general suggestions:

  • Wash the areas prone to acne with a mild cleanser and warm water twice a day to minimize skin irritation for pimples.
  • Use anti-acne soaps as much as possible.
  • Drinking a lot of water during the day makes your skin clear and your body does not become dehydrated.
  • When leaving the house, be sure to use a non-greasy sunscreen with a sun protection factor (SPF) of 30 so that the sun’s ultraviolet rays do not damage your skin.
  • Oily cosmetics block the pores of the skin and cause a lot of pimples and acne on the skin. So, avoid greasy cosmetics. If possible, use cosmetics that contain light, powdery minerals to reduce the risk of pimples and acne.
  • Avoid touching or rubbing your face. Rubbing your face makes acne worse. Also, avoid putting your hand under your chin and keep your cell phone away from your skin.

Location of acne


Where is acne found?

Acne typically appears on your face, forehead, chest, upper back and shoulders because these areas of skin have the most oil (sebaceous) glands.

Can acne occur anywhere?

It can happen anywhere on the body. However, acne most often appears in areas where there is a high concentration of sebaceous glands, including: Face.

What triggers acne?

Acne is caused when tiny holes in the skin, known as hair follicles, become blocked. Sebaceous glands are tiny glands found near the surface of your skin. The glands are attached to hair follicles, which are small holes in your skin that an individual hair grows out of.

Will acne go away?

Most often, acne will go away on its own at the end of puberty, but some people still struggle with acne in adulthood. Almost all acne can be successfully treated, however. It's a matter of finding the right treatment for you.

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