Why Pimples Inside the Nose Happen — And How to Treat Them Safely

We’ve all experienced it: a tender, throbbing spot deep inside your nose that makes breathing uncomfortable and touching it downright painful. While acne is commonly associated with the face, back, or chest, breakouts can actually occur in less obvious places—like inside your nostrils. Not only are pimples inside the nose annoying, but they can also pose unique risks if not managed properly. Let’s explore what causes them and how to treat them safely.

What Causes Pimples Inside the Nose?

The inside of your nose may seem like an unusual spot for acne, but it’s actually a prime location for clogged pores and bacterial buildup. Here’s why:

1. Blocked Hair Follicles or Oil Glands
   Just like on the rest of your skin, the nasal lining contains hair follicles and sebaceous (oil) glands. When these become clogged with dead skin cells, oil, or bacteria, a pimple can form. Frequent nose-blowing or picking can worsen irritation and push bacteria deeper into the follicle.

2. Bacterial Infections (e.g., Staphylococcus aureus)
   The nose is a common home for bacteria, particularly Staphylococcus aureus. If a hair follicle gets infected, it can develop into a painful pimple or even a small abscess known as a nasal furuncle.

3. Ingrown Hairs
   Plucking or waxing nose hair can lead to ingrown hairs, which may become inflamed and mimic a pimple. This is especially common in people who groom their nasal hair regularly.

4. Weakened Immune System
   Conditions that lower immunity—such as diabetes, stress, or chronic illness—can increase the risk of infections in sensitive areas like the nose.

5. Irritation from Masks or Devices
   Wearing face masks, nasal strips, or CPAP machines for extended periods can trap moisture and irritate the skin inside the nose, creating a breeding ground for pimples.

Why You Should Never Pop a Nose Pimple

It might be tempting to squeeze or pick at a pimple inside your nose, but resist the urge. The veins in your nose connect directly to the cavernous sinus in your brain—a network with poor blood flow that can allow infections to spread rapidly. Popping a nasal pimple can lead to a serious condition called cavernous sinus thrombosis, a rare but life-threatening complication.

Safe Ways to Treat a Pimple Inside the Nose

1. Apply a Warm Compress
   Soak a clean cloth in warm (not hot) water and gently press it against the outside of your nostril for 10–15 minutes, 3–4 times a day. This helps reduce swelling, ease pain, and encourage natural drainage.

2. Keep the Area Clean
   Wash your face with a gentle, non-comedogenic cleanser. Avoid harsh scrubs or alcohol-based products that can dry out and irritate the sensitive nasal lining.

3. Use Over-the-Counter Topical Treatments with Caution
   Products containing benzoyl peroxide or salicylic acid can help fight acne—but be extremely careful when applying them inside the nose. These ingredients can be harsh and may cause burning or irritation on delicate mucous membranes.

4. Avoid Picking or Blowing Too Hard
   Let the pimple heal naturally. Blowing your nose too forcefully can increase irritation and delay recovery.

5. Stay Hydrated and Maintain Good Hygiene
   Drinking plenty of water supports skin health, and washing your hands frequently reduces the chance of transferring bacteria to your face.

When to See a Doctor

Seek medical attention if:

• The pimple becomes increasingly painful, swollen, or larger.
• You develop a fever or redness spreading around the nose or face.
• The pimple doesn’t improve after a week of home care.
• You notice pus or signs of infection.

Your doctor may prescribe antibiotic ointments or oral medications to treat a bacterial infection. In rare cases, a minor in-office procedure may be needed to drain an abscess safely.

Prevention Tips

• Avoid picking or plucking nose hairs; trim them instead.
• Clean nasal devices (like CPAP masks) regularly.
• Replace old or dirty pillowcases and face towels.
• Manage stress and maintain a balanced diet to support healthy skin.

The Bottom Line

Pimples inside the nose are more common than you might think—and while they can be uncomfortable, they’re usually manageable with gentle care. Because of the nose’s proximity to critical blood vessels, treating internal acne safely is essential. With patience, cleanliness, and the right approach, you can banish that nagging bump and breathe easy again.

Remember: when in doubt, see a dermatologist or healthcare provider. Your skin—and your health—are worth it.