Doctor insights on:
Can Dexamethasone Injections Treat Acne Cysts
Cystic acne meds: Deep cystic acne can be treated with steroid injections that help decrease the inflammation of the acne. It is not a cure but a momentary treatment. Providing long term acne improvement with ala (amino levulinic acid) and light lasers can make a lasting impact with cystic acne as well as pixel laser. R Accutane as well as oral antibiotics with a good skin care regimen can help as well. ...Read more
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
Took dexamethasone and Clomid to help ovulate. Did bloodwordk at day 22 to check progesterone level? Came back as 5. Last time was 0.4 without taking the steroid. Been spotting a little bit for 3 days and bad acne. Did I ovulate and could I be pregnant?
Heat: Local treatment is heat with hot towel or device. A dermatologist can shrink cysts if necessary with a cortisone shot. If you are cystic and over the counter acne medications do not work, a dermatologist can prescribe topical or oral medications to prevent and control your problem. ...Read more
Can acne cysts spread? Must they be treated or will they go away? How often does this happen? Why does this happen?
Rx cystic acne: I'm going to assume the diagnosis is correct. Cystic lesions may need a steroid injection from a skilled dermatologist. Regardless, having acne today is a sign of poor self-care and is a professional liability. Hopefully you are using a topical agent such as benzoyl peroxide, and you'll need a second prescription-strength rx as well. If offered isotretinoin, consider doing it. Best wishes. ...Read more
Forgive my frankness: Cystic acne is a brutal disease that gravely disfigures you now and will leave your skin permanently mutilated. You can't treat it on you own, and if your parents are interfering with your desire for effective therapy, pick up the phone and call your physician. Despite all the internet scare stuff, Isotretinoin is by far the most effective medication. It's not for sissies, but it's what you need. ...Read more
Not recommended: Treating cystic acne with home remedies may lead to permanent scarring, infection and may even lead to brain infection and blood vessel infarction. A dermatologist or a family doctor who has a calling for acne should be consulted as there are many forms of available medical therapies. The doctor may even be able to provide you some tips you can use at home to help tackle the problem better. ...Read more
Isotretinoin: This is strong stuff, not cheap or pleasant, but is your best choice if this is really the problem. ...Read more
Experience counts: Some cysts can be injected with kenalog (triamcinolone) (steroid) while others may need incision or drainage, and some may need surgical excision. If it's not treated correctly it can leave a bad scar or even make the cyst worse or infected. Make sure the practitioner you see has a lot of experience treating cysts. ...Read more
Yes: Other options include oral antibiotics such as Doxycycline and minocycline. You coule also use Retin-A (tretinoin) which is the topical version of Accutane (isotretinoin). Also the cysts can be injected with a dilute corticosteroid medication called kenalog (triamcinolone). Laser treatment for cystic acne is still somewhat investigational and probably would not be covered by insurance. ...Read more
How to treat cystic acne? Pls help any other alternative foods fruits to eat, ? Or other things to do thanks alot.!
Scientific Rx: Diet won't help. If you're a female, the oral contraceptive pill may clear you if you can take it. If not, you will need at least a systemic antibiotic plus appropriate topical therapy. True cystic acne usually requires Accutane or something similar from a dermatologist. It's not pleasant and has its risks, but is worth it. Good luck. ...Read more
I'm a 31, never had acne issues before, have always used the same recreational substances since the age of 14 - but I'm now developing cystic acne that is persistent despite good hygiene habits. Do you know what causes this and how to treat it?
New acne: No I do not. Discuss with your Dr. Many causes. ...Read more
Immediately: This halts the growth of an enormous cyst. It's a stopgap in managing the overall disease. Cystic acne usually requires systemic treatment with isotretinoin. This is not for the faint-hearted but most people who have done a course are very glad. Best wishes -- I hope your treatment is relatively comfortable and completely successful. ...Read more
I have tried acutane and became very depressed trying to treat cystic acne. Do you have any other suggestions?
Never seen a derm before; have a painful cystic bump on face, otherwise non-acne skin. What does dr do to treat something like this?
It Depends: It depends on the size, location and duration for starters. Small, localized areas may respond to localized, conservative treatment. Larger or deeper abscesses my require systemic antibiotics and surgical drainage. ...Read more
When does Accutane start to improve acne? Also will it treat my tiny bump pinples Aswell as cystic pimples?
Acne: We can't respond if we don't know your age. ...Read more
My cystic acne breakout starts again on my cheeks. But this time fewer in number. How I treat them. I am depressed?
Treating Acne differ: The cause of acne is poorly understood. However the consequences are well understood and may be devastating. While Accutane is one of the most effective treatments, therapy requires a full understanding of the risks. Once active cystic acne has occurred, practitioners differ in their treatment regimens. In the usa, medications & skin care are commonly recommended; in europe, surgery is more common ...Read more
Seldom have pimple/cystic acne. ONE cystic appeared 1mnth ago, no longer red but big bump remain & it won't come to a head. How do I treat it?
Let it be:
Leaving it alone is the best option. You may try warm fomentation. Do not try to pop it as that will only lead to a scar. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco or alcohol in any form.
Practice safe sex.
Get HPV vaccine. ...Read more
I'm 37 and suddenly breaking out with cystic acne all over my face (norm 1-2 a month on chin). No change in diet or lifestyle. Why now? How to treat?
Hormonal, stress: Acne is one of those things that is always waiting there to attack if you give it a chance. So depending on hormonal changes in some, stress in others, it can erupt. Often times it is self limited and will improve with some time. Now, if you do not want to wait there are always skin care products and medications to help. See your physician or specialist for more info. ...Read more
How many mg of a corticosteroid is the maximum amount that a dermatologist can inject to treat facial cystic acne?
We use 2.5mg/cc: Yes...We use 2.5mg/cc and inject between a 1/2 to 1 cc depending on the size of the cyst....But the concentration will vary a little depending on which steroid you use. We use traimcinolone acetonide. There is no real maximum concentration but if you use too strong of a concentration or inject too large of a volume you can cause steroid atrophy. ...Read more
I keep getting large, painful cystic acne on my chin. One goes away & new one comes up. It's leaving scars. What can I do to prevent them/treat them?
Is it okay to use leftover doxycycline (previously used to treat cystic acne a few months ago) to treat my UTI?
Not OK: First, your UTI should be professionally confirmed, ideally in person or at least speaking with your doctor if your symptoms are typical and you did a home self test to confirm positive WBC and nitrite in your urine. Second, doxycycline is not a recommended drug for UTI. And since you took the drug fairly recently, there is a good chance the bacteria causing your UTI is resistant to it. ...Read more
My forehead is sunken in from a cortisone injection into a cystic acne lesion on jan.8/2013. What are the possible treatments?
Fat injection: First the area must have time to be free of steroid then fat injection taken from another area seems to be best the area may also fill in on its own. Saline injection is often suggested but doesn't reliably work see a plastic surgeon. ...Read more
16. W/ cystic acne mainly on chin. Mens has gone irregular lately. Lack of sleep. Rarely eats veggies. Tried salicylic. How to treat my acne?
Significant atrophy of forehead due to cortisone injection into cystic acne 10 weeks ago. It has filled in very slightly. Will it continue to recover?
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