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.

How I cleared my cystic acne? ›

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

What if nothing is helping my cystic acne? ›

If at-home remedies aren't helping to treat your cystic acne flare ups, it's time to see a dermatologist for treatment. A dermatologist can prescribe medications that are stronger than what you can find over-the-counter or do at home.

What skin type is prone to cystic acne? ›

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. It's also more common in teens, women, and older adults with hormonal imbalances. Usually, cystic acne can improve with age.

How to shrink a cystic pimple overnight? ›

How to get rid of cystic pimples
  1. Warm compress. A green tea bag or other compress soaked in warm water may help soothe your cyst. ...
  2. Cold compress. A cold compress may help decrease inflammation, but avoid putting ice directly on your skin. ...
  3. Advil. ...
  4. Cortisone. ...
  5. Prescription skincare (like Curology!).
Jan 27, 2020

How to pop a cystic pimple with no head? ›

Home remedies
  1. Never squeeze a blind pimple. Blind pimples are usually not positioned near the skin's surface, which means that they cannot be “popped” like whiteheads. ...
  2. Apply a warm compress. ...
  3. Try a pimple sticker. ...
  4. Try tea tree oil. ...
  5. Use topical acne treatments. ...
  6. Relieve pain with ice.

What draws out cystic acne? ›

Home remedies, such as cleansing the skin, applying ice, and using benzoyl peroxide, can help shrink a cystic pimple. However, in some cases, cystic acne may require dermatological help. Cystic acne is a severe form of acne that causes large bumps to form under the skin.

Is it OK to drain cystic acne? ›

If irritated, these can become painful. They can also turn red from swelling. Like other types of acne, you shouldn't try to squeeze out a cyst in order to “pop” it. But there are things you can do at home that can help work the cyst out from deep in your skin so it comes out on its own.

Will cystic acne go away without popping? ›

Unfortunately, cystic acne does not go away on its own and can lead to the formation of permanent acne scars when left untreated. Cystic lesions can be large, painful, and highly inflamed and require treatment with topical or oral medications for effective management.

What happens if cystic acne is left untreated? ›

The condition can cause scarring and is generally painful, and managing symptoms can be difficult. Left untreated, cystic acne can also develop into acne conglobate, another severe form of acne characterized by connected nodules of cysts underneath the skin.

What should you not do with cystic acne? ›

You should see a GP if you have moderate or severe acne or you develop nodules or cysts, as they need to be treated properly to avoid scarring. Try to resist the temptation to pick or squeeze the spots, as this can lead to permanent scarring.

How long does it take for cystic acne to flatten? ›

If ignored, cysts can take anywhere from 1-4 weeks to go away by themselves. Although your body will eventually deal with the inflammation, some cysts can persist for extended periods of time and often leave behind scars.

What deficiency causes cystic acne? ›

A 2013 study investigated the blood levels of zinc, vitamin A, and vitamin E in people with and without acne. The researchers found that the levels of all of these vitamins and minerals were significantly lower in the people with acne. They concluded that a diet rich in these nutrients could help prevent or treat acne.

What is the root cause of cystic acne? ›

Cystic acne — the most severe form of acne — occurs when oil and dead skin cells build up deep within hair follicles. The resulting rupture within your skin may form boil-like inflammation. Acne signs vary depending on the severity of your condition: Whiteheads (closed plugged pores)

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.

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? ›

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 a dermatologist inject a cystic pimple? ›

To reduce the inflammation, swelling, and pain of cystic acne, a dermatologist can inject a diluted corticosteroid directly into a cyst. This treatment is usually reserved for tender, swollen acne nodules, or cysts that aren't responding to typical acne therapies.

Can you cut out cystic acne? ›

But no matter the type, you shouldn't pick at a cyst to pop it, as this can lead to infection. Cystic acne is the most severe type of acne. Unfortunately, this type of inflammatory cyst is also the most difficult to get rid of on your own. Most cysts don't have heads.

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