Cystic acne can spread across large areas of your face, chest, back, shoulders, or upper arms. If and when the pus-filled clog erupts, the infection spreads, further aggravating the situation, and possibly leading to permanent scarring.
Cystic acne occurs when sebum becomes trapped in follicles beneath the skin and bacteria increases, subsequently becoming infected and leading to cystic acne. The pressure of this built-up sebum can cause cell walls to breakdown, leading to the infection spreading sideways underneath your skin.
Out of all types of acne, cystic acne is the most likely to scar. You can reduce the risk of scarring by leaving all cysts alone. This means you can't ever pick or pop cysts. Picking at this type of acne can also spread infections.
Keratosis pilaris causes small, red bumps that can be mistaken for acne. Clues you're not dealing with acne: Unlike pimples, these bumps feel rough and usually appear on dry skin. You'll usually see them on your upper arms and on the front of your thighs. You may notice that family members also have these bumps.
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.
Your acne appears around your chin and jawline. One of the telltale signs of a hormonal breakout is its location on the face. If you're noticing inflamed cystic acne on your chin or jawline area—anywhere around your lower face, really—you can bet your bottom dollar that it's probably hormonal acne.
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.
Hormones, genetics, medications, diet and stress are a few things that can both cause and aggravate cystic acne, according to Barankin and Ibrahim. While the effects of hormones, genetics and most medications are things you can't control, diet and stress are two lifestyle factors that you can manage.
Cystic acne is when you have large, red, painful breakouts deep in your skin. Pimples start when a pore in your skin gets clogged, usually with dead skin cells. Bacteria can also get trapped, causing the area to become red and swollen.
While it might seem that pimples form overnight, it actually takes between 1 – 2 weeks for an acne spot to fully develop.
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.
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. It occurs in both sexes, although teenage boys tend to have the most severe cases.
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.
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.
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.
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.
Due to the fact that cystic acne is only caused by a change in hormones, genetics, and the oil production level in the skin, it must be treated by a dermatologist. Home skin care remedies as well as over-the-counter topical treatment and medication rarely work and can take a very long time to show any sort of result.
Cystic acne can be caused by a variety of factors
Hormone imbalance – particularly fluctuations of estrogen and progesterone. Certain medical conditions, such as polycystic ovarian syndrome. Medications such as testosterone, lithium and steroids can aggravate acne.
Stress won't give you acne if you're not already predisposed to it, but it can make acne worse by causing levels of certain hormones to temporarily increase. “When your fight-or-flight response is activated, the body releases stress hormones, such as cortisol and androgens,” Dr. Minni explained.
“Cystic acne is commonly increased in your thirties as this is when the skin is most susceptible to hormonal changes. The hormonal shifts affect the oil glands and sebaceous glands in the skin,” Dr. Purvisha Patel, board certified dermatologist and founder of Visha Skincare adds.
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.
Unfortunately, cystic acne often doesn't go away on its own and requires treatment from a doctor or dermatologist. Cystic acne has psychological effects as well as visible effects on the skin.
Cystic acne is a type of acne where painful cysts form under your skin. It emerges when dead skin cells, oil, and bacteria get trapped in your pores. That leads to infection under the skin's surface. The infection weakens the walls between your skin's cells, creating large fluid sacs that are commonly known as cysts.