Pimples or acne is usually a chronic inflammatory skin disease caused by clogged and infected hair follicles. When the symptoms of redness, swelling and pain appear, it can usually be treated with topical medications, oral medications and surgical treatments. 1. Topical medication: If the acne is red, swollen and painful, you can apply antibiotic ointment such as fusidic acid cream and mupirocin ointment under the guidance of a doctor to help control the inflammation and reduce the redness, swelling and pain. It should be noted that before using the ointment, you need to pay attention to ensure that the local skin hygiene and clean. 2. Oral medication: acne is red, swollen and painful, representing a more serious inflammatory reaction, can be under the guidance of the doctor through oral anti-inflammatory drugs such as roxithromycin, azithromycin, minocycline, etc., to control and improve the inflammation, thereby reducing the symptoms of the middle and severe patients can also consider oral isotretinoin and other treatments. 3. Surgery: If the acne is more than red, swollen and painful, accompanied by sebaceous cysts, you can consider the use of surgical treatment, such as ionized cyst opening, cyst incision and drainage. to help the inflammation and cysts subside, thereby reducing the associated symptoms. The appearance of red, swollen and painful acne is recommended to consult a doctor in a timely manner, and follow the doctor’s instructions for treatment. Patients are advised to drink plenty of water, eat a light diet, and not to squeeze or scratch to avoid infection and worsening of symptoms.