how to get rid of boil scars

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A boil or furuncle is a skin infection caused by the bacteria Staphylococcus aureus. It tends to thrive in warm, moist areas of skin, most commonly the nostrils, armpits, the crease between the buttocks, and the inner thighs.

Boils can also spread under the skin and cluster. If this happens, the clusters form deeper abscesses called carbuncles, which may scar the skin.

The size and color of a boil can vary, depending on how severe it is, or the amount of skin involved. However, most boils tend to have a similar appearance.

illustration of a boil with a white head — A boil is a rounded swollen bump that may be filled with light-colored pus.

Boils occur when the bacteria Staphyloccus auerus invades the walls of a damaged or exposed hair follicle and colonizes it, causing infection.

Some 10 to 20 percent of the population are carriers of Staphyloccus auerus. Being a carrier means that the bacteria normally lives on the surface of a person's skin.

Carriers, and people with boils, can spread the bacteria through skin-to-skin contact. The bacteria can also spread through contact with contaminated objects, such as towels and sheets. In most people, infections only occur when the skin's natural barrier is broken or compromised by factors such as injury or friction.

Anyone of any age can develop boils. They commonly appear in areas of the body prone to chafing, particularly the inner thighs.

Certain factors are known to increase the likelihood of developing the condition.

Common risk factors for boils include:

contact with someone infected with Staphyloccus aureus
nicks or cuts in the skin
living or working in a crowded area
obesity
immune conditions
being over the age of 65
diabetes
poor hygiene
animal scratches or bites
smoking
anemia
iron deficiencies
poor nutrition or diet
lack of exercise
prior use of antibiotics, especially multiple or improper usage in the past 6 months
other skin infections or conditions, such as psoriasis and eczema
long-term use of steroids or corticosteroids
intravenous drug use
extreme or chronic stress

Specific factors may contribute to a high risk of developing boils on the inner thigh. These include:

wearing loose or ill-fitting clothing while exercising
playing sports or doing exercises that cause chafing of the inner thighs, such as running, long-distance walking, hiking, or biking
wearing dirty clothing, particularly when exercising or engaging in activities that involve inner-thigh friction or sweating
walking or running in warm, humid climates
shaving, waxing, and other means of hair removal that break the surface of the skin

While symptoms may vary in severity, most boils:

are round, red, swollen bumps that grow gradually
are tender and sensitive, sometimes even to air
eventually discharge a whitish-colored pus made up of dead tissue and blood cells
last for around 10 days

Boils may appear alone or as a group. Boils that form a group or cluster are collectively called a carbuncle.

Boils can appear anywhere on the body, including the inner thigh.

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See a doctor if a boil has more than one head or point, as shown above.

Some boils require medical attention. Consult a doctor about boils that:

appear on the face or upper neck
do not rupture within about 10 days of forming
will not fully drain
do not fully heal within 1 to 3 weeks of rupturing
are very painful and do not respond to over-the-counter anti-inflammatory or pain medications
become more painful and swollen after rupturing
seem to be spreading to new tissues
feel soft and spongy
leak pus from more than one location
are larger than 5 millimeters
include more than one head or point
are clustered or blistering
have drainage or fluid that is not white or clear
are surrounded by a patch of skin that is painful, abnormal in color, or otherwise looks unhealthy

A person should also see a doctor if a boil appears at the same time as any of the following symptoms:

nausea, vomiting, loss of appetite, or unexplained weight loss
fever, chills, or other flu-like symptoms
unexplained or abnormal bruising

Some individuals have a higher risk of complications from boils and are more likely to require medical attention.

People who have the following conditions should consider talking with a doctor about their boils:

immune conditions
diabetes
people at risk for endocarditis, such as those with congenital or developed heart conditions
anemia
conditions that require management that weakens the immune system, such as chemotherapy

In most cases, the first line of treatment is to clean the abscess and surrounding skin with warm, soapy water. Avoid touching, rubbing, or applying pressure to a boil that has just been cleaned.

There are ways to draw the pus to the surface of the boil. This increases pressure in the abscess, making the boil more likely to rupture.

Home remedies

One of the easiest ways to safely drain a boil at home is to dip a clean facecloth or towel in very warm water and gently hold it against the boil.

Ideally, this compress should be as warm as possible without burning the skin. The towel or cloth should be held in place until it becomes cool or room temperature. It will often take several sessions for the boil to burst. Hot compresses are also available to buy in pharmacies and online.

The following tips can help when dealing with boils at home:

Never force a boil to rupture by squeezing or piercing it.
Keep a healing boil clean.
Avoid touching, picking, or placing unnecessary pressure on a boil.
Gently apply over-the-counter antiseptic and antibiotic creams and liquids.
Cover a healing boil with gauze or a sterile bandage.
Avoid activities that cause friction between the inner thighs.
Take over-the-counter anti-inflammatories.
Wash the hands with soap and water or use sanitizer after touching a boil.
Wipe the surrounding skin daily for 1 week with a mixture of 70 percent isopropyl alcohol and 30 percent water.
Encourage others in the household to practice similar precautions.
Regularly replace personal hygiene products that can cause cuts and scrapes, particularly razor blades.
For chronic or severe infections, wash every product that comes into contact with the body daily.

Medical treatments

A doctor may need to cut into a boil to drain it. This may be necessary if a boil is severe, very large, or if it will not drain on its own. Incising might also be needed in cases of chronic boils.

A doctor may also prescribe oral antibiotics to clear the infection. When boils are chronic or do not respond to oral medication alone, a doctor may prescribe topical antibiotic creams or antibiotic nasal sprays.

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Regular hand-washing can help prevent boils from forming.

The following tips can reduce the risk of developing boils:

Use products designed to prevent chafing when playing sports or exercising.
Modify these activities to lessen chafing.
Wash the entire body with soap and water daily.
Wash the hands regularly.
Avoid picking the nose.
Change and wash linens regularly.
Wear properly fitting, clean clothing while exercising.
Do not share towels, underwear, or sheets with other people, including family members.
Eat a balanced, nutritious diet.
Exercise regularly.
Avoid or stop smoking.
Maintain a healthy body weight.
Consume a healthy amount of iron, through diet or supplements.
Have a daily vitamin C intake of 1,000 micrograms.
Never share personal hygiene products, especially those capable of breaking the skin's surface, such as razors.
Be careful not to cut the skin.
Exfoliate skin that has had hair removed every few days.

Boils or furuncles are a common type of skin abscess. Most rupture within 10 days of forming, and after a boil drains, it tends to heal within 1 to 3 weeks.

In some cases, boils can lead to complications, including scarring and painful clustering deep beneath the skin's surface. These clusters of boils are called carbuncles.

If left untreated, severe boils or carbuncles can lead to life-threatening conditions. These may include systemic infections, which can compromise the bloodstream or the entire body.

Talk with a doctor about boils that do not heal on their own, are very large, or are complicated by additional symptoms or conditions.