Excoriated Acne – If you pick at it, it WILL get worse.

When your mother used to tell you that picking at a cut would make it worse, she wasn’t kidding. If you are still doing it to this day, however, then the chances are that you have a compulsive skin picking disorder – apparently not that uncommon in this day and age. But picking at a healed cut or spot is a big mistake. It can lead to a small scab becoming a large wound, and can very easily result in infection. The unsightly blemish that results is known as excoriated acne.

“Excoriate” means to strip the hide or skin off something. It is a word that is used figuratively as much as anything, often being used to explain the severe telling off that an unruly child might get from a parent. But it does have a literal application, and the obsessive habit of picking at our skin is an example of how excoriation is a genuine problem. Anyone can develop excoriated acne, but it is more common among women.

Excoriated acne is the result of a desire to pick, squeeze, or scratch at blemishes, even creating new blemishes in some cases. This leads to open sores which, when they scab over, are prime for picking again. It can be a very hard habit to break, sometimes only stopping when the skin ceases scabbing. At this point, what you are left with is open red sores and inflammation. This is excoriated acne, and can be very unsightly and also potentially very unhealthy.

Should you pop a pimple?

One of the most common pieces of advice that we receive as children and adolescents is “don’t squeeze it/pick it, you’ll just make it worse!”. Frequently this is extremely good advice, as picking at a blemish is likely to spread it further and create a wider surface area of exposed skin ripe for infection. Picking should not be part of your skin care regime. However, there is a place for popping pimples or zits every once in a while, once they have “crowned” – just make sure you do it at the right time and in the right way, or expect it to come back bigger and bring friends.

After a shower or a bath is the ideal time to pop a zit, It is at this point that the skin is able to breathe and will be less affected by a small prick with a needle. Make sure the needle has been sterilised and then gently pierce the surface. Taking two pieces of tissue paper, cover your index fingers or thumbs and push firmly down on the sides. This part is most enjoyable when done in front of a mirror, as it allows you to see the popping with your own eyes. Drain as much pus as you comfortably can, and stop if you see blood.

Some spots, however ready and ripe they may look, will not pop at this stage. Whatever you do, don’t force it. It will hurt, and even if it does pop it will leave a scar. Play the waiting game, and you will be rewarded.