Dermatologists Explain Causes and Treatments for Acne Behind the Ears
Pimples are common to many people, and they usually appear on the face, neck, chest, or back. However, pimples can also appear in other places, such as behind the ears.
If you’ve ever been bothered by annoying pustules behind your ears, you may have wondered about their causes and treatments. To help answer your questions, we asked two board-certified dermatologists. Learn all about pimples behind the ears.
What causes pimples behind the ears?
Clogged pores
Clogged pores can cause pimples behind the ears. They are caused by excessive sebum production or insufficient skin exfoliation and usually appear as blackheads.
“(Their distinguishing feature) is the presence of a ‘plug’ in the pore,” Dr. Chilukuri notes. Treatment recommends using PanOxyl Acne Cleanser ($9) first, followed by a retinoid.
Previously, a doctor’s prescription for a retinoid, such as Differin or Retin-A, was required.
Now, [acne sufferers] can order PanOxyl Adapalene 0.1% Leave-On Gel ($11) online for a fraction of the original price.
Pimples
As Dr. Murphy-Ross says, pimples are the supergroup of acne.
Pustular acne presents as red, one- to three-millimeter-sized bumps behind the ears that are often painful and identifiable by inflammatory lesions.
“In this type of acne, bacterial growth leads to increased inflammation, resulting in red papules or pustules,” Dr. Chilukuri says. Salicylic acid can be used to reduce inflammation if necessary.
For painful pimples, we recommend PanOxyl PM Nighttime Acne Patch ($8). I also recommend using a retinoid to promote cell turnover and exfoliate the skin so pores don’t clog as easily.
Cysts
Acne can also occur behind the ears; the visible nodes are usually deeper and more painful.
“Cysts are caused by a buildup of oil, bacteria, and pus beneath the surface of the skin,” Dr. Chilukuri explains.
They are likely to cause permanent scarring and can be determined by genetics and hormones.
It is important to consult a dermatologist to determine if oral medications to prevent permanent scarring are right for you.
Ingrown Hairs
Ingrown hairs usually appear as small red or skin-colored bumps on or behind the ears and can be identified by the hair inside them.
“Ingrown hairs occur when a hair follicle curls and becomes trapped beneath the surface of the skin,” explains Dr. Chilukuli.
I rarely see ingrown hairs behind the ears because hair growth there is not noticeable. They may appear on the neck and hairline, however.
Pore-Clogging Hair Products
It’s no surprise that products that clog pores can cause acne. Hair products are often the cause of acne, especially behind the ears, where hair comes into contact with the skin 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.
“Whether you’re in the shower or on the go, use noncomedogenic hair products,” advises Dr. Chilukuri. Cleanse the affected area thoroughly to remove any residue that’s clogging pores.
If you think styling products are to blame for your breakouts, use facial toners or a liquid toner with salicylic acid to remove any residue and apply acne-fighting ingredients.
Treatments for Acne Behind the Ears
Try Topical Treatments
Both experts note that the first treatment is usually a topical application. “Salicylic acid is very effective for preventing acne,” says Dr. Murphy-Ross.
The acid’s molecular size allows it to penetrate pores, deep clean and dissolve sebum. Its exfoliating action can treat and prevent further clogging of pores.
Prescription retinoids or retinols are also good options. Skincare Junkie’s Pore Therapy Daily Toner Pads ($38) can prevent blackheads and treat existing ones.
Consider Oral Medication
If topical treatments don’t work, oral medications may be the next step in treating acne, including behind the ears.
“The most commonly prescribed medications are oral antibiotics, isotretinoin (such as Accutane), and spironolactone, 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 ear, such as 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 significantly help fight acne.”
However, our experts advise against making your own local cocktail to treat pimples. “I do not recommend applying homemade concoctions to the skin, as they can often cause skin irritation.”
“This can lead to acne breakouts, which 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 key step in preventing acne behind the ears.
“Use gentle, non-irritating cleansers to remove acne-causing bacteria from the skin without irritating the skin and disrupting the skin’s protective barrier,” advises Dr. Murphy-Ross.
Avoid clogged products
As mentioned earlier, clogged pores can lead to blackheads and pimples. Therefore, comedogenic products should be avoided.
“Choose hair products carefully and look for ones labeled non-comedogenic,” advises Dr. Chilukuri.
“After using conditioner, rinse your hair thoroughly to remove any excess styling product that may be on the skin to prevent further breakouts.”
Keep your hair away from your ears
Dr. Murphy-Ross notes that tying your hair up, especially when exercising, can help prevent acne behind the ears.
“Keeping your hair away from your ears reduces the transfer of oil or hair care products from your hair to your skin, which can clog or irritate your pores,” says Dr. Chilukuri.
Summary
Although it’s not the most common spot for pustules to appear behind the ears, it can happen there too.
Pore-clogging hair products and acne are just some of the possible causes of pustules behind the ears. Luckily, there are ways to treat them when they occur.
Our experts recommend topical treatments (products containing salicylic acid and retinoids work well), applying tea tree oil, or using warm compresses to soothe the area.
If the problem persists or you experience severe symptoms (such as redness, swelling, warmth, or increased discharge), see a dermatologist.
