Causes of Acne Behind the Ears and How to Treat Them, According to Dermatologists
Pimples are a common occurrence for many of us—in most cases, we’re used to them on our face, neck, chest, or back. However, pimples can also appear in other places, such as behind the ears. If you’ve ever struggled with annoying pustules behind your ears, you may have wondered about their causes and treatment options. To help answer your questions, we turned to two board-certified dermatologists for the answers. Learn everything you need to know about acne behind the ears below.
What causes acne behind the ears?
Clogged pores
Clogged pores can cause acne behind the ears. They are caused by excessive oil production or reduced skin exfoliation and usually appear as blackheads or comedones. “[The distinguishing feature] is the presence of a ‘blockage’ in the pore,” notes Dr. Chilukuri. “For treatment, you can use PanOxyl Acne Creamy Wash ($9) as a wash and then a retinoid. Before, you had to go to the doctor to get a prescription for a retinoid like Differin or Retin-A. Now, [acne sufferers] can order PanOxyl Adapalene 0.1% Leave-On Gel ($11) online for a fraction of the original price.”
Acne
Acne is what Dr. Murphy-Ross calls a hyperacne. Pustular acne can appear behind the ear as one- to three-millimeter red bumps that are usually tender and can be identified by inflammatory lesions.
“In this type of acne, bacterial growth leads to more inflammation, which results in red papules or pustules,” says Dr. Chilukuri. “If necessary, salicylic acid can be used to reduce inflammation. For painful bumps, you can use PanOxyl PM Night Spot Patches ($8). I also recommend using a retinoid to improve cell turnover and skin exfoliation so pores don’t clog as easily.”
Cysts
Acne can also occur behind the ears; the bumps that are usually visible are deeper and more painful. “Cysts are caused by a buildup of oil, bacteria, and pus beneath the surface of the skin,” says Dr. Chilukuli. “They are likely to cause permanent scarring and can be hereditary and hormonal. It’s important to see a licensed dermatologist to assess whether you’re a good candidate for oral medications to prevent permanent scarring.”
Ingrown Hairs
Ingrown hairs often appear as small, red or skin-colored bumps on or behind the ears and can be identified by the hair trapped within them. “Ingrown hairs occur when a hair follicle curls and becomes trapped beneath the surface of the skin,” says Dr. Chilukuli. “I don’t often see ingrown hairs behind the ears because there’s no noticeable hair growth there, but they can appear on the neck and at the base of the hairline.”
Hair Products That Clog Pores
Not surprisingly, products that clog pores can lead to acne, and it’s often hair products that cause breakouts, especially behind the ears where hair comes into contact with your hair every day. “The occlusive action of oils, conditioners, and some dry shampoos can clog pores, leading to blackheads and pimples around the ears and hairline,” says Dr. Murphy Ross.
“Choose non-comedogenic hair products both in and out of the shower,” advises Dr. Chilukuri. “Cleanse the affected area thoroughly to remove debris that’s clogging the pores. If you think styling products are the cause of your breakouts, use a toner pad or toner with salicylic acid to wipe away residue and provide an anti-acne ingredient.”
How to Treat a Pimple Behind the Ear
Try a Topical Treatment
The first line of treatment is usually a topical treatment, both experts note. “Salicylic acid is a great choice for acne prevention,” says Dr. Dr. Murphy Ross. “The molecular size of this acid allows it to enter the pores, thoroughly clean and dissolve sebum, and its exfoliating action can treat and prevent further pore blockage. Prescription retinoids or retinol are also good options. Using Skincare Junkie’s Pore Therapy Daily Toner Pads ($38) can help prevent and treat existing blackheads.”
Consider oral medications
When topical treatments don’t work, oral medications can be the next line of defense against acne, including behind the ears. “Oral antibiotics, isotretinoin (such as Tretinoin), and spironolactone are most commonly prescribed, depending on the patient and the type of acne,” says Dr. Murphy Ross.
Try home remedies
Home remedies can also help treat pimples behind the ears, such as: B. Warm compresses. “One of the most common home remedies for treating acne is tea tree oil,” adds Dr. Murphy Ross. “While other acne treatments may be more effective, the antibacterial and anti-inflammatory effects of this natural topical treatment can certainly help fight acne.”
It’s worth noting, however, that our experts don’t recommend homemade topical cocktails to treat pustules. “I don’t recommend applying homemade mixtures to the skin, as they can often cause a rash. Breakdown can make acne worse,” adds Dr. Chilukuri.
How to Prevent Pimples Behind the Ears
Use a Gentle Cleanser
According to our experts, cleansing is a simple but crucial step in preventing acne behind the ears. “Using a gentle, non-irritating cleanser will keep the skin free from acne-promoting bacteria without irritating the skin and disrupting the skin’s protective barrier,” notes Dr. Murphy-Ross.
Avoid Products That Clog Pores
As mentioned earlier, clogged pores can lead to blackheads and pimples, so it’s best to avoid comedogenic products. “Choose hair products carefully and choose those that are labeled non-comedogenic,” says Dr. Chilukuri. “Be sure to rinse your hair thoroughly after conditioning and wipe off any excess styling products that have clinging to the skin of your hair to prevent further breakouts.”
Keep your hair away from your ears
Dr. Murphy-Ross notes that keeping your hair up, especially when you’re playing sports, can help prevent acne behind the ears. “Keeping your hair away from your ears reduces the transfer of oils or hair products from your hair to your skin, which can lead to clogged pores or irritation,” says Dr. Chilukuli.
Conclusion
While it’s not the most common location for pimples behind the ears, they can occur there, too. Pore-clogging hair products and acne are just a few possible causes of pimples behind the ears. But luckily, there are ways to treat them when they do occur. Our experts recommend using topical treatments (products with salicylic acid and retinoids are great), applying tea tree oil, or using warm compresses to soothe the area. Of course, if the problem persists or you experience severe symptoms (such as redness, swelling, flushing, or increased discharge), you should consult a dermatologist for further advice.
