Usually, cystic acne can improve with age. However, the stubborn and painful bumps won't go away on their own. If you suspect you have cystic acne, your dermatologist is your best line of defense. They can prescribe the medication necessary to help clear your skin.
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.
Cortisone
If you need a cyst gone fast, or if your cystic pimple won't go away, you can visit a healthcare professional for an injection of a diluted cortisone medication called Kenalog. They'll inject the medication directly into the cyst, shrinking it on the spot.
Cystic acne can last for years. It can affect large areas of your skin and leave scars. A dermatologist can help you with a treatment plan.
Causes of Cystic Acne
Cystic acne occurs when bacteria, dead skin cells, and sebum (the substance that makes your face feel oily) get trapped beneath the skin's surface and become infected. This leads to a large, swollen cyst (bump) that can hurt just to touch.
Acne commonly starts during puberty between the ages of 10 and 13 and tends to be worse in people with oily skin. Teenage acne usually lasts for five to 10 years, normally going away during the early 20s.
Hormones are a common trigger for cystic acne and can sometimes worsen things along the chin and jawline in particular," says dermatologist Jennifer Adams, MD. "There are several different types of acne ranging from the milder comedonal bumps, to papulopustular, to the most inflammatory type called nodulocystic.
This severe form of acne develops like other types of pimples. It happens when your skin's pores become blocked, trapping dead skin cells, hair and sebum (an oil your body makes to keep skin moist). The C. acnes bacteria, which naturally live on the skin, get trapped inside.
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.
Never squeeze a cyst
While you may want to pop your cyst open, you should never do so by squeezing or picking at it. Most cysts are nearly impossible to squeeze out with your fingers alone. Plus, you can send bacteria and sebum deep below the hair follicles, causing the materials to spread and make even more cysts.
If you have a red, cystic pimple that hurts to touch, and is deep under the skin, try your best to leave it alone—do not try to pop or squeeze in any way—you'll raise your risk of infection and permanent scarring.
Cystic acne forms deeper in the skin than other types of acne, and this makes it more complicated for a number of reasons. For one, cystic acne takes longer to form and go away. Since this acne can grow longer without risk of popping, cystic acne nodules become much larger than traditional acne.
In addition, diet can affect hormones that, in turn, could make acne worse. For example, milk and foods with a high sugar content can cause a rise in insulin levels, altering other hormones that can affect the skin. Some research has linked milk and whey protein with acne.
Acne affects up to 50 million people each year in the U.S. However, severe or cystic acne is far less common — only 1% of adult females and 3% of adult males suffered from severe acne. For many women, cystic acne is the result of hormonal imbalance, meaning they'll likely experience breakouts on or around menstruation.
Cystic acne is the most serious type of acne because it is so difficult to treat and because it can leave deep and lasting scars on the skin. There are many myths about its causes, which are unknown. But it should not be treated with over-the-counter ointments, creams or scrubs.
Cystic acne may be longer lasting because it forms deep within the skin. With treatment, some people see an improvement in 6–8 weeks . If this does not happen, the dermatologist may recommend a change of treatment. Acne on the back may be persistent.
Due to stress's affect on the body, most people experience stress acne breakouts rather than a single blemish. The excess oil production related to stress breakouts can increase the likelihood of developing cystic acne, though the majority of patients experience blemishes nearer to the surface of the skin.
Only a doctor should inject a corticosteroid. 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.
A person should see a dermatologist if they have inflamed acne, which can include large pimples or painful cysts. They should never try to pop or extract this type of acne, as doing so can cause pain, infection, and permanent skin damage.
Will A Cyst Go Away On Its Own? A cyst will not heal until it is lanced and drained or surgically excised. Without treatment, cysts will eventually rupture and partially drain. It may take months (or years) for these to progress.