I have been cutting my face (side of nose, chin but mainly right under my nose above my lip) for a long long time basically every day. Always started with a small pimple etc and then i pick and tear with tweezers and fingers to "get rid of it" in my mind.
For over 15 years it is the area under my nose, above my lip. As I am 60, that area is/was getting wrinkled so it looks even worse after my constant "tweezing". It started with the left side and then somehow I managed to stop there when the right side got a pimple and I went at it. It has been about 7-8 years now on that one area. It gets so bad I have told people I got skin cancer removed at least a dozen times and "it keeps coming back". I cannot tell anyone i know because they would think I'm nuts and I am a professional at work and need to retain that reputation. My family thinks you just need to suck up everything and use mind over matter. They do not believe in depression, OCD etc etc. I have treated for major depression and ADD (currently Wellbutrin, Xanex . Adderall and some other anti psychotic I cannot recall this second) but no one knows it. My doctor is kind of a quack but he gets me my meds so Im ok with it.
He usually only wants to talk about issues with his ex so I just say everything is fine and just keep the same meds. I cover up with makeup but with scabs etc I'm sure people are wondering what the heck is going on but no one asks. Its getting worse. I spend up to 6 hours a day (sometimes until 4 am) just continuing to pick/cut my face. I live alone and find myself losing all my friends because I don't want to go anywhere or see anyone. My father just passed away a year ago (mom has been gone for 30 years) and the family dissipated. I really am losing hope,.