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.
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.
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.
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.
If you have blackheads and whiteheads, salicylic acid alone should work well to clear out your pores. If your acne tends to be inflammatory, such as papules and pustules, opt for benzoyl peroxide to stop outbreaks at the source. For sensitive skin, start with salicylic acid, since it's less likely to cause irritation.
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.
“If you have acne-prone skin, you should wash your face at least twice a day,” says Dr. Obayah. “A foaming cleanser can be helpful for oily skin and it's important not to skip out on using moisturizer when you have oily skin (lack of moisture can lead to your skin overproducing oil to keep it hydrated).
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.
Management and Treatment
Inflammatory acne: Topical retinoid and/or topical antibiotic and/or benzoyl peroxide. Moderate to severe acne: Antibiotic and/or isotretinoin (retinoid). Cystic acne: Steroid injection (intralesional triamcinolone).
For cystic acne removal, start with a high concentration of salicylic acid cleanser – around 1 to 2% – depending on how sensitive your skin is. The high concentration of salicylic acid, a beta hydroxy acid (BHAs) will help shrink cystic pimples by removing excess oil, sloughing off dead skin cells, and drying them out.
Like I mentioned earlier, salicylic acid and sulfur won't help cystic acne. It can make it even worse if it dries out or irritates your skin.
Benzoyl peroxide topical acne treatment can be used to treat any type of acne, but it is most effective on inflammatory acne, called acne vulgaris. It can also be used for whiteheads, blackheads, and cystic acne, but it should be used in combination with other medications for these types of acne.
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.
Cetaphil has certainly been found effective for milder forms of both teenage and adult acne. However, although it is beneficial for keeping the skin surface clean and bacteria-free, it may not be so effective for more severe forms of acne, such as cystic acne.
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.
Cystic acne is a type of acne where painful cysts form under your skin. It emerges when dead skin cells, oil, and bacteria get trapped in your pores. That leads to infection under the skin's surface. The infection weakens the walls between your skin's cells, creating large fluid sacs that are commonly known as cysts.
Regular acne consists of the smaller pimples, papules, whiteheads, and blackheads that appear and disappear fairly quickly -- in a matter of weeks. Cystic acne involves deep, painful lumps under the skin, called nodules or sebaceous cysts.