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.
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.
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.
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. Environmental risk factors.
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.
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.
Stress pimples will usually pop up in the oiliest areas of the face, like the forehead, nose and chin. Your T-zone might look greasier and more congested too. Doctors say that if you're getting clusters of pimples all at once, stress can be a factor—hormonal pimples happen one at a time.
Also essential to keep in mind: Try not to stress even more over your stress acne. It may take a while, but it will go away eventually.
“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.
Usually, cystic acne can improve with age. However, the stubborn and painful bumps won't go away on their own. If you suspect you have cystic acne, your dermatologist is your best line of defense. They can prescribe the medication necessary to help clear your skin.
Stress causes many health problems—but ovarian cysts aren't one of them. [1] Ovarian cysts are a common occurrence often caused by the natural process of your menstrual cycle. While stress doesn't lead to ovarian cysts, it may impact your ability to conceive in other ways.
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.
Stress can increase the production of substances that activate oil glands within the skin of acne patients. Consumption of dairy and high-glycemic foods is also linked to acne. Certain hair or skin products can clog pores and cause comedonal acne (blackheads and whiteheads).
According to face mapping, acne and facial blemishes develop in specific zones because of internal issues, which may include high blood pressure, dehydration, and digestive wellbeing, or even as a complaint from another organ in the body, such as the 'angry' liver.
Stress can't directly cause acne. However, studies have shown that if you already have acne, stress does make it worse. Researchers have found that wounds, including acne, are much slower in healing when a person is under stress.
If you have recently experienced a highly stressful or traumatic event, you may have noticed that your skin has flared up badly. It could be very dry, scarring more easily or you could find yourself with acne or rosacea.
If you have depression or anxiety, your dermatologist may refer you to a mental-health professional for therapy sessions or even medication. Lowering overall stress — like with meditation or exercise — can also be an important way to help keep your acne under control and improve mental health.
What does hormonal acne look like? Whiteheads, blackheads, papules, pustules, cysts and nodules are all common hormonal acne symptoms. Normally, whiteheads and blackheads do not cause pain, inflammation or swelling, but if they do, then they are most likely forming into cysts and pustules.
Usually, cystic acne can improve with age. However, the stubborn and painful bumps won't go away on their own. If you suspect you have cystic acne, your dermatologist is your best line of defense. They can prescribe the medication necessary to help clear your skin.
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.
If you have a red, cystic pimple that hurts to touch, and is deep under the skin, try your best to leave it alone—do not try to pop or squeeze in any way—you'll raise your risk of infection and permanent scarring.