What is cystic acne?

Whether you get occasional whiteheads or persistent pimples, acne can be painful and frustrating. Luckily, most acne breakouts will clear up on their own. Cystic acne is different.
Cystic acne forms when bacteria causes inflammation to the inner layers of your skin. It creates cysts of fluid deep under the surface of your skin. These patches can look red and become inflamed and painful, causing discomfort and taking a toll on your self-confidence. However, it is possible to treat cystic acne.
Cystic acne is the most severe type of acne. Cystic acne gets its name from the large red bumps that appear on the skin. It usually shows up on the face, back, chest, or even the buttocks.
These bumps are not “poppable” like regular pimples. That’s because the pus in cystic acne is trapped layers underneath the surface of your skin.
The main causes of cystic acne are:
Genetics
Genetic traits like acne can be passed down within a family. Although acne is often associated with the hormonal changes of teenagers, you can develop cystic acne well into adulthood.
Diet and lifestyle
It’s not yet known if certain foods trigger a cystic acne outbreak. Some foods that are commonly associated with a higher rate of outbreaks are processed sugar and dairy.
Changes in hormones
Your hormones change as you get older. You could also be taking a new product that contains hormones. Each person is different and will have a different reaction to changing or fluctuating hormones.
Anyone can develop cystic acne, but teenagers or people whose hormones are changing are the most likely to develop this skin condition. If you have a family history of cystic acne, there is a higher chance you will develop it at some point in your life.
Cystic acne can take a toll on your self image. People who have serious acne are more likely to have low self esteem and confidence. They may experience depression or withdraw from social activities.
Diagnosis for cystic acne
Acne is the most common skin disease in the U.S. More than 80% of the population will develop it at some point. Doctors diagnose cystic acne by examining the skin. They will look for blackheads and whiteheads to differentiate between acne and other skin conditions. Large, red bumps on the skin are characteristics of cystic acne.
The farther along your cystic acne develops, the more likely it is you’ll develop scarring on your face. You should visit the dermatologist if you suspect you have cystic acne. Early treatment can be crucial to your skin’s recovery.
Treatments for cystic acne
There are multiple treatments available for people who have cystic acne. Talk to your dermatologist to figure out what’s causing the acne and decide which solution is right for you.
- Medications
Several prescriptions are available for treating cystic acne, including:
- Isotretinoin (Accutane): Isotretinoin is an oral medication. It’s proven to be one of the most effective cystic acne treatments. A dermatologist usually oversees the course of this medication. A treatment course can last 16-20 weeks.
- Hormonal birth control: For people who menstruate, birth control can be an effective cystic acne treatment. It works by balancing your hormones, but it may take up to six months to start seeing results.
- Antibiotics: Antibiotics are often used as a short-term solution to treat inflammation caused by cystic acne.
- Retinoid creams: Retinoids are derivatives of vitamin A. Applying a retinoid cream to your skin helps speed up the skin’s cell turnover. Skin that regenerates quickly also heals quickly.
Home remedies
There are things you can do at home to help your cystic acne treatment be effective, including:
- Don’t over-wash your face. Your skin produces natural oils that keep it moisturized. If you constantly wash away those oils, the skin will overproduce oil to keep from drying out.
- Never pop the cysts. This can cause long term effects like scarring and even delay healing.
- Avoid touching the affected skin. The more your skin is left alone between treatments, the better.
- Avoid using heavy makeup. Heavy makeup can clog your pores and trap dirt in the skin. Wearing light or water-based makeup will allow your skin to breathe.
Alternative therapies
- Cyst drainage: This is when the doctor makes a small incision and drains the cyst. You should not attempt to do this at home.
- Corticosteroids: The dermatologist may recommend corticosteroid injections. They are injected directly into the cysts by the doctor.

QUESTION
Acne is the result of an allergy. See AnswerPossible side effects of treatments
Isotretinoin, also known as Accutane, is one of the most effective oral medications for cystic acne. However, if a patient becomes pregnant while taking isotretinoin, there can be severe developmental problems or deformities with the fetus. It can also cause miscarriage or stillbirth.
Women are usually required to be on two forms of birth control while taking isotretinoin. They are also tested for pregnancy each time they receive another dose. Other side effects of isotretinoin include:
- Severely dry, chapped lips
- Sensitivity to the sun
- Dry eyes and mouth
- Nosebleeds
Latest Skin News
Daily Health News
Health Solutions From Our Sponsors
American Academy of Dermatology Association: “Can the Right Diet Get Rid of Acne?”
American Academy of Dermatology Association: “Isotretinoin: The Truth About Side Effects.”
American Academy of Dermatology Association: “Stubborn Acne? Hormonal Therapy May Help.”
American Academy of Dermatology Association: “What can clear severe acne?”
Merck Manual: “Acne Vulgaris.”
Postgraduate Medical Journal: “Acne: more than skin deep.”
Cutaneous Medicine for the Practitioner: “A combined analysis of 2 randomized clinical studies of tretinoin gel 0.05% for the treatment of acne.”
Penn Medicine: “What Is Acne?”
Top How Do You Treat Cystic Acne Related Articles
Acne (Pimples)
Acne is a localized skin inflammation as a result of overactivity of oil glands at the base of hair follicles. This inflammation, depending on its location, can take the form of a superficial pustule (contains pus), a pimple, a deeper cyst, congested pores, whiteheads, or blackheads. Treatments vary depending on the severity of the acne.Acne Quiz
Acne is the most common skin disorder in the world. If you suffer from acne, you are not alone and many treatment options are available. Learn more about pimples, blackheads, and comedones with the Acne Quiz.Dealing with Adult Acne
Adult acne causes include hormones, medications, makeup, and other things. Adult acne is treated with medications, products, face washes, and home remedies. Use a skin care regimen provided by your dermatologist to treat adult acne.Cystic Acne
Cystic acne is distinguised by painful nodules on the chest, face, neck, and back. This form of acne is known to scar. Treatment may incorporate the use of hormonal therapies, oral antibiotics, and prescription medications.Cystic Acne Picture
Cystic acne is a type of abscess that is formed when oil ducts become clogged and infected. See a picture of Cystic Acne and learn more about the health topic.How Do You Get Rid of Acne Scars Overnight?
Acne breakouts are common and quite frustrating. Strategies to get rid of acne will take time to work, so you must be regular and diligent in their application. Aloe vera, apple cider vinegar, cocoa butter, honey and cinnamon, green tea, tea tree oil and other substances improve skin's appearance.How Do You Make Pimples Go Away Fast?
Learn what medical treatments can help ease your pimples symptoms and speed up your pimple recovery.How Does Stress Cause Acne?
Excessive amounts of sudden and prolonged stress may cause changes in the brain and body chemistry. Stress increases the risk of acne by drying out the skin, ramping up oil production and increasing levels of stress hormones which ages the skin.How Long Does Cystic Acne Last?
What is cystic acne? Learn the signs of cystic acne, what causes cystic acne, how doctors diagnose cystic acne, and what you can do to treat cystic acne.Natural Remedies for Acne Scars
What are acne scars? Learn how to treat acne scars and get rid of acne scars naturally.Acne and Food
How can you get rid of acne breakouts with nutrition? Does this food cause acne? Milk, chocolate, and seaweed are all considered by some to promote acne. Find healthy foods that promote acne treatment. What can diet changes do to improve acne care?Teen Girls Skin Care
Want to know how to get rid of blackheads? Discover tips on clogged pores, sunscreen SPF and how to remove makeup for different skin types like dry skin and oily skin in these health tips for teens.Skin Quiz
What's that all over you? Skin, of course! Test your knowledge of your most amazing organ with the Skin Quiz!What Actually Gets Rid of Acne?
We all love surprises, but not all surprises are pleasant. One such surprise being acne or pimple that may appear like an uninvited guest on our face. Often, this may happen right before an important event, such as a function or a presentation. Acne is one of the commonest skin conditions affecting almost everyone at some point in their life.What Is Best for Acne Treatment?
The best treatment depends upon the cause of acne and associated factors, such as your age and severity of acne. The treatment options for acne include Lifestyle management, topical (externally applied) antibiotic medications, topical retinoids, oral medications, light treatments, chemical peels, and topical tea tree oil.What Is Considered Severe Acne?
Severe acne causes breakouts that often extend deep into the skin. In severe acne, a single pimple or cyst can stay on the skin for weeks or months at a time. Grade III acne is considered severe acne.