If your deep, painful cystic acne tends to return the same time and place each month, your hormones are likely to blame. Hormones cause an increase in oil production and can lead to, you guessed it, acne, which is why it's often referred to as hormonal acne.
Acne can come back in the same spot due to certain habits, such as resting your chin in your hand while you're reading or working on your computer, touching your phone to your face when you're making a call, or putting certain makeup or skincare products on the same area on a regular basis.
So to help prevent breakouts from repeatedly forming in the same place, incorporate regular exfoliation into your routine with either a cleanser containing AHA's or BHA's, or a topical light retinol such as 0.2-0.5 to keep pores clear over time and helps with the speed of cell turnover.
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.
Hormonal changes, including those caused by menopause, menstruation, pregnancy, and certain medical conditions like polycystic ovarian syndrome (PCOS), can be triggers for cystic acne.
Soak a clean washcloth in water that is hot, but not too hot to touch. Apply the warm compress. Hold the warm compress on the blind pimple for 10 to 15 minutes. Repeat the application three to four times a day until the blind pimple comes to a head and releases the pus.
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.
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.
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.
Sometimes bacteria can also get trapped inside the pore, creating a localized infection that makes the area red and slightly painful. Although these pimples should not be popped, they are easier to deal with or treat and will usually go away after some time. Cystic acne, on the other hand, does not go away by itself.
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. It's also more common in teens, women, and older adults with hormonal imbalances. Usually, cystic acne can improve with age.
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.
Persistent Pimple Rx
One reason a pimple keeps popping up in the same place is that the pore it developed in is damaged -- usually the result of too much picking. Prodding at a pimple can loosen the cell lining of the pore and cause the clogged oil to slip deeper into the skin, creating an inflammatory reaction.
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.
When androgen hormones become too high, there is an increase in sebum production (sebum is the oil in your skin that causes acne). So, when your body starts to develop more oil in the skin it can result in breakouts and cysts.
A person should see a dermatologist if they have inflamed acne, which can include large pimples or painful cysts. They should never try to pop or extract this type of acne, as doing so can cause pain, infection, and permanent skin damage.