What could cause pus-filled acne on the T area of the face?

Question

Hello doctor,

The acne is getting back again and gaining in the T area of my face. What can I do? It is like a pimple on the forehead without pus. But on the chin and nose, they are filled with pus.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

I am very sorry about your medical condition, and I am glad that you are paying attention to changes in your body system. But do not worry. I am here to take care of you. I believe your acneiform eruption and exfoliating dermatitis are linked to internal inflammation.

Here is a breakdown of what might be happening and how to approach it beyond temporary fixes:

1. Hormonal imbalance – Especially if acne worsens around your period, on your jawline and chin, or during stress.

2. Oily skin and clogged pores – If your skin is naturally oily, topical creams alone may not fully manage it.

3. Diet or gut health – High sugar, dairy, or processed foods can trigger inflammation in sensitive people.

4. Incorrect skincare – Using harsh products or over-washing can damage your skin barrier.

So, the long-term treatment options are as follows:

1. Medical options (stronger but effective):

Oral medications: Tablet Doxycycline 100 mg, orally, thrice daily for two weeks.
Hormonal treatments (like birth control or Spironolactone for women) twice daily for one month.
Topical Isotretinoin (Accutane) twice daily for one month.

I hope this information will help you.

Kindly follow up if you have more concerns.

Thank you.