Acne cysts are filled with pus, a fluid. Acne nodules are more solid and harder than acne cysts because they don't contain fluid.
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.
Cystic acne is the most severe form of acne, where pimples become large and pus-filled. This form of acne is more likely to cause scarring.
Popping cystic acne
Whatever you do, do not pop your cystic acne! This will be painful, delay the healing process and likely cause scarring. While pustules, blackheads and whiteheads have a core of dead skin or pus that can be squeezed out, cysts don't have this core because they're deep under your skin.
Apply a Warm Compress
After cleaning the cyst, hold a warm compress on the area for five to ten minutes. The moisture and the warmth help to encourage the substance trapped under the skin to make its way out of the hair follicle. Repeat this process up to three times per day until the cyst drains on its own.
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.
“For a pimple emergency, I recommend that you see your board-certified dermatologist for a cortisone injection,” Turner says. “This involves the injection of a drop of a potent anti-inflammatory to help shrink down the pimple overnight.” It's a drastic approach, but it the best and quickest way to guaranteed results.
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.
Apply an antibiotic ointment, such as Bacitracin, with clean hands or a clean cotton swab. Wash your hands after applying the ointment, too. Apply an antibacterial spot treatment moving forward, such as tea tree oil. This will help to fight bacteria while ideally reducing inflammation.
Do not squeeze the cyst or poke it with a needle to open it. This can cause swelling, redness, and infection. Always have a doctor look at any new lumps you get to make sure that they are not serious.
Blackheads, or open comedos, are clogged pores that are filled with dead skin cells and oil, not dirt or grime as myth may suggest. The blackish portion of a blackhead — aka the sesame seed — is due to the oxidation of the dead skin cells and oil when exposed to air.
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. Cystic acne happens when this infection goes deep into your skin, creating a bump that's full of pus.
A sebum plug can look like a tiny bump under the surface of the skin or it may stick out through the skin like a grain of sand. When a sebum plug forms, bacteria that normally lives harmlessly on the surface of your skin can start to grow within the follicle. Inflammation follows, causing a breakout.
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.
Cystic acne is the most serious type of acne. It develops when cysts form deep underneath your skin. This can result from a combination of bacteria, oil, and dry skin cells that get trapped in your pores. Although anyone can develop acne, cystic acne tends to occur in people with oily skin.
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.
Icing the site of your cystic breakout will help bring down the swelling, making your acne less sore and noticeable. To safely apply a cold compress, first enclose ice in a clean cloth or ziplock bag. (DO NOT put ice or ice packs directly on your skin!
If you once squeezed a whitehead until it burst, it's possible that the entire blockage wasn't removed—meaning that pimple could become inflamed again, says Dr. Zeichner. The irritation or exposed bacteria could also cause another pimple to form right next to your previous one.
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.
Try applying a hot, wet compress to the cyst a few times a day. The heat will help pull out the pus, allowing the cyst to drain. This can relieve pain and itching. You might also try soaking the area in a warm, shallow bath.
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.
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.
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.
Because the lesions are especially prone to infection, treating cystic acne takes some time. Your doctor may prescribe antibiotics, such as doxycycline, to kill the bacteria responsible for the cystic acne infection.