Benzoyl peroxide topical acne treatment can be used to treat any type of acne, but it is most effective on inflammatory acne, called acne vulgaris. It can also be used for whiteheads, blackheads, and cystic acne, but it should be used in combination with other medications for these types of acne.
Such is the case with benzoyl peroxide. It can take up to six weeks for new products to take full effect. If you don't see any improvements after six weeks, consider seeing a dermatologist. They might recommend a prescription-strength formula, especially if your acne is severe.
One of the most effective, convenient and inexpensive ways to prevent cysts from becoming inflamed is using benzoyl peroxide. This is a topical preparation that can be rubbed onto the skin in affected areas, and directly on a sebaceous cyst once it forms.
If you have blackheads and whiteheads, salicylic acid alone should work well to clear out your pores. If your acne tends to be inflammatory, such as papules and pustules, opt for benzoyl peroxide to stop outbreaks at the source. For sensitive skin, start with salicylic acid, since it's less likely to cause irritation.
Start with Benzoyl Peroxide and Salicylic Acid
“Benzoyl peroxide helps to reduce inflammation, treat acne bacteria, and unclog pores,” he says. “Cleansing with salicylic acid or using it as spot treatment is a tried-and-true treatment to help stop breakouts.”
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.
During the first 3 weeks you are using benzoyl peroxide, your skin may become irritated. Also, your acne may seem to get worse before it gets better. If your skin problem has not improved within 4 to 6 weeks, check with your doctor.
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.
Usually the first choice for treating acne is a tetracycline (minocycline, doxycycline) or a macrolide (erythromycin, azithromycin). A macrolide might be an option for people who can't take tetracyclines, including pregnant women and children under 8 years old.
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.
If you are struggling with cystic acne on your chest or back, Jaber suggests using a wash like Panoxyl in the shower, which contains 4 percent benzoyl peroxide to kill acne-causing bacteria.
Sulfur isn't a strong enough treatment for moderate acne. Overall, it's less effective than other acne ingredients, such as benzoyl peroxide. You might consider another OTC product instead, such as ProActiv Emergency Blemish Relief.
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.
What causes hormonal acne? Acne is caused by clogged pores. Hormonal acne develops when hormonal changes increase the amount of oil your skin produces. This oil interacts with bacteria on the pores of your skin where hair grows (hair follicles) and results in acne.
There can be different causes for cystic acne, including hormone changes, oily skin, pregnancy, and genetics. The most common groups of people that suffer from cystic acne are teenagers and women going through hormonal changes: pregnancy, menopause, or starting their menstrual cycles.
Exfoliate regularly.
If you're dealing with cystic acne, it's important to remove the dead, dry skin cell buildup by focusing on exfoliation, Rouleau says. The more you remove the surface dry cells, the less the oil will stay trapped and clogged under the skin, which should help those bumps to disappear.
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.
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.
Acne often disappears when a person is in their mid-20s. In some cases, acne can continue into adult life. About 3% of adults have acne over the age of 35.
On the surface, cystic acne can look like large, red boils. Cysts, like nodules, reside deep underneath the skin's surface. But because they're filled with pus, cysts are softer than nodules. The pimples that define cystic acne burst open, often leading to infection.