Tips For Battling Cystic Acne

Tips For Battling Cystic Acne – Acne is difficult no matter what, but cystic acne takes it to another level causing pain that cannot be ignored. Cystic acne is considered the most severe type of acne and is characterized by soft, flaky nodules that are under the skin and never open like a normal pimple.

Although mild acne can be treated with proper skin care, cystic acne rarely responds to home treatment and often requires a trip to the dermatologist.

Tips For Battling Cystic Acne

• For minor cystic acne – which means one or two nodules and has not spread – a quick cortisone injection can cure cystic acne within hours.

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• Antibiotics or prescription drugs. Your dermatologist may first try to clear your cystic acne with one of these two medications. You should remember though that any treatment (except for a quick cortisone shot) takes time to work, sometimes up to two months.

• Accutane, also known as Isotretinoin, is a prescription drug used to treat moderate to severe acne. According to Dr. J. Mark Jackson, a dermatologist specializing in Forefront Dermatology, “Accutane is often used for patients with severe and painful cystic acne or patients who do not respond to traditional treatments. Usually, the patient has been suffering from this acne for years and it was not responding to antibiotics or topical treatment. Accutane is known as a successful treatment option for people with acne that has not responded to other treatments. It also has a high level of approval. In the first few weeks of treatment, about one in five patients see their acne improve with most patients seeing results over the first 6-12 weeks. The total duration of treatment is usually 4 to 6 months but can last longer if lower doses are used. Some people may need more rounds of Accutane.

• Do not attempt to cover deep cysts as this may result in increased swelling below the surface and increased chances of rupture.

• When you start to feel it coming on, ice it. Applying an ice cube directly to your pimple will constrict the small blood vessels, feeding the cyst, and will quickly reduce the redness and size. Don’t keep the cold too long, give your skin a break from the cold and reapply in time.

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• Use oil-free products including moisturizer. With cystic acne your skin may be oily and doesn’t want to deal with the excess oil that skin care products are putting on.

The board-certified dermatologists at Forefront Dermatology are experts in acne, acne treatment and scar treatment. Find a dermatologist near you and schedule your consultation today. We include products that we think are useful to our readers. If you make a purchase through the links on this page, we may earn a small commission. Here is our approach.

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Cystic acne is like the deep, mysterious sister of the pimple family (which also includes our girls Whitehead, Pustule, and Papule, to name a few).

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While no one wants to have clogged, inflamed skin, cystic acne can be very painful and difficult to treat. Since cysts occur deeper in the skin than your normal whiteheads, the cysts usually don’t cut it. That’s why – if possible – those who succeed always recommend visiting a dermatologist to solve your cystic acne problems.

Most of the time, a combo treatment of topical (like a retinoid) + oral medication (like antibiotics or oral retinoids) will be prescribed for cystic acne, but there is no one-size-fits-all regimen.

Cystic acne usually forms large bumps deep under your skin. Some types of acne (such as blackheads, whiteheads, papules, and pustules) are superficial, sitting on top of the skin rather than deep below it.

Cystic acne can sometimes look and feel like a cyst (aka a skin condition that involves an enlarged hair follicle). They can also be pus-filled, red, and suuuuper tender to the touch.

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These painful bumps usually appear on your face, chest, back, neck, and arms – but they can also appear on your thighs and buttocks.

Waldorf breaks it down like this: First, “sticky” skin cells and “thick” sebum make up your white or black head. Then this “sebaceous follicular unit” (actually skin + hair follicle) expands, and bacteria reproduce inside it.

These bacteria cause an inflammatory response in your bladder that creates the red acne “papules” and “pustules” (aka those pesky zits). As inflammation increases and bacteria grow, pressure builds and the walls of the follicular unit break. The body then tries to close the inflamed area from the skin and surrounding tissue, which creates a cyst.

Because cystic acne is often more difficult to treat than your average pimple, visiting a dermatologist is always recommended if possible. “Cystic acne doesn’t respond well to prescriptions alone,” Waldorf says.

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We’ve spent time talking to experts, scouring rating and review pages, and doing resource research – that way, you don’t have to Google your life away.

Previously only available by prescription, Differin gel is your strongest OTC bet against cystic zits. Its key ingredient is the retinoid adapalene (0.1 percent), which is an FDA-approved acne treatment that helps exfoliate the skin, cleanse the skin of oil and dirt, and reduce inflammation.

While it’s unlikely to make your cystic zits disappear overnight, it can stop new zits from forming and ease the symptoms of existing ones. Since most peeps with cystic acne have skin on the oily side, it’s perfect for anyone who tends to *ahem* get a little shiny. (Now! ?‍♀️) Researchers say it can take up to 12 weeks to see full results, but it’s worth the wait.

This drug-strength cream can take some getting used to, though. Plan to use a pea-sized amount 1x per week and work your way up to one daily use. If there is redness, dryness, or irritation, discontinue use.

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Always do a patch test before introducing any new skin care product, but especially an extra-strength one like Differin. And since retinoids can make your skin extra-sensitive to the sun, load up on SPF.

With 2 percent salicylic acid and an affordable price, the Clean & Clear Advantage Acne Spot Treatment is available.

Although Waldorf emphasizes that even the most intensive treatments will not eliminate cystic acne, salicylic acid does a good job of clearing comedones (aka blackheads and whiteheads) before they turn into larger (and cystic) probs.

The salicylic acid is especially effective as an anti-inflammatory and chemical peeling agent, helping to reveal a healthy, less inflamed skin underneath. That’s why this treatment can also make existing cysts look better in the morning – but it has a much stronger effect on the rest of your face. You don’t want to wake up looking like a snake.

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Some reviewers say they hate the added scent, but – that makes it a no-go for more sensitive skin.

Another A+ local treatment comes from Proactiv, a brand that everyone calls from P. Diddy to Kendall Jenner swears by it.

According to our research, these things really work. Like salicylic acid, this benzoyl peroxide formula works to remove dead skin cells that can clog pores and cause acne breakouts. The “peeling” effect of benzoyl peroxide is usually very strong, however, so be prepared: Although it can work better than salicylic acid formulations, it can irritate sensitive skin types. It is also known to stain fabric. :/

Researchers say that it can make even the most severe cystic zits disappear in days. A few have complained that it can slightly burn the affected area, however.

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Unlike other types of acne, the scars often come with cystic territory (as if the original breasts didn’t hurt you enough). While scars can be difficult to treat at home after the fact, this formula does a legitimate job of treating old scars as well as preventing new ones from forming.

Murad Invisiscar Resurfacing Treatment contains salicylic acid, which works to deeply exfoliate the skin to remove scars beneath the surface. Cica reduces inflammation, while the antioxidants hydroxytyrosol and vitamin C lighten the dark pigmentation that is sometimes seen in the cystic aftermath.

You will need to use this product at least 2x daily for several months to see results. While most reviewers say it works to lighten acne scars, a few had issues with rashes, irritation, or other acne from using it.

Since the skin on the back tends to be thicker than the skin on your face, the pores and hair follicles are also larger – which can mean even bigger, more irritated cysts.

Battling Cystic Acne: A Comprehensive Guide To Effective Care

While you can skillfully use any of your facial products on your back, doing so can quickly become expensive. CeraVe makes things a little easier with a body wash formulated with salicylic acid, which unclogs pores and deeply exfoliates to fight existing cysts and prevent new ones from emerging.

Bye, bacne! Most analysts say it’s legal to ban zits in the background, although a few said they didn’t see the difference between this and theirs.

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