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Doctor insights on: Cystic Acne And Facial Cellulitis Medscape

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If a dermatotogist injects a max of 5mg/cc of a corticosteroid for facial cystic acne, how many ml is he actually injecting?

If a dermatotogist injects a max of 5mg/cc of a corticosteroid for facial cystic acne, how many ml is he actually injecting?

1 ml: If he's injecting just 5 mg, and it's 5 mg/cc, a cc and an ml are the same amount, so he's injecting 1 ml. ...Read more

Dr. Neal Schwartz
169 Doctors shared insights

Cystic Acne (Definition)

Acne cysts are large nodules developing deep within the dermis, or second layer of skin. They are painful, disfiguring, and may cause deep scars. There is often a genetic predisposition to cystic acne. Treatment usually requires systemic medication including oral isotretinoin, and should be started early, before ...Read more


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I have cystic acne. The problem is sometimes it popped by itself after I wash my face (gently wash) and it will then leaves a hole. What should I do?

I have cystic acne. The problem is sometimes it popped by itself after I wash my face (gently wash) and it will then leaves a hole. What should I do?

Acne: Be very gentle when you wash your face, specially when drying it, pad dry it with a clean soft hand cloth, do not rub.
Do not use any abrasive soap, or exfolliating lotions.
If you have cystic acne, you would probably benefit from at least 30 days of antibiotics and a topical acne cream. ...Read more

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Does sweating on face is bad for cystic acne?

Does sweating on face is bad for cystic acne?

Yes: When you sweat on your face it further clogs your pores and your cystic acne can get worse. ...Read more

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Can fine facial hair cause cystic acne in women?

Can fine facial hair cause cystic acne in women?

Fine hair: Fine hair may still result in dirt getting caught around follicles which can be nidus for start of localized acne infection... Or even folliculitis. ...Read more

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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?

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

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Is there anything short of steroids that will eliminate my acne, including cystic acne on my face and chest?

Is there anything short of steroids that will eliminate my acne, including cystic acne on my face and chest?

Strategic Prevention: Hello,
It's no accident they call it "proactiv"
While the treatment may not work for many people, the idea is correct. This condition requires a highly strategic approach to ensure a patient gets from point A to point B. Just a head's up, quick tips can work for a few days and then later cause a deepened sense of hopelessness.
Only 400 characters here, just a heads up.
-Dr. Neal Schwartz ...Read more

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How many mg of a corticosteroid is the maximum amount that a dermatologist can inject to treat facial cystic acne?

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

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Can makeup labelled oil free, non comedogenic and hypoallergenic still cause cystic acne? Have a history of acne, afraid to put anything new on face.

Can makeup labelled oil free, non comedogenic and hypoallergenic still cause cystic acne? Have a history of acne, afraid to put anything new on face.

Yes: You still may want to use make-up though and these products are a good place to start. One might try starting with a very small amount as a trial period. Consult your physician as knowledge of your past experience may help guide product selection. ...Read more

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I get cystic acne every time I eat dairy, I'm scheduled for an allergy test - could a potential allergy be causing this? I also get puffy in the face.

I get cystic acne every time I eat dairy, I'm scheduled for an allergy test - could a potential allergy be causing this? I also get puffy in the face.

Likely not allergic: Dairy products from herds treated with hormone therapy to produce milk can significantly aggravate existing cystic acne especially as can a pro inflammatory diet. Knowing your dairy source is important. The swelling may be a result of the increased inflammation from the cystic acne flare, but a milk sensitivity should also be ruled out. ...Read more

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I have been taking Accutane for 5weeks ive noticed little improvements but more cystic acne, when I wash my face it goes very red but then calms down?

I have been taking Accutane for 5weeks ive noticed little improvements but more cystic acne, when I wash my face it goes very red but then calms down?

Accutane: The treatment only reduces the appearance of acne over time, and requires regular skin washing with non-abrasive soaps, benzoyl peroxide as directed to keep the skin surface clean and dry, and following directions. Your genetics determines how your acne progresses, your medications can only help your acne to a degree, acne can't be "cured" Good luck! ...Read more

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How to get rid of cystic acne & getting pimples on face due to hormones.

How to get rid of cystic acne & getting pimples on face due to hormones.

See a dermatologist: How do you know it is hormonal? Pcos? Menstrual history? Meds? Some birth control pills make acne better, some make it worse. The hormone on iud and the injection birth control make it worse. Your dr needs to know these different hormones. Typically spironolactone is best. Some people just need to change their birth control. ...Read more

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I hv nodular cystic acne on face n currently on 6th week of isotroin medication 30 mg. Lately hv started breaking out on forehead. Its itchy. Help pls.

Under dosed?: See your dermatologist and ask him if the 30 mg dose is sufficient. It is usually based on weight. The standard is 1mg/kg/d so a 130 pound person should be on 60 mg per day. Also, it is not unusual for people to get a little worse on Isotretinoin before they get better- so don't panic! ...Read more

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I've been applying polysporin (bacitracin and polymyxin) to my facial cystic acne which hasn't healed in months. Within days my face has cleared! Is this ok? Negative effects?

I've been applying polysporin (bacitracin and polymyxin) to my facial cystic acne which hasn't healed in months. Within days my face has cleared! Is this ok? Negative effects?

It's OK, but...: There are better topical antibiotics than polysporin (bacitracin and polymyxin) to use on cystic acne. I'm glad for you that it has worked initially. My bigger concern, though, is that it won't work for very long. That particular antibiotic combination may lead to resistance in the bacteria present in your pores, and in a month or two not be effective anymore. There are better topical antibiotics that lessen this chance. ...Read more

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I have pimple like bumps on my forehead and sides of my face & cystic acne on my chin. What are home remedies?

I have pimple like bumps on my forehead and sides of my face & cystic acne on my chin. What are home remedies?

Many good ones: There are many home remedies for acne. Vitamin a, c, e, d, zinc, selenium & chromium & fish oil can help. Minimize fried foods, dairy and sweets.
An interesting website that discusses home remedies is http://www. Earthclinic. Com/cures/acne. Html
here people discuss what has and has not worked for them. Apple cider vinegar & hydrogen peroxide are the 2 most popular ones listed. ...Read more

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What medication should I ask my doctor to prescribe for sever body/facial cystic acne that won't affect my birth control?

What medication should I ask my doctor to prescribe for sever body/facial cystic acne that won't affect my birth control?

Isotretinoin: If you have to ask, you are probably a candidate for this rough stuff. It's not for the faint-hearted, but as a young woman in her prime, acne is a terrible personal and professional liability that you must manage. Spironolactone, antibiotics and so forth are likely to fail. I trust you are using benzoyl peroxide already. Best wishes. ...Read more

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No hormanal imbalance detected in lab findings, not PCOS, no other signs and symptoms, just cystic acne on the lower half of the face, what's causin it?

No hormanal imbalance detected in lab findings, not PCOS, no other signs and symptoms, just cystic acne on the lower half of the face, what's causin it?

Forget lab: Any birth control? Normal menses? This is genetics and hormones, often due to certain progesterones used for birth control. Spironolactone 100mg daily will usually control this. Allow several months for clearing. If not clear after at least 4 months, Isotretinoin orally will rescue you. Forget about finding a "cause". ...Read more

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Why does my friend get pimples (they sort of resemble cystic acne) on her mons pubis? She gets cystic acne on her face too. She isn't sexually active.

Why does my friend get pimples (they sort of resemble cystic acne) on her mons pubis? She gets cystic acne on her face too. She isn't sexually active.

Don't ask why: Acne needs to be managed. Nobody ever realy figures out why one person gets is and another doesn't. A good anti-bacterial wash (we used to use PhisoHex) can help prevent infected hairs in the pubic area. Cystic acne is extremely serious and usually requires isotretinoin. She needs to use benzoyl peroxide and get with her physician as she'll also need prescription Rx. Thanks for asking for her ...Read more

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I get large pimples that my dermatologist described as cystic acne. I don't get them on my face anymore but instead on my vagina. Should I be worried?

Not the same: The cystic acne you experienced on your face is different than what you are experiencing in your genital area. I could be a number of things: Bartholin's gland cysts, skeene duct cysts, Gartner duct cysts, chancre... To really know you need to get your primary care or gyneocologist to look at them so they can offer effective treatment. ...Read more

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Hello, I have what looks to be a pimple just above my lip. It appears to have a white head. It is a little sore. I do have cystic acne and get pimples on my face. I'm writing you to find out if it is just a pimple or whether it could be a cold sore. I d

Hello, I have what looks to be a pimple just above my lip. It appears to have a white head. It is a little sore. I do have cystic acne and get pimples on my face. I'm writing you to find out if it is just a pimple or whether it could be a cold sore. I d

MOST LIKELY COLD SOR: The location and description is more suggestive of a cold sore. Having said that it is very difficult to say with certainty what it is without looking at it. If you are concerned about it get it checked by your doctor ...Read more

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24 years old. Normal hormones but have irregular cycles, cystic acne over face/back, hirtuism, cysts on ovaries, insomnia, depression? Cycles 40+ days

24 years old. Normal hormones but have irregular cycles, cystic acne over face/back, hirtuism, cysts on ovaries, insomnia, depression? Cycles 40+ days

Go back to doc...: These are serious symptoms. If hormone panels are normal, it only means your doctor may need to cast the net a little wider in terms of bloodwork including metabolic panels and possible testing for any underlying genetic issues. ...Read more

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How can I treat cystic acne at home?

How can I treat cystic acne at home?

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

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What medicine helps with cystic acne?

What medicine helps with cystic acne?

Cystic Acne: Severe acne is characterized by deep cysts, inflammation, extensive damage to the skin and scarring. It requires an aggressive treatment regimen and should be treated by a dermatologist. Severe, disfiguring forms of acne can require years of treatment and may experience one or more treatment failures. However, almost every case of acne can be successfully treated. There is no one medication. ...Read more

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Home remedies to control cystic acne?

See a dermatologist: Home remedies don't work too well. You can try an over the counter cleanser that contains benzoyl peroxide but that may not be enough. I suggest you see your dermatologist for proper evaluation and treatment. ...Read more

Dr. Ed Friedlander
2,173 Doctors shared insights

Acne (Definition)

A very common skin condition that starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the ...Read more


Dr. Michael Miller
987 Doctors shared insights

Cellulitis (Definition)

A common skin condition that is caused by bacteria. Common symptoms may include fever, a skin sore that appears suddenly and grows quickly, and redness, pain, and tenderness ...Read more