Cystic acne is a severe form of acne characterized by large, painful cysts that form deep beneath the skin. On the surface, cystic acne typically looks like red bumps.
This type of acne can be especially frustrating because the breakouts can be painful, long-lasting, and leave marks or scarring. The good news is that effective treatment options are available to help manage symptoms, reduce flare-ups, and improve skin health.
What is Cystic Acne?
Cystic acne is the most severe type of acne. It happens when acne cysts form deep below the skin’s surface. The cysts are inflamed and filled with pus. These cysts form when pores in the skin get blocked, usually with excess oil and dead skin cells.
Cystic acne can happen on any part of the body, but is most common on the face. While teenagers are more prone to cystic acne, it can also impact those struggling with adult acne as well.
Cystic Acne vs. Regular Acne
Regular acne usually consists of blackheads, whiteheads, or small pimples that form on the skin’s surface. These breakouts are often mild to moderate and not painful. Regular acne is typically treated with over-the-counter (OTC) products.
Cystic acne appears as large, red, and tender bumps or cysts that are often painful and long-lasting. Unlike regular acne, cystic acne is more difficult to treat with OTC products, often requiring diagnosis and a treatment plan from a doctor.
Causes of Cystic Acne
There are several potential causes of cystic acne with age playing a major role. Cystic acne can be triggered by hormonal changes. Those going through puberty (teenage acne), a menstrual cycle, pregnancy, or menopause may be more susceptible to getting this type of acne due to an increase in oil production.
Other causes can include a family history of cystic acne, certain medications, and stress.
Symptoms of Cystic Acne
Cystic acne is defined as deep, inflamed pimples that are painful or tender to the touch. They are usually large, filled with pus, and red. Other symptoms of cystic acne include swelling and acne scarring once the bumps heal.
Types of Cystic Acne Treatments
There are several ways to treat cystic acne. Usually, a combination of these treatments will provide the best results.
Oral Medications to Treat Cystic Acne
Oral medications can be used to treat cystic acne. Most commonly, this will include antibiotics, hormonal medications (birth control), or Isotretinoin, also known as Accutane. Most medications vary in their effectiveness, have side effects, and may need to be taken for an extended amount of time for improvement.
Using Topical Creams to Treat Cystic Acne
Topical creams, gels, or lotions can be used daily to help treat cystic acne. They work by killing bacteria and reducing inflammation, and are often combined with oral medications to prevent breakouts.
Injections for Cystic Acne Treatment
Another way to treat cystic acne is to inject a steroid (cortisone) directly into the cyst. These shots help shrink the cysts, usually within one to two days. While this treatment can offer fast relief, it does not target the cause of cystic acne.
Dermatology Treatments for Cystic Acne
Certain treatments available at a dermatologist office can also help treat cystic acne. At Advanced Dermatology, we offer several in-office procedures that can help provide relief.
These procedures use light to kill bacteria and reduce inflammation. Available cystic acne treatments include Omnilux (red and blue light therapy), photodynamic therapy (light therapy), Aerolase® LightPod Neo® (laser therapy), and microdermabrasion and chemical peels. Each of these treatments work in different ways to target cystic acne. It’s important to consult with your provider to determine which option is best for you and your skin.
Schedule Your Consultation in Glencoe or Lincolnshire
If you are struggling with cystic acne, schedule a consultation with Advanced Dermatology today to explore the best treatment options for you. Contact us to book your appointment at one of our north shore offices in Lincolnshire or Glencoe.
