There are several possibilities for growing pouches on the left temple: 1. Acne: more serious nodules or cysts can be formed. This is mainly due to endocrine disorders and Propionibacterium acnes infections. 2. Sebaceous cysts: This is caused by inflammation of the sebaceous glands that block the ducts and prevent the contents from being metabolized. 3. Papular urticaria: This is mainly due to insect bites and contact with insect fluids. The skin is allergic to the body fluids of insects after insect bites.