Acne near the tops of the cheeks is linked to the respiratory system according to ancient Chinese mapping, so if you are frequently walking in cities or driving with your windows open,you’ll want to take extra care cleansing your face. Try employing an air purifier or some air-purifying plants in your home.On the other hand, Chang notes you may also want to look at possible environmental triggers in your lifestyle, including dirty pillowcases,bed sheets, and cell phone cases. Lots of things come into contact with your cheeks every day, so cleaning the items around you can help reduce new pimples from cropping up.