If you notice a cluster of unusual bumps around the nose, do not squeeze, pop, or pull them, as this can worsen irritation, spread infection, or cause scarring. Bumps that resemble severe acne can sometimes have other causes, including Demodex mite overgrowth, folliculitis or a bacterial infection, and perinasal or perioral dermatitis. Although these conditions can look similar, they require different approaches.

Demodex mites naturally live in human pores and oil glands, but an overgrowth can sometimes cause rough bumps, pustules, redness, or irritation, particularly around the nose and nearby areas. Bacterial folliculitis can produce painful, swollen, pus-filled bumps around hair follicles. Perinasal or perioral dermatitis, meanwhile, can cause small red or scaly bumps and may be associated with certain cosmetic products or steroid creams.

Some symptoms require prompt medical attention. Seek medical care if redness or swelling spreads toward the eyes, the area becomes extremely painful or hot, you develop fever or chills, or thick pus and dark crusting appear. Facial infections can sometimes become more serious, so rapidly worsening symptoms should not be ignored.

Because these conditions can look alike, a doctor or dermatologist can help determine the actual cause and choose appropriate treatment. Depending on the suspected problem, they may examine a skin sample or swab the area. Until then, keep the routine simple with gentle cleansing and avoid squeezing the bumps, heavy products, or steroid creams unless specifically recommended by a medical professional. 🩺