Hard spot pimples are a type of acne that can be removed by topical medications, oral medications, and physical therapy. 1. Topical medication: You can choose Vitamin A acid ointment, adapalene gel, benzoyl peroxide gel, fusidic acid cream and other medications. 2. Oral medication: If the symptoms are more serious, you can take soft capsules of isotretinoin to reduce the secretion of oil from the hair follicles and inhibit hyperkeratosis, and if it is serious, you can take spironolactone and other drugs to fight against androgens. 3. Physical therapy: such as laser therapy, photodynamic therapy, etc., also has a certain therapeutic effect. It is recommended to go to the hospital for examination first, combined with clinical symptoms and follow the doctor’s instructions, to avoid abusing drugs.