Pimples on the areola may be Montserrat’s nodules, a normal physiological phenomenon, and as long as there is no discomfort, there is generally no need to worry. In addition, some diseases can also cause acne on the areola, such as folliculitis, neurofibroma, mammary lipoma, etc. 1, folliculitis: due to the usual lack of attention to breast hygiene leads to sebaceous glands are blocked, causing folliculitis, resulting in acne on the areola; 2, neurofibroma: one of the typical manifestations of neurofibroma is the appearance of acne on the nipple and areola area. Generally, no special treatment is needed. If the size of the tumor is large, breaks down or affects the aesthetics, surgery can be considered; 3. Breast lipoma: a benign tumor commonly found in obese women, with a low possibility of malignancy. The treatment means is mainly surgical treatment, and the excised tissue should be examined pathologically to ensure that no other malignant tumor occurs at the same time; 4.soft fibroid: the main manifestation of soft fibroid is multiple filiform or tipped redundant organisms. It should be actively surgically treated after discovery. In addition, it should be noted that some early breast cancers may also appear as acne on the areola, so after finding acne on the areola, it is recommended to seek medical examination in time to clarify the cause and provide targeted treatment.