What does a face with a subcutaneous tick look like?

What does a face with a subcutaneous tick look like? - briefly

A subcutaneous tick in the face presents as a small, raised, reddish‑to‑flesh‑colored nodule, sometimes showing a tiny puncture where the mouthparts entered. The surrounding skin may exhibit mild swelling or a thin line of discoloration tracing the attachment.

What does a face with a subcutaneous tick look like? - in detail

A subdermal tick embedded in facial tissue produces a distinct set of visual cues. The skin over the attachment site often appears raised and firm, forming a palpable nodule that may be slightly tender to pressure. The surrounding area typically shows a halo of erythema that can range from faint pink to deep red, depending on the individual’s inflammatory response. A tiny puncture opening, sometimes visible as a dark dot at the center of the nodule, marks the tick’s mouthparts. The lesion may display a glossy sheen if the tick’s body is still attached, and the surface can be smooth or slightly indented where the parasite’s abdomen presses against the skin.

Additional characteristics frequently observed include:

  • Localized swelling that can extend a few millimeters beyond the immediate attachment point.
  • Minor edema that may cause subtle asymmetry of facial features, especially when the tick is located near the eyelid, cheek, or jawline.
  • Mild itching or burning sensation reported by the patient, often accompanying the inflammatory rim.
  • Possible movement of the tick’s legs visible through the skin if the parasite is not yet fully engorged, creating a faint, shifting outline.
  • Absence of overt ulceration unless secondary infection develops; the overlying epidermis generally remains intact.

In cases where the tick has been present for several days, the nodule may enlarge as the parasite fills with blood, giving the lesion a more rounded, bulging appearance. The color of the nodule can shift toward a darker, brownish hue as the tick’s body darkens. If the tick detaches prematurely, a small residual cavity may persist, sometimes filled with serous fluid that appears translucent under the skin.

Recognition of these signs enables prompt identification and removal, reducing the risk of pathogen transmission and minimizing tissue damage.