It can be tricky to tell the difference, but there are some key signs that point toward HS rather than a regular pimple. HS lesions tend to behave differently in a few important ways.
Here's what to look for with HS lesions on the nose:
- Recurring in the same spot — HS lesions come back repeatedly, unlike a one-off Show Full Answer
It can be tricky to tell the difference, but there are some key signs that point toward HS rather than a regular pimple. HS lesions tend to behave differently in a few important ways.
Here's what to look for with HS lesions on the nose:
- Recurring in the same spot — HS lesions come back repeatedly, unlike a one-off pimple
- Deep and painful — they sit under the skin and can cause intense aching, burning, or stinging
- No visible head — they often don't form a typical pimple tip
- Tunnels or tracts — over time, lesions can connect under the skin
- Foul-smelling drainage — if it bursts, the discharge tends to have a strong smell
- Scarring — HS lesions often leave scars or ropelike skin texture behind
- Warning signs — some people feel itching, pain, or burning 12–48 hours *before* a lesion appears A regular pimple typically resolves on its own within days and doesn't leave tunnels or recurring scars. HS lesions can last weeks or even months.
Since HS on the nose is uncommon, a dermatologist is really the best person to make the call. They can examine the lesion closely and rule out other causes. Don't hesitate to bring it up at your next appointment — getting the right diagnosis makes a big difference in how it's treated.
June 18
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