Struggling with those large, red and painful breakouts on your skin? Cystic acne, which is the most severe form of acne, must be dealt with seriously. The inflammatory condition requires medical intervention.
Our skin consists of sebaceous glands, which produce sebum (natural oil). When excess sebum is produced, it leads to clogged pores. This creates an environment for bacteria (P. acnes) to thrive, which in turn leads to the development of cysts in the deepest layers of the skin. [1]
Although most acne is related to adolescent age, it can develop at a later stage in life too. The following factors trigger cystic acne: [2]
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Cystic acne is most common in people with oily skin. It is also common in teens, women and anyone with hormonal imbalances.
The condition can affect your face, chest, back, upper arms and shoulders. It is prevalent in the lower half of women’s faces.
Since cystic acne is the most severe kind of acne, it requires a dermatologist intervention. According to your condition, your doctor may suggest a treatment method or combination therapy. Here are some medical treatment options:
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Benzoyl peroxide functions by reducing the bacteria causing cystic acne and thereby reducing inflammation [3]. It can be used in concentrations of 2.5 - 10 %. It comes in the form of cleansers and bars, lotions, creams and gels.
Benzoyl peroxide has a tendency to dry out your skin. Make sure you know your skin type and then use the right concentration of benzoyl peroxide.
A derivative of Vitamin A, Isotretinoin can be taken in the form of tablets [4]. This is one of the most effective forms of treating cystic acne. Isotretinoin shows results in 6-8 months of usage.
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Although it is very effective, it can have some side effects like mood swings, inflammatory bowel syndrome, bruising, skin inflammation, urine in blood, headaches and muscle pains.
Topical retinoids are also recommended for cystic acne, even though they do not carry the same power as oral retinoids. They come in the form of creams, gels and lotions.
Topical retinoids can make your skin red and make it susceptible to sunburn. Using a sunscreen is a good idea when you are on topical retinoids.
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Triamcinolone is a corticosteroid [6] that can be directly injected into the cyst to reduce inflammation and soothe cystic acne. This treatment is done by a certified dermatologist.
You can’t pop oral contraceptives to cure cystic acne if you are a smoker, have blood clots or are planning a pregnancy.
Incision and draining the cyst is another way to treat it. Make sure you get it done under the supervision of a dermatologist.
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A. Cleanse: Wash your face twice a day in the morning and night to remove all the dirt, makeup residue and excess oils from your face. Make sure to use a gentle cleanser and not scrub too much, which can aggravate cystic acne.
B. Moisturize: Hydrate your skin and let your oily skin repair its natural barrier with a good moisturizer. Make sure it is non comedogenic and oil free so that it does not clog your pores further.
C. Never Sleep With Your Makeup On: No matter how tired you are, make sure to remove your makeup before hitting the bed. Also stick to non-comedogenic and oil-free makeup.
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D. Sunscreen: Wear sunscreen before stepping out as this can protect your skin from sunburns. A lot of cystic acne medications tend to make your skin susceptible to sunburn.
E. Kick Away Stress: Practice yoga, meditation or some form of exercise to keep stress at bay. Stress is linked to acne breakouts.
F. Healthy Diet: Avoid foods full of carbs, sugars and fats. Increase your intake of fresh fruits and vegetables. Pro tip: Do not touch, pick or squeeze acne. By doing so, you are only pushing the infection deeper and spreading it.
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Normal acne comprises of a few pimples that are not usually painful. Cystic acne is the most severe form of acne and usually larger than normal acne. It is characterized by red and pus filled breakouts deep in your skin.
While cystic acne is stubborn, you don’t need to live with it. There are advanced treatment options to help you get rid of cystic acne. Visit your dermatologist to find out which of the above treatments might work for you.Stay ahead of the trend in fashion and beyond with our free weekly Lifestyle Edit newsletterStay ahead of the trend in fashion and beyond with our free weekly Lifestyle Edit newsletter
A mum who felt “like a monster” and even hid her face from her daughter when an attack of cystic acne refused to respond to antibiotics is finally able to leave the house after her mother treated her to an £85 “miracle cure.”
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Suffering with cystic acne for 10 years, legal PA Jaime Graves, 42 – who believes the pus-filled pimples that form deep under the skin were first triggered by hormonal changes in her early 30s – had always been able to clear her complexion with antibiotics.
But when a break out covered her face in January 2022, after she had tested positive for Covid, single mum Jaime – who lives in Houghton Conquest, Bedfordshire, with her daughter, Freya, 13 – says her usual prescription had no effect.
Even hiding her face under make up from Freya, it was not until her mum, Susan, 68, a retired secretary, bought her a skin care bundle after reading about its properties, that Jaime says her spots started to disappear, adding: “My mental health was so low earlier in the year.
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“I can’t believe I’m now freely leaving the house whenever I want to and I even joined a work video call the other day completely make up free, which is something I never would have done before.”
She said: “I had acne as a teenager, like loads of people do at that age. It didn’t really bother me and I grew out of it.
“Throughout my adult life, I’ve been quite prone to getting spots here and there, but it was always manageable and nothing that a bit of foundation couldn’t hide.”
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She said: “I suffered a really bad outbreak across my face that wouldn’t go away. I went to the doctor’s and they told me I had cystic acne.
“I was given antibiotics which calmed my skin down. Over the last 10 years I’ve only had two bad outbreaks of cystic acne and both times antibiotics prescribed by my GP have done the trick to fix it.”
She said: “I was under the weather for a few days, but the worst side effect I suffered from Covid was another cystic acne outbreak.”
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She added: “It was so bad that my skin was red raw and so sore. I had bumps of cysts across my face. I felt like a monster.”
She said: “I was prescribed antibiotics, which normally take a couple of weeks to take effect. After a fortnight though, there were no improvements. I felt helpless.”
Not knowing what to do to solve the issue, Jaime admits she did not want to be seen by anyone until her skin was clear.
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She added: “I made excuses not to meet friends and worked from home on days when I should have been in the office.
“The only trip outside I would take was to do the school run, but even then, I wouldn’t get out of the car.
“I did all my food shopping online and would wait for the delivery driver to step back before opening the door, in the hope that they wouldn’t be close enough to my face to see how bad it was.”
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She said: “I didn’t want her to see how red and sore it was. I looked like a monster, it was horrible.
“Even though I knew it would make things worse, I would put make up on upstairs, so I was covered up in front of her. She even caught me doing it at one point and asked me why.”
She added: “I didn’t know what to say. I was just at my lowest point and my skin was drastically affecting my confidence and mental health.”
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At the end of April 2022, Jaime’s mum offered to buy her a skincare bundle from a firm called Bedew, costing £85.
She said: “My mum could see how badly affected I was by my skin and she said she’d do anything to help me.”
She added: “She purchased a Bedew essentials kit which she had read good reviews of and came with an almond oil cleanser, moisturiser, hyaluronic hydrator, enzyme peel, SPF face cream, and a cloth, and she also got me a pink clay mask.
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Jaime says she would refuse to leave her car during the school run as she was embarrassed of her skin. (Collect/PA Real Life)
Jaime used the products as part of her morning and evening skincare routine and was shocked at how soon she noticed results.
She said: “I noticed a change within about two weeks. My skin was so much more hydrated, the lumps had started reducing and so had the redness. My skin around my eyes was also improving, I was elated.
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“At last, something was working and I thought I might be able to have
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