Pimples on your eyelids can seem like an unwelcome surprise. The delicate skin around the eyes is extremely sensitive and needs special care. Popping pimples anywhere on your face can lead to scarring and infection, but this is especially true for the eyelids.
Pimples might pop up sporadically on your eyelids now and then, or you may deal with chronic eyelid acne. Either way, it’s important to treat pimples on the eyelids gently yet effectively. We’ll go over the best methods so you can safely and efficiently get rid of eyelid pimples.
What Causes Pimples on Eyelids?
Before diving into treatments, let’s first understand what causes pimples to form on the eyelids in the first place. There are a few primary culprits:
Oil Production – Sebaceous glands around hair follicles secrete an oily substance called sebum. When too much sebum is produced, it can clog pores and cause pimples. The eyelids contain a high concentration of sebaceous glands.
Bacteria – The bacteria Cutibacterium acnes thrives in clogged pores and contributes to pimple formation. Bacteria and extra sebum team up to create the red bumps and pus.
Dead Skin Cells – Excess dead skin cells that aren’t properly sloughed off can build up and clog pores as well. The eyelids are a common spot for this debris to accumulate.
Hormones – Hormonal fluctuations related to puberty, periods, pregnancy, and more can trigger increased oil production and breakouts. Chronic stress may also play a role.
Medications – Certain prescription medications like corticosteroids can lead to acne as a side effect.
Makeup – Oil-based makeup and eyeliner formulas that aren’t non-comedogenic can clog pores and cause pimples to sprout up.
Rubbing Eyes – Frequent eye rubbing and irritation from allergens and contact lenses might make the eyelids more prone to pimples.
Now that you know why those pesky pimples have taken up residence on your eyelids, let’s go over some proven methods to kick them out for good.
1. Cleanse Gently with a Mild Face Wash
Cleansing is the first step in any good skin care routine. When it comes to your eyelids, it’s crucial to use a very gentle cleanser that won’t disrupt the sensitive area. Stay away from harsh soaps or cleansers with exfoliating beads or acids.
Look for a mild, fragrance-free cleanser specifically formulated for sensitive skin. Cetaphil, CeraVe, La Roche-Posay, and Vanicream all make great options. Remove any eye makeup first with a dedicated makeup remover.
Dampen your face and use your fingertips to gently massage the cleanser onto your eyelids. Avoid vigorously scrubbing or rubbing the area. Rinse thoroughly with lukewarm water and pat dry with a soft towel.
Cleansing once or twice a day will help remove excess oil, makeup, dead skin, and other pore-clogging gunk without stripping your skin. Be sure to clean any makeup brushes regularly as well.
2. Apply a Warm, Wet Compress
A warm compress can help draw out the gunk inside a ripe pimple, allowing it to heal faster. The moist heat also soothes irritation and inflammation. Simply soak a clean washcloth in warm water, wringing out any excess liquid.
Drape the warm washcloth over your closed eyelid for about 5-10 minutes, rewarming it when it cools. The warm temperature will open up the clogged pore and allow the pus and fluid to slowly seep out.
Do this 2-3 times a day until the pimple comes to a head. Resist the temptation to pop or pick at the pimple, which can worsen swelling and lead to scarring. Let the warm compress gently draw out the infection instead. The pimple will flatten out faster this way.
3. Spot Treat with Salicylic Acid
Over-the-counter treatments containing salicylic acid can be highly effective at tackling pimples. This beta hydroxy acid has antimicrobial properties and exfoliates dead skin cells by dissolving the substances that hold them together.
It’s powerful enough to penetrate inside clogged pores and clear them out from the inside. Look for spot treatments containing 0.5-2% salicylic acid. Some popular drugstore brands are Neutrogena On-the-Spot Acne Treatment and Clean & Clear Persa-Gel 10.
Dip a Q-tip into the product and gently dab it onto the surface of any pimples on your eyelids. Make sure you don’t apply it anywhere near your actual eye. Let it dry, then follow up with a gentle, fragrance-free moisturizer. The salicylic acid will do its work while you sleep.
Use this targeted salicylic acid treatment once daily after cleansing. It helps dry up excess oil production and prevent future breakouts too. Reduce application if your skin becomes dry or irritated.
4. Apply a Retinoid Cream Sparingly
Retinoids derived from vitamin A can be very beneficial for clearing acne. They work by speeding up skin cell turnover and unclogging pores from the inside. However, most over-the-counter retinoid creams are too harsh for the extremely delicate eyelid area.
One option is to ask your dermatologist for a prescription-strength retinoid cream like tretinoin, adapalene, or tazarotene. Use an amount about the size of a grain of rice and dab it around the eyelid with your pinky finger, avoiding the lash line and eye itself.
Start by applying it just 2-3 times per week and gradually increase to every other day as your skin builds tolerance. Watch for redness, peeling, irritation and slow down usage if necessary. Always apply retinoids at night.
Non-prescription retinols are weaker than prescription retinoids, but may still be too strong for the thin under-eye skin. Run any OTC retinoid products by your dermatologist first before trying on your eyelids.
5. Ask Your Doctor About Antibiotic Ointment
For a large, red, swollen pimple on your eyelid that’s painful and filled with pus, your dermatologist may prescribe a topical antibiotic treatment. Common options are erythromycin, clindamycin, or dapsone gels or ointments.
Antibiotics work by killing off the Cutibacterium acnes bacteria that contributes to acne. Apply a thin layer twice daily directly onto clean skin after cleansing. Make sure not to get any inside your actual eye.
Oral antibiotics may also be prescribed for more severe cases of recurring eyelid pimples. Never use any old antibiotics you have leftover at home – always take the full course prescribed by your doctor. Using antibiotics improperly can breed resistant bacteria.
Your dermatologist can determine if antibiotics, either topical or oral, will be helpful for treating stubborn eyelid pimples. Avoid any over-the-counter antibiotic creams, which may be too harsh.
6. Try Diluted Tea Tree Oil
Derived from the Australian tea tree, this essential oil contains powerful antimicrobial and anti-inflammatory compounds. It’s been used for centuries to treat cuts, burns, infections, and skin conditions. Modern research shows that it can be beneficial against the bacteria that causes acne.
Always dilute tea tree oil by mixing with a mild carrier oil like coconut oil, jojoba oil, or almond oil. Use 2-3 drops of tea tree oil per teaspoon of carrier oil. Dip a cotton swab into the mixture and dab onto pimples on your eyelids 2-3 times a day after cleansing.
The antimicrobial properties help clear up infection while the anti-inflammatory action soothes redness and swelling. Take care to avoid contact with your actual eye. Discontinue use if skin becomes too dry or irritated. Do not take tea tree oil internally.
7. Apply Hydrocortisone Cream Sparingly
Over-the-counter hydrocortisone cream offers a low-potency steroid that can temporarily reduce inflammation, redness, and swelling. The alleviated inflammation can in turn help speed up healing of pimples.
Use the 0.5-1% strength hydrocortisone creams, and apply just a thin layer around the affected area once or twice daily. Only use for a week at most, as longer use can trigger skin thinning. Don’t apply anywhere near the inner eyelids or eyes.
Stronger prescription steroid creams should only be used under medical supervision. While steroids diminish inflammation, they don’t fight the underlying bacteria, so can’t fully get rid of pimples on their own. See a dermatologist if OTC hydrocortisone is not having enough of an impact.
8. Make a Chamomile Tea Bag Compress
The daisy-like flowers of the chamomile plant contain anti-inflammatory flavonoids that can help soothe skin irritation. Chamomile is gentler than other tea varieties, making it well-suited for the sensitive eye area.
Steep 2-3 chamomile tea bags in hot water for 5 minutes. Remove the tea bags and let the liquid cool slightly before soaking a cotton pad or soft washcloth. Apply the chamomile tea compress over your closed eyelid for 10-15 minutes.
Repeat 2-3 times per day as needed. The soothing chamomile can calm inflamed skin and potentially help diminish pimples. It also reduces redness and swelling. Never apply chamomile tea directly in the eye area.
9. Avoid Oil-Based Makeup and Hair Products
When battling recurrent eyelid pimples, it’s a good idea to switch to oil-free, non-comedogenic cosmetic products. Oil-based foundations, concealers, eyeliners and mascaras can seep into pores and cause clogs.
Look for makeup and skin care products labeled non-comedogenic or non-acnegenic, meaning they don’t contain ingredients that are known to clog pores. Also, thoroughly remove all makeup every night with a gentle makeup remover.
Oil-based hair care products like pomades can also rub onto the eyelids and trigger breakouts. Use a light hold hair gel or mousse instead. Having bangs trimmed above the eyelids can help prevent contact with hair products as well.
10. Clean Makeup Tools Regularly
Dirt, oil, and dead skin can accumulate on makeup brushes, sponges, and other tools, becoming a breeding ground for acne-causing bacteria. To prevent pimples, thoroughly cleanse brushes with a brush shampoo or soap at least once a week.
Replace makeup sponges every few weeks so they don’t harbor bacteria. Always use clean hands when applying makeup. Keeping tools clean minimizes the bacteria transferred onto your face and eyelids.
It also helps to have separate sets of eye makeup tools like eyeliner pencils for times when you have a breakout, versus tools you use when your skin is clear. This way any lingering bacteria doesn’t get transferred back and forth.
11. Do Not Pop Pimples
As tempting as it is, you should never try to pop, squeeze or pick at a pimple on your eyelid. This forces bacteria deeper into the skin and can spread infection to surrounding pores.
Popping pimples can damage the delicate eyelid skin leading to swelling, redness and scarring. Ruptured pimples are also more prone to spreading and developing into painful styes.
Allow pimples on your eyelids to heal on their own. Salicylic acid or retinoid treatments will speed up the process by promoting shedding of dead skin cells and unclogging pores from within. If needed, a dermatologist can perform extractions safely.
12. Apply a Cold Compress for Redness
While warm, moist heat is best for drawing out pus and infection, cold compresses constrict blood vessels and can alleviate redness and inflammation. Wrap an ice cube or frozen spoon in a soft cloth. Apply to closed eyelids for 5 minutes at a time.
Perform this cold compress a few times a day or whenever needed to briefly relieve red, inflamed eyelids. Don’t apply ice directly on the skin as this can damage the thin tissue. Follow up with a soothing moisturizer containing aloe or chamomile.
13. Take an Oral Antibiotic Under Medical Guidance
Oral antibiotics that work throughout the whole body from the inside out are sometimes prescribed for severe, cystic acne. Common choices are tetracyclines like doxycycline, erythromycin, and minocycline. Always consult a doctor.
Antibiotics combat inflammation and kill acne bacteria. But they can also wipe out beneficial bacteria and have side effects. They should not be taken for long periods. Make sure to finish the entire course prescribed by your dermatologist.
Topical treatments tend to be gentler than oral antibiotics. See a doctor to determine if prescription antibiotics are warranted for chronic eyelid pimples that over-the-counter methods fail to clear up.
14. Try Eliminating Dairy Products from Your Diet
Some research indicates a potential link between drinking milk and developing the types of acne caused by hormones and inflammation. The hormones in dairy may ramp up oil production which clogs pores.
If you consume a lot of dairy like milk, cheese, yogurt and ice cream, try eliminating it from your diet for 2-3 weeks. Drink plant-based milks like almond milk fortified with calcium instead. This may help reduce breakouts.
You can slowly reintroduce dairy afterward and see if it triggers more clogged pores and pimples. The effects are not conclusive, but cutting out dairy for a short time is worth trying. Eat yogurt with live active cultures as these may benefit skin.
15. Take an Oral Contraceptive (for Women)
Birth control pills containing estrogen and progestin can reduce androgens, which are hormones that stimulate oil glands. This in turn decreases excess sebum production that clogs pores.
Oral contraceptives also help regulate menstrual cycles. The fluctuations in hormones during periods, including androgens, is linked to acne flares. Regulated hormone levels all month long minimizes breakouts.
Speak to your gynecologist to see if going on birth control pills could improve eyelid acne breakouts related to monthly hormonal changes. Certain pills may work better than others. This will mainly help cystic acne tied to cycles.
16. Manage Stress with Self-Care
High stress levels result in elevated amounts of cortisol and other hormones that increase oil production and inflammation – two key factors behind acne. Studies reveal a definite link between stress and breakouts.
Make time for stress-relieving self-care like sufficient sleep, light exercise, relaxation techniques, engaging hobbies, therapy, and connecting with loved ones. Keeping stress in check can help prevent stress-induced pimples.
Lower stress also minimizes the urge to pick at skin imperfections, which can worsen pimples and lead to scarring. Look for healthy ways to manage anxiety and depression that may influence breakouts.
17. Exfoliate Skin Gently 1-2 Times Per Week
Exfoliation sloughs off the dead skin cells that can clog pores and lead to pimples if allowed to build up. Look for a very gentle scrub containing soft jojoba beads or a chemical exfoliant like lactic acid. Rub in small circles for 1 minute.
Limit exfoliating to 1-2 times per week to avoid over-drying the thin eyelid skin. Use a light touch and rinse thoroughly. Follow up with a hydrating moisturizer. This removes pore-clogging debris without irritating.
Avoid harsh scrubs with chunks of walnut shell or microbeads which can scrape delicate eyelids. Exfoliating acids like glycolic acid and washes with benzoyl peroxide may also be too irritating. Check with a dermatologist first.
18. Stay Hydrated and Eat Skin-Friendly Foods
Drinking plenty of water keeps skin hydrated, plump and glowing. Aim for the recommended 64+ ounces per day. Eating foods rich in vitamins, minerals and healthy fats nourishes skin from within. Aim for:
- Vitamins A, C, E – fruits, vegetables, nuts
- Zinc – oysters, nuts, seeds
- Omega-3s – walnuts, salmon, olive oil
- Collagen – bone broth, citrus fruits
- Antioxidants – green tea, dark chocolate
A healthy, balanced diet provides nutrients that benefit skin. Stay hydrated, limit sugary and highly processed foods, and follow an overall skin-friendly diet.
19. See a Dermatologist for Severe or Persistent Breakouts
If you try over-the-counter treatments and home care for several weeks without seeing improvement in stubborn eyelid pimples, make an appointment with your dermatologist.
A dermatologist can examine your skin and determine any underlying causes like allergies or medical conditions that may be provoking breakouts. They have access to prescription-strength creams, oral medications, in-office treatments, and medical guidance tailored for your situation.
For severe, cystic acne on the eyelids, your dermatologist may recommend:
- Stronger retinoids like tretinoin or isotretinoin
- Oral antibiotics or hormone/anti-androgen therapy
- Corticosteroid injections for large cysts/nodules
- Photodynamic light therapy
- Chemical peels or microdermabrasion
Don’t hesitate to see a dermatologist if OTC options aren’t giving you the clear skin you want. A doctor can get to the root of what’s causing eyelid pimples.
20. Be Patient and Consistent with Treatments
It can be frustrating dealing with recurring eyelid pimples, but try to be patient. No acne treatment provides instant results overnight. Allow 2-3 weeks when using a new product before deciding if it’s working or not.
Consistency is also key – make sure to stick with a proper cleansing and treatment routine every day without skipping or slacking off. Apply products at the same time each day for optimal results.
If one treatment doesn’t seem to be working after a few weeks of diligent use, you can try switching to something stronger or alternate between a few different options. Just don’t expect pimples to disappear immediately.
Protecting your skin from the sun and not picking/rubbing the area also helps prevent further clogs and inflammation that inhibit healing. Give each remedy a fair shot before moving onto the next.
21. Use Oil-Blotting Papers During the Day
Oil-blotting papers can be tapped onto oily areas like the eyelids and T-zone to soak up excess grease throughout the day. They instantly remove shine without messing up makeup.
Carry a pack of blotting papers in your bag for on-the-go touch-ups whenever you notice eyelid shine. Quickly blotting away oil helps keep pores clear and minimizes the risk of oil and bacteria getting trapped inside.
Look for blotting papers made from natural materials like bamboo fiber instead of harsh chemical-laden sheets. Gently pat them onto oily spots – no rubbing. Blot before doing full makeup touch-ups as well.
22. Adjust Makeup Habits
You may need to make some adjustments to your regular makeup routine when battling eyelid acne. Here are some tips:
- Use oil-free, non-comedogenic formulas labeled non-acnegenic
- Avoid heavy, greasy products like thick creams
- Apply with clean brushes changed weekly
- Remove makeup thoroughly before bed
- Discard old products after 3 months to avoid bacterial buildup
- Avoid applying makeup over open wounds or raw pimples
- Mix loose mineral powder with a dab of concealer to camouflage pimples
- Opt for lightweight gel or liquid foundation over heavy sticks
- Use powder-based eyeshadow/eyeliner instead of creams or pencils
- Don’t share eye makeup with others to prevent bacteria transfer
Adjusting makeup habits can prevent exacerbating pimples. Always handle skin gently when applying cosmetics over breakouts.
23. Keep Bangs Trimmed
If you have bangs or front fringes, make sure they are trimmed above the eyebrows so hair doesn’t constantly brush against the eyelids. This can transfer oils, hair products, and dirt.
Long, blunt-cut bangs that graze the eyelashes have extra potential to trap debris against skin. Get them regularly trimmed into a style that sweeps off the face instead.
Use a gentle shampoo and conditioner on bangs to remove residue. After washing your face, carefully sweep bangs to the side before applying treatments around the eyelids. Keeping hair off the eyelids prevents pimple triggers.
24. Change Pillowcases Frequently
Your face and eyelids spend several hours pressed into a pillowcase every night. Oil, drool, and shed skin cells can accumulate on the fabric and get transferred back to your skin night after night.
To prevent this pore-clogging gunk from causing pimples, change your pillowcases at least twice a week. Use fresh, clean cotton cases and wash them regularly in hot water.
Also avoid rubbing your face on the pillowcase when sleeping. Try sleeping on your back if possible or drape a silk or satin scarf over pillows for less friction. Keeping bedding clean minimizes acne triggers.
25. Avoid Touching Your Face
Your hands naturally harbor dirt, bacteria, and oil – especially fingertips. Even if hands appear clean, they transfer pimple-causing gunk when they touch your face. Rubbing or resting fingers on the eyelids can easily clog pores.
Become aware of any habits like absentmindedly touching the eyelids or cheek area. Try to keep hands away from the face unless you’re actively cleansing or applying treatments.
If you do need to touch the eyes or skin, wash hands thoroughly with soap first. Never pick at pimples with fingernails as this introduces even more bacteria. Avoid face-touching to prevent acne.
26. Use Acne-Fighting Skin Care All Over Face
Even if breakouts only seem to plague your eyelids, ensure you are using acne-fighting treatments over your whole face. The bacteria and inflammation that causes pimples can spread.
Use a medicated face wash with benzoyl peroxide or salicylic acid all over to treat the skin from forehead to neck. Follow up with a lightweight oil-free moisturizer. Spot treat any developing pimples.
An overall acne-busting skin care regimen keeps the bacteria at bay and prevents it from migrating to the eyelids. Using the right products consistently over entire face provides better protection.
27. See an Allergist If Suspect Allergies
In some cases, persistent eyelid pimples may be tied to allergies like hay fever. Allergic reactions cause inflammation that can clog pores. Rubbing at itchy eyes also exacerbates acne.
See an allergist if your pimple flares coincide with allergy season or exposure to potential triggers like dust mites or pet dander. Getting allergy symptoms under control may alleviate related breakouts.
The allergist can also check for contact allergies to makeup or skin care ingredients by performing patch testing. Treating allergy-related eyelid pimples provides longer lasting clear skin.
28. Check for Blepharitis or Other Conditions
Some medical conditions around the eyes may also provoke pimples, like:
- Blepharitis – inflammation of the eyelids and oil glands
- Rosacea – facial skin condition that often affects eyes
- Seborrheic dermatitis – red, flaky skin with dandruff
See an ophthalmologist or dermatologist if you suspect any underlying medical issue. Treating conditions like blepharitis reduces complications like acne and styes.
Certain medications can also cause eyelid pimples. Do not stop taking any prescription medications without consulting your doctor first though. A dermatologist can help manage any related acne.
29. Protect Skin from Sun Damage
UV exposure causes free radical damage and inflammation – two things that trigger acne breakouts. Always apply broad spectrum SPF 30+ sunscreen 20 minutes before sun exposure, even on cloudy days.
Look for lightweight sunscreens designed for the face and eye area. Reapply every 2 hours if sweating or swimming. Wear wide-brimmed hats and UV-blocking sunglasses. Limit midday sun when rays are strongest.
Reducing sun exposure protects the thin eyelid skin from sunburn, wrinkling, and cancer risk. Avoiding UV damage also minimizes inflammation that can worsen pimples and hyperpigmentation.
30. Don’t Pick at Pimples
While extremely tempting, picking at pimples causes even more harm. Picking forces debris deeper into the pore and spreads bacteria to surrounding pores. This leads to more visible scarring and swelling.
Allow blemishes to heal on their own. Use medicated spot treatments to dry them out and speed up the healing process. Cover tempting pimples with small hydrocolloid bandages if needed.
Popping pimples improperly can also cause styes which are even more painful and stubborn to treat. Picking typically does not get rid of pimples – salicylic acid and retinoids work more effectively and safely.
In Conclusion
Pimples popping up on your eyelids can certainly be a nuisance, but with consistent proper care, you can successfully clear them up. Avoid picking and prodding the sensitive eyelid skin. See a dermatologist for severe, cystic acne.
Gently cleanse the area, spot treat with salicylic acid, and apply warm compresses to help draw out infection. Making adjustments to makeup, hair care, and skin care products can prevent new blemishes. Patience and persistence are key!
With the dermatologist-approved treatments in this guide, you can safely clear up eyelid acne without causing further irritation. Don’t lose hope – a strategic skin care routine will get those stubborn eyelid pimples under control so you can get back to enjoying clear, glowing skin!