What are the causes and treatment for cystic acne?

Cystic acne - skindiseasehospital

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The most severe form of acne is cystic acne.

If you suspect that you have this type of acne, whether you’re a teenager or an adult cystic acne sufferer. You should do yourself a favor and not waste your time trying out general OTC acne products and treatments. These are largely ineffective for treating and eliminating your underlying cystic condition.

Perhaps even more worrying is the fact that the longer your cystic condition persists and goes improperly treated. The greater the chances are that it could lead to permanent scarring and pitting of your skin, which for most sufferers is the ultimate effect that you want to avoid.

What is cystic acne?

Unlike other forms of acne, where the “pimple” inflames and ruptures above the surface of the skin, cystic acne tends to produce much larger, more irritable, and often more painful pimples or lesions below the skin’s surface.

The additional problem is that the infected pimple grows and then ruptures below the skin’s surface, which can cause more below skin pimples to develop…and so the cycle continues.

A cystic acne condition is not just visible on the face or back, like some milder acne conditions caused by hormonal imbalance. It can literally affect any part of your body, although chin and jawline cystic acne conditions are becoming more common.

With this type of more serious form of acne, also unfortunately often comes a host of other symptoms in greater than normal quantities, such as deteriorating skin appearance, soreness, and redness not to mention the huge emotional toll that it takes on you.

What causes cystic acne?

The actual cause of cystic acne is no different from the cause of other forms of acne, the result is just different.

A pore in your skin becomes blocked for one reason or another and bacteria infects it. If the infection travels deeper down through the skin’s surface, it can develop a cyst at this lower level as opposed to the pimple developing on the skin’s surface.

The infection creates pus which is the reason for the lump that you can feel from pressing your skin.

Pores mostly get blocked by microscopic grime and dead skin cells although excess production of sebum (skin lubricating oil) can also be produced which fills and clogs up your pores.

Excess sebum production is often associated with a hormonal imbalance, whether that be just temporary or longer term.

Nodulocystic Acne

A nodulocystic acne is a severe form of cystic acne. This occurs significantly more in males and affects the face, back, and chest.

Symptoms of this condition include more extensive and more inflamed nodules (firm lumps to touch) as well as pus-filled cysts. It is spread more densely than usual beneath the skin’s surface. Scarring often occurs as well.

If you suspect that you suffer from this severe form of cystic acne, you should seek medical advice and treatment immediately, to not only get the acne condition under control and ultimately get rid of the acne but also to minimize the risk of deep and permanent scarring.

Best Treatment for Cystic Acne

The ultimate treatment to actually tackle the underlying reasons (hormonal imbalance/overproduction of sebum) will require prescription medication.

Acne skincare products can be used daily to minimize outbreaks and reduce the look of your acne. Even during the prescribed treatment course.

Best skin doctor in Coimbatore has a number of different treatment options available to them, depending on your particular acne circumstances, but some of the most widely used include:

Oral Antibiotics

For less severe cases and where there are no immediate dangers of your cystic condition causing permanent scarring. Many doctors may prescribe this milder treatment option to see the result of acne go. Whether you are lucky enough to see the results you want.

For some, the antibiotics do just enough to reduce the production and appearance of acne. Especially useful if your body is going through a temporary hormonal imbalance to more permanently eliminate your acne condition anyway.

Birth Control Pills

Many women have successfully started taking or changing the type of birth control pills that they are taking to counteract some of that hormonal imbalance.

If you have recently developed acne having recently started taking a particular brand of the contraceptive pill, then it may be worth considering swapping the type/brand and monitoring acne changes.


All kinds of creams, gels, and lotions contain it. It is common to use retinoids with prescription medications.

It does help to tackle the problem from the outside in by keeping your pores cleaner and killing off that infecting bacteria, but probably more importantly, it creates a skin state that allows the prescription medication that you’re taking to work more effectively.

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