“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.
What causes acne in your 30s? “As we age, our body also goes through many changes,” Suarez says, “and hormonal shifts are the main cause of adult acne.” As a result, skin is more vulnerable to hormone changes as an adult. Hormonal changes increase oil production, leading to clogged pores and breakouts.
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).
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.
You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.
Hormones
Testosterone and estrogen levels begin to decline in your early 30s. This means lower cell turnover, less elasticity, and dryer skin. If you don't take care of your skin to balance out these hormonal changes, this can lead to early wrinkles and acne flare-ups.
Your acne appears around your chin and jawline. One of the telltale signs of a hormonal breakout is its location on the face. If you're noticing inflamed cystic acne on your chin or jawline area—anywhere around your lower face, really—you can bet your bottom dollar that it's probably hormonal acne.
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.
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.
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.
At its root, adult acne is caused by the same things that cause teen acne: excess skin oil and bacteria. Any changes in hormones, including those brought on by pregnancy and menstruation, can trigger excess oil. Women who smoke also seem to be more prone to acne.
Most people begin to notice a shift in the appearance of their face around their 40's and 50's, with some also noticing a change in their 30's. But with these physical changes brought on by aging also comes a change in the appearance of our face - Luckily, there is treatment available.
After age 30, people tend to lose lean tissue. Your muscles, liver, kidney, and other organs may lose some of their cells. This process of muscle loss is called atrophy. Bones may lose some of their minerals and become less dense (a condition called osteopenia in the early stages and osteoporosis in the later stages).
Here are some guidelines based on age: In your 20's facials 3 to 4 times a year. In your 30's & 40's facials every other month. 50+ facials each month - your skin is experiencing the most changes.
On the surface, cystic acne can look like large, red boils. Cysts, like nodules, reside deep underneath the skin's surface. But because they're filled with pus, cysts are softer than nodules. The pimples that define cystic acne burst open, often leading to infection.
A blackhead may look like dirt stuck in pores. But actually the pore is congested with bacteria and oil, which turns brown when it's exposed to the air. Pimples are raised red spots with a white center that develop when blocked hair follicles become inflamed or infected with bacteria.
Hormonal acne can start in the teenage years and continue in to the 20's and 30's. Hormonal acne may also develop for the first time over the age of 20. Hormonal acne can also develop perimenopause and menopause.
Like other types of acne, you shouldn't try to squeeze out a cyst in order to “pop” it. But there are things you can do at home that can help work the cyst out from deep in your skin so it comes out on its own.