A blind pimple, also known as cystic acne, is a pimple that lives beneath the surface of your skin and doesn't come to a head. It is often in the form of a red, painful bump beneath the skin. A blind pimple, also known as cystic acne, is a pimple that lives beneath the surface of your skin and doesn't come to a head.
While it might seem that pimples form overnight, it actually takes between 1 – 2 weeks for an acne spot to fully develop.
Sometimes bacteria can also get trapped inside the pore, creating a localized infection that makes the area red and slightly painful. Although these pimples should not be popped, they are easier to deal with or treat and will usually go away after some time. Cystic acne, on the other hand, does not go away by itself.
A whitehead is the visible sebum or pus that has built up within a pimple. Sebaceous cysts are much deeper beneath the skin, and they can sometimes discolor the skin. While sebaceous cysts can eventually develop something that looks like a whitehead, it takes much longer, and they're often a lot larger than acne.
Pimple pus is made from sebum (oil) that gets trapped in your pores, along with a combination of dead skin cells, debris (such as makeup), and bacteria. When you have inflammatory acne lesions (such as pustules, papules, nodules, and cysts), your immune system activates in this area, resulting in noticeable pus.
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.
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.
Once developed, cysts can take weeks or even months to clear. They can leave permanent acne scarring on your skin, including red marks, brown marks, pits, indents, or icepick scars. Cystic acne may improve over time, but in some cases, it can last for years and affect large areas of the skin.
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 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.
At the root of all breakouts is a clogged pore. Within each pore is a sebaceous gland, a gland that secretes sebum, an oil that keeps the skin protected. If a pore is blocked - by excess oil, dead skin cells, and/or bacteria, a breakout can develop.
If cystic acne is painful and bothersome to patients, a dermatologist may perform a procedure called "drainage and extraction" to remove a large acne cyst. This procedure may also be performed when the cyst has not responded to oral or topical medication.
If you need an area drained, leave that to a professional. “Picking or popping cystic acne can lead to scarring and that can lead to dyspigmentation. Also, when you do this, not everything comes out and you end up spreading some of the inflammation around which isn't ideal either.
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.
Blackheads, or open comedos, are clogged pores that are filled with dead skin cells and oil, not dirt or grime as myth may suggest. The blackish portion of a blackhead — aka the sesame seed — is due to the oxidation of the dead skin cells and oil when exposed to air.
Persistent Pimple Rx
One reason a pimple keeps popping up in the same place is that the pore it developed in is damaged -- usually the result of too much picking. Prodding at a pimple can loosen the cell lining of the pore and cause the clogged oil to slip deeper into the skin, creating an inflammatory reaction.
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.
Why Is Cystic Acne so Painful? Simply put, cystic acne causes pain due to the pimple's size, depth, and inflammation. Because they're so deep in the skin, they're closer to nerve endings, so high amounts of inflammation may be especially painful in certain areas.
What Causes Acne Flare Ups in the Summer? “Heat and humidity cause increased sweat and oil production in the skin leading to clogged pores and increased breakouts,” says Morgan Rabach, MD, a New York City-based board certified cosmetic dermatologist.
Skin purging refers to a reaction to an active ingredient that is increasing skin cell turnover in order to improve acne. When using prescription-strength acne medications, it's reasonably common for your skin to get worse before it gets better.