Cystic Acne - West County Dermatology (2024)

Cystic Acne - West County Dermatology (2)

Cystic acne is an inflammatory condition that creates acne bumps deep under the skin. These bumps appear on the skin’s surface as large lumps, and they are often tender and/or painful. This type of acne is noticeably different from the more common and recognizable conditions, like whiteheads and blackheads, because it occurs deeper in the skin. As a result, the cysts never bulge into a “poppable” head. While cystic acne is typically found on the face, it can also appear on the back, chest, shoulders, and upper arms.

This type of acne very likely to cause scarring. Failure to treat the bump can lead to additional inflammation, which can damage surrounding skin cells, resulting in a dark spot. It can take months or years to disappear, or the dark spots can become permanent. If you suspect you have cystic acne, an appointment with one of our Chesterfield dermatologists is the best way to treat the condition and prevent possibly permanent damage.

Cystic Acne Causes

As with mosttypes of acne, determining the exact cause can be difficult. These bumps usually develop when the contents of blackheads and/or whiteheads spill into the surrounding areas of the skin. The body perceives this spread to be an attack, and the immune system produces pus to fight it, creating inflammation.

Cystic acne is caused by acne vulgaris, or the same type of acne that leads to whiteheads and blackheads. Triggered by hormonal changes, such as menstruation, acne vulgaris causes oil glands to overproduce. These glands can then become swollen with excess oil, which then hardens into a cyst. This acne tends to affect the chin and jawline more than any other part of the body, as this area has a high concentration of oil glands.

Unlike other manifestations of acne vulgaris, cystic acne almost always requires professional treatment. Over-the-counter products do not work for deep cysts and nodules because their ingredients, salicylic acid and benzoyl peroxide, shed excess sebum and dead skin cells only on the surface. Prescription-strength topical acne medications, oral antibiotics, and other medications, like isotretinoin, are most effective at treating deep acne, but they all require a visit to the doctor. Our Chesterfield clinic is equipped to work with you on a treatment plan that fits both your breakout and lifestyle.

Other Severe Forms of Acne

Cystic acne is among the worst forms, but there are other types of acne lesions which may appear as part of the same outbreak. Nodular acne also develops deep in the skin and is often mistaken as cysts, for example. Cystic acne appears as large, red boils, which can burst open, leading to infection. Acne cysts are filled with pus, which means they are often softer than nodules, and they typically last for around one month without treatment. By contrast, acne nodules will remain intact under the skin’s surface, and they may be skin toned. Nodular acne can persist for weeks or months without treatment. Whether cystic, nodular, or some combination of the two, a visit to the dermatologist is the only way to get the treatment you need.

Talk to a Dermatologist about How to Treat Cystic Acne

Cysts struggle to heal themselves over time. A dermatologist is also essential for limiting potential scarring, which is a common result of cystic acne. Our Chesterfield dermatologists can work with you to find a treatment that works, then recommend additional options to limit scarring. This may include chemical peels, laser therapy, and blue light therapy.

Don’t hesitate to schedule a visit. This skin condition can be both socially and physically painful, and getting proper treatment can significantly expedite healing.

Contact usto schedule an appointment to get the best acne treatment plan for you.

Cystic Acne - West County Dermatology (2024)

FAQs

Can a dermatologist remove cystic acne? ›

Acne removal: Your dermatologist can use a few different techniques to remove a large cyst or nodule. One way your dermatologist can get rid of a painful cyst or nodule is to inject it with a corticosteroid. This helps to quickly reduce the size and pain. Another procedure is called incision and drainage.

What is the best treatment for cystic acne? ›

Some of the most effective treatments for cystic acne include in-office cortisone injections and oral prescription medications like birth control pills, spironolactone and isotretinoin (usually known by its brand name, Accutane) to treat the underlying causes of the cysts.

What if nothing is helping my cystic acne? ›

Seeing a dermatologist can help prevent acne from worsening. You can benefit from seeing a dermatologist when acne: Causes acne cysts and nodules (deep blemishes that can leave scars when they clear) Hasn't cleared with treatment you can buy without a prescription.

What skin type is prone to cystic acne? ›

Cystic acne is the most serious type of acne. It develops when cysts form deep underneath your skin. This can result from a combination of bacteria, oil, and dry skin cells that get trapped in your pores. Although anyone can develop acne, cystic acne tends to occur in people with oily skin.

Does insurance cover cystic acne removal? ›

Are Acne Treatments Covered By My Insurance? Acne treatments can be covered by your insurance when they are deemed medically necessary. Moderate to severe acne that needs treatment with antibiotics, retinoids, or even Accutane is generally covered by insurance.

How I cured my cystic acne without Accutane? ›

Topical Retinoids

Topical retinoid medications indicated for the treatment of acne include Retin-A (tretinoin), Tazorac (tazarotene), and Differin (adapalene).

What dissolves cystic acne? ›

Cystic acne treatments include: Antibiotic creams, gels solutions and lotions to kill bacteria and decrease inflammation. Azelaic acid (Azelex®, Finacea®) or salicylic acid to kill bacteria and get rid of excess dead skin cells. Benzoyl peroxide to reduce the number of bacteria on the skin.

What not to do with cystic acne? ›

Don't scrub your skin or use irritating products like exfoliants. Don't touch cysts or pick at blemishes. You might push the infection deeper and make it spread. Let blemishes heal on their own, instead of popping or squeezing them, to lower your risk of scars.

Why am I suddenly getting cystic acne? ›

You might have cystic acne due to hormonal changes in your body. Stress and dietary factors can also cause this type of acne to flare up. Your doctor can help you determine what might be causing your condition so that you can treat it effectively.

How to draw out cystic acne? ›

It is possible to help shrink a cystic pimple at home by following some basic self-care tips. Using a warm compress can help draw the pimple to the surface of the skin, which can promote healing. Using topical products and cleansing the face regularly can also help clear pimples and prevent them from coming back.

How to shrink a cystic pimple overnight naturally? ›

  1. Ice. Because ice is often effective in decreasing swelling, itchiness, pain, and redness, some natural healers suggest rubbing an ice cube on the cystic acne spot until the cold becomes uncomfortable. ...
  2. Aspirin mask. ...
  3. Diet. ...
  4. Vinegar cleanser. ...
  5. Turmeric mask. ...
  6. Probiotics. ...
  7. Tea tree oil.
Mar 26, 2020

What happens if cystic acne is left untreated? ›

Deep, severe acne: Swollen cystic acne and nodules are more likely to leave behind acne scars. Relatives who also had acne scars: Genetics tend to play a big role in the presence of acne and acne scars. Delay in acne treatment: The longer you've had untreated inflammatory acne, the greater the risk of scarring.

What is mistaken for cystic acne? ›

Cystic Acne

Cysts can be mistaken for nodules due to similar appearance and pain level. However, cysts are pus filled rather than hard to the touch. While most are often noticeable on the face, cystic acne can also occur on the back, neck, and shoulders. Cystic acne can most often be found on people with oily skin.

What can worsen cystic acne? ›

Other factors that contribute to worsening cystic acne include wearing heavy makeup for long periods of time and not washing it off properly; taking whey protein several times a day for muscle-building purposes, which Ibrahim said can exacerbate the issue; using too many comedogenic skin care products; and wearing ...

Can a dermatologist pop a cystic pimple? ›

To remove a large pimple or painful acne cyst or nodule, your dermatologist may also use a procedure called incision and drainage. It involves using a sterile needle or surgical blade to open the blemish and then removing what's inside.

Do dermatologists remove cysts under the skin? ›

What Type of Doctors Treat Cysts? While most primary care doctors or surgeons can treat cysts on the skin, dermatologists most commonly treat and remove sebaceous and pilar cysts. Dermatologists are focused on treating the skin — so removing cysts is a natural part of their training and focus.

Can you permanently get rid of cystic acne? ›

A doctor may prescribe doxycycline or minocycline, or another type if these are not effective. Retinoid medications: Potent retinoid medications, such as isotretinoin, can provide significant improvements for severe acne. According to the AAD, 85% of people find one course of isotretinoin leads to permanent clearing.

Do you need Accutane for cystic acne? ›

Accutane is an oral medication that is used to treat cystic acne that has not responded to treatments such as clindamycin or benzoyl peroxide. Accutane belongs to the retinoid family of drugs and works to help decrease oil production.

References

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