Differences Between Cystic Vs. Hormonal Acne. While hormonal acne is seen in men and women going through significant hormonal changes – aging, pregnancy or even stress – cystic acne occurs at any age as a result of dietary sensitivities and an overproduction of sebum.
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.
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.
Regular Pimples Have Whiteheads While Sebaceous Cysts Lack Whiteheads. Regular pimples form a whitehead that is attached to the skin surface. On the flip side, sebaceous cysts do not have a whitehead. Therefore, if you try to pop a sebaceous cyst, the substances in the cysts will not come out.
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.
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.
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.
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.
What causes cystic acne? Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin's middle layer (the dermis).
According to a study published in the Archives of Dermatology, 63% of acne-prone women experience these premenstrual flares. They usually strike about seven to 10 days before the onset of a woman's period and then subside as soon as bleeding begins.
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.
Given the increase in oil production, she says your skin will usually look greasier and slightly more inflamed. Zeichner adds that stress acne can also look like a combination of blackheads, whiteheads, red bumps, and pus pimples.
Hormonal acne occurs more often in women and is typically located on the lower part of the face. Breakouts happen along the jawline, the chin, and the perioral region (the area surrounding the mouth). The breakouts consist of inflammatory lesions, cysts, whiteheads, and blackheads.
They resemble a whitehead with a red ring around the bump. The bump is typically filled with white or yellow pus. Avoid picking or squeezing pustules. Picking can cause scars or dark spots to develop on 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.
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.
Hormonal acne happens because of hormone fluctuations, especially testosterone. A rise in testosterone may stimulate the excessive sebum production from the sebaceous glands. When this sebum combines with dirt, bacteria, and dead skin cells, it results in clogged pores and acne.
Stress triggers or worsens acne by multiple mechanisms. Not many studies have assessed the relationship between stress and acne flares. On the basis of this study, it is concluded that stress positively correlates with acne severity.
“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.
At its root, adult acne is caused by the same things that cause teen acne: excess skin oil and bacteria. Any changes in hormones, including those brought on by pregnancy and menstruation, can trigger excess oil. Women who smoke also seem to be more prone to acne.