People with cystic acne develop pus-filled acne cysts (pimples) deep under the skin. The acne cysts are often painful and can be large. A dermatologist should treat cystic acne to reduce the risk of scarring and infection. Antibiotics and prescription-strength topical (skin) creams can help clear up your skin.
Cystic acne is a type of inflammatory acne that causes painful, pus-filled pimples to form deep under the skin. Acne occurs when oil and dead skin cells clog skin pores.
With cystic acne, bacteria also gets into the pores, causing swelling or inflammation. Cystic acne is the most severe type of acne. Acne cysts are often painful and more likely to cause scarring.
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Nodular acne and cystic acne are very similar. Both cause deep, painful bumps under the skin. And both can scar. Differences include:
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). This infected, red, swollen lump is an acne cyst.
A cystic acne breakout may cover a large area of skin. Cystic acne tends to appear on the face, which has a lot of oil glands. But you can also get acne cysts on your:
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Acne cysts can be difficult to treat. Because they can scar, you should seek help from a dermatologist instead of trying over-the-counter acne products. A dermatologist can teach you how to treat cystic acne.
It can take three months or more to clear up acne cysts. Treatment often involves taking oral antibiotics and applying prescription-strength topical gels or creams to the skin.
Opening up acne cysts — by popping or picking them — increases the risk of scarring and bacterial skin infections like cellulitis.
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Some people develop pigment changes (light or dark) spots at the site of the acne cyst after the skin clears up. These spots may be pink, purple, red, black or brown. They eventually fade away, but it may take more than a year.
Most people with cystic acne can prevent severe breakouts or quickly treat acne cysts to prevent scarring. Often, but not always, cystic acne clears up or diminishes with age, as hormones settle down.
Severe or untreated cystic acne can affect how you feel about your appearance, making you anxious or depressed. If cystic acne bothers you, talk with your healthcare provider about getting help with fostering a positive self-image.
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It’s tempting to want to touch or pick at painful, swollen acne cysts. But cystic acne is more likely than other zits to scar or develop infections. A dermatologist can offer suggestions to prevent cystic acne. This doctor can also treat painful acne cysts, lowering the chances of scarring. Antibiotics and topical (skin) creams are effective cystic acne treatments.
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Erin Jahns is a hair, makeup, and nails expert and beauty editor with over five years of experience in the industry. She is currently the senior beauty editor at WhoWhatWear.
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Rachel is a board-certified dermatologist and Assistant Clinical Professor at Mount Sinai Hospital Department of Dermatology. She has contributed to , as well as Harpers Bazaar, Marie Claire, Allure, Vogue, and the New York Times, and more
Zits, pimples, blemishes, bumps—whatever you want to call them, acne breakouts are par for the course in life. To make matters complicated, not every type of pimple is alike, and not all require the same treatment. Case in point: cystic acne breakouts—those underground, painfully stubborn bumps with the irritating tendency to hang around for days, weeks, or even months—which don't respond to usual zit creams, according to Renée Rouleau.
Most spot treatments are meant to dry up pustular blemishes on the surface. If you use this type of product on a cyst, you'll only end up with dry, flaky skin on top while a painful bump still remains underneath, explains Rouleau. Yikes.
No More Acne Troubles! Best Home Remedies For Cystic Acne
Expensive facials and treatments aside, what can we be doing at home to treat unwavering cystic acne breakouts? Well, we called in the experts (four to be exact) to help break down some of the best home remedies for cystic acne that might actually work. And while we're not promising these solutions will magically erase a bump overnight, they will aid in prevention, management, and healing.
For cystic acne (those pesky, red, painful, under-the-surface bumps), both Jennifer Herrmann, MD, FAAD, and Joshua Zeichner, MD, recommend a simple at-home mask consisting of crushed aspirin and water.
Crush up an aspirin tablet, and mix it with water to make a paste. Then, apply it directly to a cystic pimple, Zeichner explains. Aspirin is a cousin to salicylic acid and may help calm inflammation and pain. (However, he tells us it won't nix excess oil.)
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Next up, apply a triple threat of acne-fighting ingredients. Benzoyl peroxide lowers levels of acne-causing bacteria, hydrocortisone cream reduces inflammation, and salicylic acid removes excess oil to dry out a pimple, says Zeichner. He recommends Neutrogena and other acne-targeting options like Clean and Clear Advantage Acne Spot Treatment($6) and Cortaid.
Celebrity esthetician Angela Caglia tells us her go-to methodology: Applying ice, which can be anti-inflammatory for acne (just be careful not to use it for too long to prevent damage to the skin). Remove an ice cube from your ice tray and rub it in circular motions directly on top of the cystic acne spot, she says. Continue the motion until it is too sensitive from the cold. She suggests three times daily for best results.
Simply applying ice to your cystic breakout can also work wonders when it comes to decreasing the swelling, redness, pain, or even itchiness associated with cystic acne.
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Diluted white vinegar is an amazingly broad antibacterial that can help kill the acne bacteria, explains Herrmann. I recommend mixing a couple of capfuls of white vinegar in a cereal bowl full of purified water to use as a cleanser over the skin twice daily.
According to Herrmann, a hard-hitting retinoid can also be a helpful tool to have in your arsenal when it comes to a painful cystic acne breakout. Differin, a powerful retinoid, is now available at its lowest strength over the counter. This is an excellent choice to help exfoliate and remove surface skin cells clogging pores.
This one's tricky. After all, we're each unique, and our bodies have different likes, dislikes, and sensitivities. That being said, if you're consistently battling cystic breakouts, making some subtle tweaks to the foods you are (or aren't) consuming can be one of the best home remedies for cystic acne, according to our experts.
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Try swapping out dairy: Dairy is a mucus-forming food that can be difficult for the body to digest—which is why many people are lactose intolerant, she explains. There have been a few studies that suggest a connection between dairy consumption and acne flare-ups, but note that this connection isn't proven or fully understood by the medical community.
Try cutting out all forms of dairy (yogurt, milk, and all cheeses) for three weeks to see if any new breakouts appear. If not, you might know your instigator.
Avoid processed foods and sugar: We get it. This one can be hard. But scientifically speaking, it's impossible to argue that processed, sugary, and starchy foods don't exacerbate inflammation, which in turn can lead to breakouts. So if you're on a mission to decrease the occurrence of cysts, Zeichner suggests avoiding these kinds of foods, which he says promote inflammation throughout the body and have been shown to lead to acne breakouts.
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Although research is still ongoing, there is a connection between gut health and skin health, Herrmann shares with us. Regulating the healthy bacteria in the gut by getting a daily dose of probiotics can help decrease overall skin inflammation and encourage clearer skin.
Caglia is also a fan of this at-home cystic acne antidote and suggests loading up on things like yogurts, kefir, kimchi, and veggies, as these types of foods help seal the gut, which creates a healthy barrier to ward off inflammation which can encourage acne.
As Zeichner tells us, Tea tree oil has anti-inflammatory and antimicrobial properties, making it ahome remedy for treating cystic acne. Plus, he adds, It can decrease the amount of acne-causing bacteria sitting on top of the skin and simultaneously reduce inflammation. There's a reason the oil
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