The growth of hard lumps on the face may be related to factors such as sebaceous cysts, folliculitis, lipomas, fibroids, or lymph node enlargement. These hard lumps usually appear as round or oval lumps under the local skin, which may be accompanied by symptoms such as redness, swelling, pain, or limited mobility. It is recommended to seek medical attention promptly to clarify the diagnosis and avoid self compression or treatment.

1. Sebaceous gland cyst
Sebaceous gland cyst is a cystic mass formed by the accumulation of sebum due to blockage of sebaceous gland ducts. Commonly seen on the face, neck, and back, with a hard touch and clear boundaries. Possible redness, swelling, and pain due to bacterial infection. The treatment needs to be evaluated by a doctor. Small cysts can be observed, while larger or infected cysts require surgical resection. Avoid squeezing to prevent the infection from worsening.
2. Folliculitis
Folliculitis is an inflammation caused by bacterial or fungal infections around hair follicles, characterized by red nodules with purulent heads. Commonly found in the beard area or areas with dense hair, it may be induced by scratches, cosmetic blockages, or weakened immunity. Mild use of mupirocin ointment can be applied topically, and repeated attacks require oral administration of cefuroxime axetil tablets. Maintaining facial cleanliness helps prevent recurrence.
3. Lipoma
Lipoma is a benign tumor formed by abnormal proliferation of adipocytes, with a soft texture but a capsule like feel, and good mobility. Mostly found in the subcutaneous fat layer, it grows slowly and rarely undergoes malignant transformation. Surgical resection can be performed when the diameter exceeds 3 centimeters or affects the appearance. No special treatment is required in daily life, but regular observation of changes in size is necessary.

4. Fibroadenoma
Fibroadenoma is formed by the proliferation of connective tissue, manifested as hard subcutaneous nodules, and is more common in the face and limbs. It may be related to genetics or local trauma. Usually asymptomatic, but continuous enlargement may compress nerves and cause pain. Diagnosis requires pathological examination, and treatment mainly involves complete surgical resection.
5. Lymph Node Enlargement
Inflammation or infection in adjacent areas of the face can lead to reactive enlargement of lymph nodes, such as parotid or submandibular lymph nodes. Palpation shows an oval shaped induration with tenderness, which may be accompanied by fever. Commonly seen in infections such as periodontitis and tonsillitis. Targeted treatment is required for the primary disease, such as amoxicillin and clavulanic acid potassium tablets for anti infection. If the swelling persists for more than 2 weeks, tuberculosis or tumor should be ruled out.

Daily attention should be paid to facial cleansing, using gentle cleansing products to avoid skin irritation. Avoid frequent touching or squeezing with your hands when hard lumps appear to prevent secondary infection. Reducing the intake of high sugar and high-fat foods in diet and supplementing with vitamin A and zinc appropriately can help with skin repair. If the hard lumps continue to enlarge, change color, or are accompanied by systemic symptoms, they should be promptly treated at a dermatology or general surgery department. If necessary, ultrasound or pathological examination should be performed to clarify the nature.
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