Dermatologists Swear by This Treatment for Cystic Acne (2024)

Cystic acne flare-up is arguably the most emotionally and physically draining uphill battle.

We all have experienced ill-timed acne before an event.

They have ruined a lot of meant-to-be perfect days.

Where most acnes are just at the surface, cystic acne stems deep into the skin.

This makes the treatment of cystic acne a tall order.

The condition’s cause can be food triggers, hormonal changes, or stress.

Timely treatment for cystic acne is imperative.

But how can you treat cystic acne?

In this article, we deconstruct the best dermatologists’ recommendations.

Table of contents

  • What is Cystic Acne?
  • What causes acne cysts?
  • How to treat cystic acne?
    • Topical treatment for cystic acne
    • Oral medications
  • Treating cystic acne on the back
  • Natural treatment for cystic acne
  • The bottom line
  • Frequently Asked Questions

What is Cystic Acne?

There are different kinds of acne. They come in many forms, sizes, and shapes.

Cystic acne is one of the most severe kinds of acne.

It is characterized by the formation of “sensitive, inflamed nodules beneath the skin.”

Blocked pores can get bigger, producing cysts beneath the skin.

If these cysts burst, they can result in inflammation and the loss of the skin’s basic structure, including normal hair follicles and collagen.

The chin and jaw are the darling places for acne development.

In addition to the face, acne can also develop on the back, chest, and shoulders.

What causes acne cysts?

Dermatologists Swear by This Treatment for Cystic Acne (1)

Clogged pores are the immediate cause of acne.

The skin produces a natural oil. The oil may block the pores, resulting in inflammation, swelling, and bacterial colonization in the pore.

This blockage can be because of a few variables like:

  • Hormonal fluctuations like pregnancy, menopause, and puberty
  • Certain medications like Steroids or oral contraceptives
  • Conditions that may affect the menstrual cycle like Polycystic Ovarian Disorder (PCOS)
  • Stress and depression release some hormones in the body that may cause an acne flare-up
  • Some people may face acne because of genetics
  • Lifestyle changes and an unhealthy diet

Other factors contributing to the worsening of cystic acne include prolonged use of heavy cosmetics and improper removal.

The variables listed above can both cause and worsen acne.

To find the most effective treatment for cystic acne, you need to diagnose the root cause.

How to treat cystic acne?

The treatment of cystic acne is a challenging task.

However, AAD is optimistic that a derm can treat any acne with a proper diagnosis.

Dermatologists recommend a combination of treatments like topical and oral.

The prescriptions have to be paralleled by lifestyle changes and a healthy diet.

To provide long-term solutions, the following treatments or combinations shall be adopted on recommendation from a derm:

Topical treatment for cystic acne

The topical prescription for cystic acne comes in many forms:

  • Retinoids: the essential ingredient present in Retinoids is Tretinoine, Adapalene, or Retinol.

    Vitamin A is the primary source of retinoids.They are occasionally used with topical antibiotics to optimize their efficacy.

    Retinoids used topically are available in creams, gels, and lotions for everyday usage.

    A Ret Gel 0.01% is a trusted Retinoid-based topical acne treatment.

  • Antibiotics: When cystic acne occurs due to the colonization of bacteria (Cutibacterium acnes), antibiotics are the best solution. They also ensure the prevention of acne.
  • Benzoyl Peroxide inhibits bacterial growth and prevents pores from becoming clogged

Oral medications

Where topical medications are effective for micromanaging cystic acne, systemic prescriptions have a fuller effect on the body.

  • Spironolactone: This medication works best for inflammation-induced acne. It reduces the Androgen levels in the body and is not recommended for pregnant women.
  • Oral Contraceptive: These contain Estrogen, which helps improve the acne cycle.
  • Retinoids: These come in both topical and oral medication forms. 85% of the patients got clear skin with the help of Retinoids. They are an effective treatment for cystic acne; however, they are not recommended for pregnant women.
  • Antibiotics: Cystic acne treatment antibiotics can help decrease the severity of acne and eventually treat it.

Some of the medicines mentioned above are available OTC.

However, they are not effective as compared with Derm prescribed treatments.

Treating cystic acne on the back

Dermatologists Swear by This Treatment for Cystic Acne (2)

Over-the-counter (OTC) treatment for cystic acne may not be efficient when they occur on the back.

Where cystic acne treatment on the chin is viable, the back can be a distant battle.

Acne on the back is one of adolescents’ or young adults’ most common issues.

Where cystic acne treatment for adults can have many possible reasons, in the case of adolescents, puberty is often the culprit.

In addition to the above-said treatments, your dermatologist may suggest

  • Drainage: to limit the infection; your doctor may cut and drain the cyst
  • Corticosteroid: Injections of steroids into a cyst might diminish its size and severity
  • Prednisone: This option is often taken up when the case of cystic acne is serious

Only a doctor can prescribe the best method to carry out the treatment. Gels like A Ret Gel 0.01% are often the preferred choices.

Consult the doctor if you have acne on your back with sharp, red bumps further under the skin.

Natural treatment for cystic acne

At-home remedies are the first line of treatment for any condition.

While we cannot guarantee that these remedies will eliminate a bulge overnight, they will help with prevention, treatment, and recovery.

Mask out the acne

A few masks can be easily made at home that may help fight acne.

You can crush an Aspirin and mix it with water to make a paste.

Apply it to the cysts and wash it off.

Aspirin consists of Salicylic acid that helps treat inflammation on the skin.

Another substance that has anti-inflammatory properties is turmeric.

Make a mask of turmeric and apply it to the skin for not more than 30 minutes.

Ice the flame

Rub the ice on the skin, preferably, in circular motions.

This will help tone down the acne as it has anti-inflammatory properties.

Keep an eye on your diet

This one is complicated. Each of us is exclusive, and our bodies have distinct preferences, aversions, and sensitivities.

Nevertheless, if you routinely experience cystic breakouts, modifying your diet (or avoiding certain foods) might be the most constructive home cure and treatment for cystic acne.

Go for the greens and stay clear from oily and fried food.

Eating Prebiotics like curd and kefir can also help as they encourage clear skin.

Meditate and do not pick!

Stress is one of the realities that not only affects mental but physical health as well.

Meditation can be one of the best treatments for cystic acne for adults.

Adolescents, too, may get stressed from school.

Meditation exercises like yoga can help settle the mind.

Cystic acne’s favorite spot is the face’s jaw or chin area.

The temptation to pick them out will always lure you as they are pretty visible when you look in the mirror.

However, picking the acne will only encourage it to grow and infect the surrounding.

Skincare but with caution!

Following a simple skincare routine is essential.

We have a lot of DIY skin care products and influencers preaching the same.

However, every skin is unique, and what works for one may harm the other.

It is best advised to confirm with your derm the products and techniques you use.

The bottom line

Treatment for cystic acne can be painful and expensive.

However, with the above-listed over-the-counter treatments for acne and at-home remedies, you can be ready for clear skin.

Frequent cystic explosions can be a severe issue that a dermatologist can only remedy.

Frequently Asked Questions

How much time does cystic acne take to heal?

It might take at least three months to eliminate acne cysts.

Treatment often entails taking oral antibiotics and applying topical gels or creams with a prescription.

Antibiotic creams, gels, solutions, and lotions kill germs and reduce inflammation as cystic acne treatments.

How to treat and prevent cystic acne?

To prevent the development of cystic acne, you can take the following steps:
1. Wash your face at least twice with lukewarm water
2. Use oil-free cleansers and products
3. Do not attempt to pick the affected area
4. Exfoliating acne-prone skin is also not recommended
5. Avoid the sun and wash immediately if you sweat
6. Meditate and adopt a healthy lifestyle
7. Avoid fried and oily food

Is it possible to treat cystic acne overnight?

Treatment for cystic acne is not a miracle.

There is no overnight remedy for the same.

You can use prescribed medications like antibiotics, Retinoids, Spironolactone, and topical medications.

At-home remedies like ice, turmeric masks, and skin care may also help.

Dermatologists Swear by This Treatment for Cystic Acne (2024)

FAQs

What would a dermatologist prescribe for cystic acne? ›

For cystic acne, dermatologists will typically prescribe a topical retinoid such as adapalene or tretinoin. Stubborn cases may require oral isotretinoin, a retinoid that shrinks the oil glands and decreases oil production.

What is the best treatment for severe cystic acne? ›

Isotretinoin. 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.

How do you stop cystic acne from growing? ›

Apply a hydrocolloid acne patch

“The patches are often made out of hydrocolloid materials that are super absorbent to help flatten the cyst. In addition, some of these acne patches contain active ingredients such as salicylic acid or tea tree oil that treat the pimple while concealing it.”

Why do I keep having cystic acne? ›

Cystic acne forms deep beneath the skin's surface. Like pimples, cystic acne can be caused by clogged pores that are filled with excess oil, dead skin cells, and bacteria. This causes the skin's dermis (the middle layer) to swell up, which leads to an infected lump on the skin's surface.

How long does it take for cystic acne to go away? ›

Depending on the treatment, cystic acne can last for eight to twelve weeks. When a pore gets clogged from skin cells, oil, and bacteria, it can become infected, leaving a red and swollen bump. Cystic acne occurs when this infection goes deep into the skin, creating a bump that can be painful to the touch.

What foods cause cystic acne? ›

You're more likely to have acne if your diet is full of foods and drinks like soda, white bread, white rice, and cake. The sugar and carbohydrates in these foods tend to get into your blood really quickly. That means they are high on the glycemic index, a measure of how foods affect blood sugar.

What hormone causes cystic 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.

Which is better for cystic acne benzoyl peroxide or salicylic acid? ›

Research on the chemical differences between these two acne-fighting agents has shown that salicylic acid opens the pores and has a bit of a sloughing, exfoliating effect. However, benzoyl peroxide is superior for treating acne because it has an anti-microbial effect and a better antioxidant effect.

Why is my cystic acne getting worse? ›

The bacteria multiply, causing the inflammation that starts a cystic pimple. Basically, when your hormones are raging, your cystic acne will get worse. Because of this, you're more likely to experience a bad breakout during puberty, as well as a few days before each period.

Does diet affect cystic acne? ›

A low-glycemic diet may lead to fewer pimples

Findings from small studies suggest that following a low-glycemic diet may reduce the amount of acne you have. Low-glycemic foods include most fresh vegetables, some fresh fruits, beans, and steel-cut oats.

Does stress cause cystic acne? ›

Although dermatological experts advise that stress does not cause acne, some research identifies a link, and medical professionals agree that stress can worsen symptoms. Stress can affect a person's hormonal balance and the skin's immune function. This may increase the chance of oily skin and clogged pores.

What foods get rid of cystic acne? ›

Which foods might help to improve acne?
  • fish, such as mackerel, salmon, and sardines.
  • pastured eggs.
  • soybeans and soy products, such as tofu.
  • spinach and kale.
  • navy beans.
  • grass-fed beef.
  • nuts, such as walnuts and almonds.
  • flaxseeds.

Can Apple cider vinegar cure cystic acne? ›

Because ACV contains acetic acid, malic acid, and lactic acid, which are often used in skin care products, natural healers often suggest using ACV as a cystic acne treatment to help exfoliate dead skin and kill bacteria. Although ACV does contain acids that can be effective in treating acne, studies are inconclusive.

Which essential oil is best for cystic acne? ›

Healthline's picks for the best essential oils for acne
  • Tea tree. ...
  • Oregano. ...
  • Lavender. ...
  • Bergamot. ...
  • Rosehip. ...
  • Eucalyptus. ...
  • Lemongrass. Lemongrass has antibacterial and anti-inflammatory properties. ...
  • Peppermint. Because it has antibacterial properties, peppermint essential oil might be helpful for acne-prone skin.

Does drinking water help cystic acne? ›

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.

What should I avoid if I have cystic acne? ›

If you have acne, you're not alone.
...
Dairy products, refined foods, and high-sugar foods and beverages should be avoided:
  • Milk and dairy products: milk, cheese, yogurt, etc.
  • Highly processed foods: fast food, frozen meals, meal bars, sugary cereals, chips, microwave meals, white bread, etc.
Jul 24, 2019

Which fruit causes acne? ›

Raisins, dates, and prunes. These fruits are packed with fiber, but they're all high on the glycemic index (GI), a system that ranks foods on how quickly your body converts them to sugar. Some studies suggest that eating foods that are high on the GI may make acne worse.

How do I know if my acne is hormonal or cystic? ›

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.

Is Dairy causing my cystic acne? ›

Dairy cows are treated with artificial hormones that affect their milk supply. Researchers suggest that those hormones may throw your hormones off balance when you consume milk products. This could trigger acne. Another theory is that the growth hormones already in milk naturally aggravate acne no matter what.

How do you stop cystic hormonal acne? ›

What else can I do to clear hormonal acne?
  1. Wash your face in the morning and again in the evening.
  2. Apply no more than a pea-size amount of any acne product. Applying too much can dry out your skin and increase irritation.
  3. Wear sunscreen every day.
  4. Use only noncomedogenic products to reduce your risk of clogged pores.

How do I know if my acne is hormonal or bacterial? ›

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.

What helps hormonal cystic acne? ›

Cystic Acne Treatment

Oral antibiotics to help control bacteria and lower inflammation. Birth control pills to regulate a woman's hormones. Benzoyl peroxideto kill bacteria on your skin and fight inflammation. Retinoid, a form of vitamin A, in a cream, lotion, foam, or gel.

Is benzoyl peroxide good for cystic acne? ›

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.

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