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.”
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.
Cystic acne is caused by acne vulgaris, or the same type of acne that leads to whiteheads and blackheads. Triggered by hormonal changes, such as menstruation, acne vulgaris causes oil glands to overproduce. These glands can then become swollen with excess oil, which then hardens into a cyst.
Isotretinoin (Accutane), a powerful prescription medication, is considered the most effective treatment measure for cystic acne. It's derived from a powerful form of vitamin A, taken in tablet form every day. About 85 percent of people who take it experience improvements within four to six months.
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.
Topical prescription treatments: Along with recommending over-the-counter products, your dermatologist may prescribe medicated spot treatment you can apply directly to cystic flare-ups. Oral medications: Spironolactone is a diuretic, which means it removes fluid from your body and regulates sebum production.
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.
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.
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.
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.
Apply a warm compress
Applying a warm compress can help to treat a blind pimple. The heat can open up pores, which may draw the pimple closer to the skin's surface and create a head. The formation of a head enables the sebum, cells, and bacteria to exit the skin.
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.
By using warm treatments first, you can help remove any debris that's trapped in your pores. After applying warmth for 5 to 10 minutes, you can then follow up with ice for one minute to decrease inflammation and swelling. You can repeat this process daily as needed until the pimple clears up.
Because ACV contains acetic acid, malic acid, and lactic acid, which are often used in skin care products, natural healers often suggest using ACV as a cystic acne treatment to help exfoliate dead skin and kill bacteria. Although ACV does contain acids that can be effective in treating acne, studies are inconclusive.
What the research says. Plenty of anecdotes say that dotting a cystic acne flare-up with a bit of Vicks and leaving it on overnight will shrink your zit by morning. Some of the ingredients in Vicks VapoRub are known pimple fighters, so this home remedy isn't totally unfounded.
For acne breakouts, baking soda can help soothe inflammation and mild pain. It can be used as an exfoliant or added to current acne treatments to boost effects. However, it's not recommended for everyday use.
Don't use rubbing alcohol or hydrogen peroxide on wounds or to control oily skin or acne breakouts. They're not effective and they can damage your skin, making the problem worse. Just use soap and water to clean a wound, and for acne, use an over-the-counter product with salicylic acid or benzoyl peroxide.