What causes closed comedones on the chin?
Sep 22, 2024
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Closed comedones on the chin are usually caused by hormonal changes during puberty, stress and excessive emotional fluctuations, improper diet, keratosis pilaris, polycystic ovary syndrome, etc. Treatment options include general management and medication. It is important to maintain a balanced diet, consume more fruits and vegetables, and avoid spicy and greasy foods. Regular skin cleansing should also be performed to keep pores clear.
Chin closed comedones are usually caused by hormonal changes during puberty, excessive stress and emotional fluctuations, improper diet, follicular keratosis, polycystic ovary syndrome (PCOS), among other factors. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:
1. Hormonal Changes During Puberty
During puberty, elevated levels of androgens in the body can stimulate sebaceous glands to produce more oil, leading to clogged hair follicles and the formation of closed comedones on the chin. Maintain facial cleanliness with gentle cleansers and avoid squeezing comedones.
2. Excessive Stress and Emotional Fluctuations
Long-term psychological stress and emotional instability trigger the release of hormones such as cortisol, which stimulate sebaceous gland secretion and contribute to the development of closed comedones on the chin. Practicing stress management techniques—such as deep breathing, meditation, and moderate exercise—can help.
3. Improper Diet
Excessive consumption of spicy, greasy, and high-sugar foods may stimulate sebaceous glands, increase sebum production, and promote the formation of closed comedones on the chin. Adjusting dietary habits by reducing intake of these foods is recommended.
4. Follicular Keratosis
Follicular keratosis is typically caused by genetic factors or impaired skin barrier function. This condition leads to excessive keratinization of hair follicle openings on the chin, preventing normal sebum discharge and resulting in closed comedones. It may also be accompanied by symptoms such as rough, dry skin. Treatment under medical guidance may include topical or oral medications such as tretinoin cream, adapalene gel, or isotretinoin soft capsules.
5. Polycystic Ovary Syndrome (PCOS)
PCOS may be associated with endocrine disorders, low immune function, and other factors. Patients often have elevated androgen levels, which stimulate excessive sebum production. Combined with abnormal keratinization of chin hair follicles, this promotes the formation of closed comedones. Other symptoms may include obesity and infertility. Patients should follow medical advice to take medications such as metformin tablets, spironolactone tablets, or ethinylestradiol/cyproterone acetate tablets to alleviate symptoms.
Maintain a balanced diet rich in fruits and vegetables, avoid spicy and oily foods, clean the skin regularly, and keep pores clear.
