"Cystic acne usually occurs in the chin and jaw areas," says Rouleau. "The reason for this is often due to the hormonal shifts and imbalances in the body.
Causes of Cystic Acne
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.
Cleansing the area: Wash the face with a gentle, pH-balanced cleanser to remove any makeup, oil, or dirt. Applying ice: Wrap an ice cube or cool pack in a cloth and apply to the pimple for 5–10 minutes. Take a 10 minute break and repeat. Applying a topical treatment: Use a product that contains 2% benzoyl peroxide.
Why cystic acne develops
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.
Start by exfoliating the skin with a salicylic acid cleanser. Follow up by wrapping a paper towel around an ice cube and pressing it gently on the inflamed area. Next, use benzoyl peroxide to kill the bacteria and finally, use an over-the-counter hydrocortisone cream to reduce redness.
Hormonal acne happens because of hormone fluctuations, especially testosterone. A rise in testosterone may stimulate the excessive sebum production from the sebaceous glands. When this sebum combines with dirt, bacteria, and dead skin cells, it results in clogged pores and acne.
Pimples on the chin are very common, particularly for people with hormonal or adult acne. While not dangerous, they can be embarrassing or unsightly. Pimples are small, raised spots on the skin. They occur when the hair follicles and sebaceous oil glands get clogged with dead skin, oil, and bacteria.
While you may want to pop your cyst open, you should never do so by squeezing or picking at it. Most cysts are nearly impossible to squeeze out with your fingers alone. Plus, you can send bacteria and sebum deep below the hair follicles, causing the materials to spread and make even more cysts.
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.
Following a nutrient-dense diet, cutting out dairy, and limiting added sugars are evidence-based practices that may improve acne symptoms. Taking certain supplements like vitamin D and green tea extract, getting enough sleep, quitting smoking, and reducing stress are other healthy ways to fight this disease.
Water has many ways in which it can improve your skin, which helps to improve your acne over time. Drinking water has both direct and indirect benefits for treating acne. Firstly, with bacterial acne, water helps to remove toxins and bacteria on the skin, reducing the potential for pore-clogging in the process.
Vitamin D is actually a hormone that communicates with your other hormones, making it especially essential to help balance hormones. So, ensure you're getting enough vitamin D2 and D3 to ease and prevent hormonal fluctuations.
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.
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.
“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.
Fortunately, estrogen supplements are now available over the counter. These medications contain either lower doses of naturally-occurring estrogen or other compounds that prompt the body to produce more. Nature's Way Dim-Plus Supplement is a bioidentical form of estrogen that can help relieve the symptoms of menopause.
For women, hormonal changes relating to pregnancy or the menstrual cycle can also trigger acne. Falling estrogen levels may increase the risk of acne around menopause.
B Vitamins
Because B vitamins play a vital role in the creation of estrogen, low levels of B vitamins can result in reduced production of estrogen. Vitamins B2 and B6, in particular, are associated with healthy estrogen levels.