How to treat severe whiteheads on my chin that sometimes feel painful?

Question #29708

9 hours ago

How to treat severe whiteheads on my chin that sometimes feel painful? - #29708

Client_5f65b9

also i was suffering from white heads on my nose and chin ...mainly in chin so severe ..some times it started to pain like wound ..i even dont know which sunscreen to use used only vilvah but it's some time sweating but best ...my nose gets sweat very lot ..

How long have you been experiencing whiteheads on your chin?:

- More than 6 months

How severe is the pain when you experience it?:

- Moderate — uncomfortable

Have you noticed any specific triggers for the whiteheads?:

- No clear triggers

How often do you sweat on your nose and chin?:

- Frequently

What products do you currently use on your skin?:

- Cleansers

Have you tried any treatments for the whiteheads before?:

- No, this is the first time seeking help

Do you have any other skin concerns or conditions?:

- Other skin issues

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Doctors' responses

Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

8 hours ago

What you’re describing sounds like closed comedones (whiteheads) turning into inflamed acne because of sweat, oil buildup, and clogged pores—especially common on the chin.
Keep it simple: use a gentle cleanser twice daily and add a salicylic acid (2%) face wash or leave-on product—it helps open clogged pores and reduce those painful bumps. At night, apply a thin layer of adapalene gel (a retinoid) to prevent new whiteheads and smooth the skin over time. If a spot becomes painful like a wound, you can use a benzoyl peroxide gel just on that area to calm inflammation and bacteria.
Since you sweat a lot, especially on the nose and chin, choose a light, gel-based, non-comedogenic sunscreen (look for “oil-free” or “matte finish”) instead of heavier creams—this will reduce that sweaty, clogged feeling you noticed with Vilvah. Also, avoid touching or squeezing the bumps, as that’s what makes them painful and can lead to marks.
If it doesn’t improve in 6–8 weeks or gets worse, a dermatologist may add stronger topical or oral treatment.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

7 hours ago

Hello dear
See they seems acne or dark spots due to stress
Hormonal alterations
Please do not worry and follow instructions below.
Usually the appearance ranges from red inflammatory to comedonal white heads.
These may or may not be associated with periods.
Medications:
1. Topical Treatments -Benzoyl Peroxide (2.5–5%)	twice a day  for week
Salicylic Acid, Adapalene 0.1% can also be given as additive medications.
2.Clindamycin 1%	Clindac A	,Tretinoin	( if already not taken).
3.Azelaic Acid	10 percent for two weeks.
4. Oral Medications -tablet Doxycycline 1 month twice a day  for max 5 days
or Tab Minocycline	 ( take precautions to avoid in pregnancy)
5.Oral contraceptives - Diane-35 with addition of Spironolactone	 on recommendation only by gynacologist in person only
Supportive medications
Niacinamide serum –antiinflammatory in nature twice daily for 1 week
In addition use aloevera - tulsi solution to apply topically for 1 month
In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

6 hours ago

Your symptoms sound most consistent with comedonal acne (whiteheads) along with oily/sweaty skin, especially around the chin and nose area. The chin is very commonly affected due to hormones, friction, sweat, and clogged pores, and when the whiteheads become inflamed or painful like a wound, it may mean some are turning into small acne cysts or infected pimples. Excess sweating on the nose can also worsen pore blockage and irritation. A simple skincare routine usually helps: use a gentle salicylic acid or niacinamide-based cleanser, avoid scrubbing harshly, wash sweat off after heat/exercise, and use only non-comedogenic (oil-free) moisturizers and sunscreen. If Vilvah sunscreen feels sweaty or heavy, you may do better with a gel-based matte sunscreen made for oily or acne-prone skin. For treatment, a mild adapalene gel or benzoyl peroxide at night can help clear whiteheads gradually, but start slowly because irritation can occur. Avoid squeezing or picking at the lesions.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

5 hours ago

Hello, I understand your concern. Your symptoms suggest comedonal acne (whiteheads) with some inflammatory lesions, especially on the chin. This is very common and usually linked to oil, sweat, and clogged pores. Why this is happening- Excess oil + sweat (you mentioned sweating a lot). Blocked pores as suggested by whiteheads. Chin area is often affected due to hormonal influence. Painful ones = mild inflammation starting. What you should do-
1. Face care routine:
- Morning: Use a gentle face wash (2 times daily). Apply light, oil-free moisturizer. Use a gel-based sunscreen (very important)
- Night: Wash face. Apply Adapalene gel – thin layer on chin/nose. Start alternate nights for 1 week, then daily if tolerated.
2. For active/painful pimples- You can use Benzoyl peroxide gel (2.5%) as spot treatment.
3. Important habits- Do NOT squeeze or pick (causes pain, marks). Wash face after sweating. Avoid heavy creams/oily products. Change pillow cover regularly. Sunscreen is important in your case, Since you sweat a lot. Use gel-based / matte sunscreen (non-comedogenic). Look for labels: “oil-free”, “non-acnegenic”. This will feel lighter than what you are currently using.
How long for improvement? Whiteheads improve in 3–4 weeks. Full control may take 6–8 weeks
When to see a doctor- If painful acne keeps increasing, If no improvement after 6–8 weeks or If marks/scars start appearing.
This is very common and treatable. With the right routine (especially adapalene), you should see clear improvement.
Feel free to reach out again
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

3 hours ago

Hello
It sounds like you’re dealing with quite a bit of discomfort from those whiteheads, especially on your chin. They can be really annoying, especially when they start to hurt.
For your skin type and the sweating issue, here are a few tips:
1. Gentle Cleansing: Use a mild, non-comedogenic cleanser to wash your face twice a day. Look for products that are oil-free and designed for acne-prone skin.
2. Exfoliation: Consider using a gentle exfoliating product with salicylic acid or glycolic acid a few times a week. This can help remove dead skin cells and prevent clogged pores.
3. Sunscreen: Since you mentioned sweating, look for a gel-based or water-based sunscreen that is non-comedogenic. Brands like Neutrogena, La Roche-Posay, or even some Ayurvedic options can be good. Make sure it’s labeled as “oil-free” or “for oily skin.”
4. Moisturizer: Even if your skin is oily, don’t skip moisturizer. Use a lightweight, oil-free moisturizer to keep your skin hydrated without adding extra oil.
5. Avoid Picking: Try not to pick at the whiteheads, as this can lead to scarring or infection.
6. Consult a Dermatologist: If the problem persists or worsens, it might be a good idea to see a dermatologist. They can provide treatments like topical retinoids or other medications that can help.
Thank you

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