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.
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).
You're most likely to get cystic acne in your teens or early 20s. But it can happen to children as young as 8 or adults as old as 50. Your face, chest, back, upper arms, or shoulders can be affected. If one of your parents had severe cystic acne, you have a higher chance of getting it.
Acne often disappears when a person is in their mid-20s. In some cases, acne can continue into adult life. About 3% of adults have acne over the age of 35.
Adult acne, or post-adolescent acne, is acne that occurs after age 25. For the most part, the same factors that cause acne in adolescents are at play in adult acne. The four factors that directly contribute to acne are: excess oil production, pores becoming clogged by "sticky" skin cells, bacteria, and inflammation.
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.
Hormones are a common trigger for cystic acne and can sometimes worsen things along the chin and jawline in particular," says dermatologist Jennifer Adams, MD. "There are several different types of acne ranging from the milder comedonal bumps, to papulopustular, to the most inflammatory type called nodulocystic.
Topical antibiotics: Topical antibiotic products can kill the types of bacteria that may cause or worsen severe acne. They can also help to prevent more pimples from forming. Benzoyl peroxide: This ingredient helps to kill bacteria and prevent pores from becoming blocked.
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.
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.
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.
Key takeaways. There's no specific acne gene. However, genetics can play a role in whether you're prone to acne. In addition to genetics, hormones and lifestyle factors can also affect skin and breakouts.
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.
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.
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.
Try applying a topical spot treatment with an active ingredient such as benzoyl peroxide or salicylic acid. By applying an over-the-counter spot treatment directly to your skin, you can help shrink that sucker down.
Whether you're dealing with large, inflamed cystic acne, stubborn blackheads, or even a mix of both, CeraVe's Renewing SA Cleanser has you covered. It's spiked with salicylic acid to remove pore-clogging dirt and excess oil from your skin while ceramides replenish moisture and niacinamide calms inflammation.
To heal cystic acne, you could reach out for tea tree oil as it contains anti-fungal and anti-inflammatory properties that may provide relief to the acne flare-up and calm the inflamed areas of the skin. Tea tree oil might also help lessen the cluster of acne-causing bacteria that layer upon the surface of the skin.
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 forms deeper in the skin than other types of acne, and this makes it more complicated for a number of reasons. For one, cystic acne takes longer to form and go away. Since this acne can grow longer without risk of popping, cystic acne nodules become much larger than traditional 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.