What is Cystic Acne?

Cystic acne is a severe form of acne characterized by large, painful, pus-filled lumps beneath the skin’s surface. These cysts are much deeper and larger than typical pimples, resulting in significant inflammation and scarring. They often appear on the face, neck, chest, and back.

Understanding Cysts

Unlike blackheads or whiteheads, cysts don’t have an open pore. They form when sebum (oil), dead skin cells, and bacteria become trapped deep within the skin. This trapped material triggers an intense inflammatory response, causing the noticeable swelling and redness. These cysts can be extremely tender to the touch and may persist for several weeks, leaving behind noticeable discoloration or scarring.

Treating cystic acne requires a tailored approach, often involving prescription medications. Over-the-counter treatments generally prove ineffective against the severity of cystic lesions. A dermatologist can determine the best treatment plan, which might include topical retinoids, antibiotics, or oral medications like isotretinoin (Accutane). Early intervention is key in minimizing scarring and reducing the duration of breakouts.