Understanding Cystic Acne: Causes, Prevention, and Treatment

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Close up of woman's face with cystic acne

Today, I want to dive deep into a persistent and often painful skin condition—cystic acne. This type of acne can be particularly challenging to manage, but with the right knowledge and skincare routine, you can keep it under control.

Let's explore what cystic acne is, what causes it, and how you can effectively treat and prevent it.

 
 

What is Cystic Acne?

Cystic acne is a severe form of acne that results in large, inflamed cysts or nodules on the skin. Unlike regular pimples, which typically form on the surface of the skin, cystic acne develops deeper within the skin's layers. These deep-rooted blemishes are often red and painful to touch.

What Causes Cystic Acne?

Acne is a complex skin condition that can have various causes, and cystic acne is no exception. Here are some common factors that contribute to the development of cystic acne:

  • Hormonal changes: Fluctuations in hormone levels, such as during puberty, pregnancy, menstruation, or menopause can increase oil production and lead to cystic acne. This is why teenagers and women experiencing hormonal changes are often affected.

  • Genetics: If your parents or siblings have a history of cystic acne, you may be more prone to developing it.

  • Diet: Some studies suggest that high intakes of dairy, processed foods, and sugar can worsen acne symptoms.

  • Stress: Chronic stress can lead to an increase in the hormone cortisol, which can trigger inflammation and contribute to cystic acne.

  • Skincare products: Using heavy or pore-clogging skincare products can also contribute to cystic acne, especially if you have sensitive skin.

You might have heard some myths about what causes cystic acne, such as poor hygiene, chocolate, sexual activity, or eating greasy foods. However, there is no evidence to support these claims. Cystic acne is mostly caused by internal factors, as mentioned above.

Identifying Cystic Acne: What Does It Look and Feel Like?

Cystic acne is characterized by large, red, and painful bumps under the skin's surface. Unlike typical pimples, these cysts do not come to a head and can take weeks, or even months, to heal.

They might feel like hard knots and can be tender to the touch. It's essential to recognize the symptoms early to start appropriate treatment and minimize the risk of scarring.

Where Does Cystic Acne Appear?

These cysts commonly appear on the face, particularly on the cheeks, forehead, and chin. However, they can also develop on the back, chest, shoulders, and upper arms.

These areas have a higher concentration of oil-producing glands, making them more prone to breakouts. If you frequently experience cystic acne in these areas, it may indicate an underlying hormonal imbalance.

Cystic acne treatment

How to Treat Cystic Acne

Managing cystic acne can be challenging, but with a comprehensive skincare routine and some lifestyle changes, it is possible. Here are some effective treatment options:

Over-the-Counter Options

  • Benzoyl Peroxide: Helps kill bacteria and reduce inflammation.

  • Salicylic Acid: Unclogs pores and exfoliates the skin.

  • Retinoids: Promote cell turnover and prevent clogged pores.

Relate: Exploring Popular Skincare Ingredients For Beginners

Prescription Options

  • Oral Antibiotics: Reduce bacteria and inflammation from within.

  • Isotretinoin (Accutane): A powerful treatment for severe cystic acne, usually prescribed when other treatments fail.

  • Hormonal Therapies: Birth control pills or anti-androgen medications can help regulate hormones that cause acne.

  • Corticosteroid Injections: Injectable corticosteroids can reduce inflammation and speed up the healing process for large cysts.


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How to Prevent Cystic Acne

While you may not be able to prevent cystic acne entirely, there are steps you can take to minimize its occurrence:

  • Cleanse gently: Avoid aggressive scrubbing or using harsh cleansers that can irritate the skin and trigger excess oil production.

  • Maintain a healthy diet: Limit your intake of dairy, processed foods, and sugar. Instead, focus on eating a balanced diet rich in fruits, vegetables, and whole grains.

  • Try stress-reducing activities: Engaging in relaxation techniques like meditation, yoga, or deep breathing can help manage stress levels and reduce the risk of breakouts.

  • Don't touch your face: Avoid touching your face throughout the day to prevent transferring bacteria and oils from your hands onto your skin.

  • Don't sleep with makeup: Always remove your makeup before going to bed, as it can clog pores and contribute to breakouts.

  • See a professional: If over-the-counter treatments are not working, it's essential to consult a dermatologist for professional guidance and treatment.

Prevention of Acne Scarring

Preventing scarring is a vital aspect of managing cystic acne. Here are some practical tips and techniques:

  • Do not pop cysts: As tempting as it may be, popping or picking at your cystic acne can lead to scarring and even spread bacteria, resulting in more breakouts.

  • Avoid excessive sun exposure: Sun exposure can darken scars and make them more noticeable. Always wear sunscreen when going outside to protect your skin.


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Skincare Routines for Cystic Acne: Best Practices

A consistent and gentle skincare routine can make a significant difference in managing cystic acne. Here's a simple yet effective regimen:

  • Cleanser: Start with a gentle, non-foaming cleanser to remove impurities without stripping your skin.

  • Toner: Use a toner with soothing ingredients like witch hazel or chamomile to calm inflammation.

  • Serum: Incorporate a serum containing niacinamide or hyaluronic acid to maintain hydration and strengthen the skin barrier.

  • Moisturizer: Choose an oil-free, non-comedogenic moisturizer to keep your skin hydrated without clogging pores.

  • Spot Treatment: Apply a targeted treatment with benzoyl peroxide or salicylic acid directly on cysts to reduce their size and inflammation.

  • Sunscreen: Finish off your morning routine with a lightweight, broad-spectrum sunscreen to protect your skin from UV damage

  • Night Treatment: At night, use a retinoid product to promote cell turnover and prevent clogged pores. If prescribed by a dermatologist, follow their instructions.


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This is one of the most effective topical treatments for inflamed and non-inflamed acne. Once on the skin, benzoyl peroxide reduces bacteria by oxygenating pores, causing peeling, and loosening of impactions to clear and prevent acne breakouts.

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Final Thoughts

Cystic acne can be a challenging skin condition, but with the right approach and treatments, you can manage it effectively. If you're struggling with cystic acne and need personalized advice or treatments, book an appointment with me at Kim Gallo Esthetics. Our custom skincare treatments are designed to target your specific skin concerns and help you achieve clearer, healthier skin.

Remember, you're not alone in this journey. With the right knowledge and support, you can take control of your skin and feel confident in your appearance. Let's work together to awaken your natural beauty!

For more expert skincare tips and treatments, follow me on social media and stay tuned for more blog posts.