Doctor insights on:
Cystic Acne Vs Pimples
Sebaceous glands: Acne can occur anywhere there are sebaceous glands (oil glands) in the skin. Web md is a great resource to learn more about acne. Skin hygiene with soap and water followed by benzol peroxide or 2% salicylic acid products are over the counter options. An evaluation by a dermatologist can help develop a long term plan. Resistant acne can also be treated with antibiotics and some laser therapy. ...Read moreSee 1 more doctor answer
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
Helpful for acne.: Doxycycline is an antibiotic that is commonly prescribed for cystic or nodular acne. It is typically prescribed when topical medications are ineffective. It would be best to see your local dermatologist or plastic surgeon specializing in skin care to develop a comprehensive approach to your acne. ...Read more
Acne therapy: If your acne doesn't respond to otc treatments, consider seeing a doctor or dermatologist to get a stronger prescription lotion. Tretinoin (avita, retin-a, others), Adapalene (differin) and tazarotene (tazorac, avage) are examples of topical prescription products derived from vitamin a. They work by promoting cell turnover and preventing plugging . You may also need oral antibiotics like doryx (doxycycline). ...Read more
Derm consult: If you have cystic acne, you deserve 21st century treatment beyond what even your family doc can provide. A dermatologist will probably place you on one of the vitamin a derivatives; they are unpleasant and somewhat dangerous, you'll need to listen to the instructions carefully, and they work. Life is rough enough without cystic acne. I wish you the best. ...Read more
Genetics: You inherit acne and can trigger break outs with stress, lack of sleep, sun damage, hormones, and more. You need a doctor to treat this. It can be life long and it will be best to get it under control to avoid scarring. Avoid Picking. To get help with scarring or active breakouts a medspa doctor can prescribe medication and laser skin care therapy as well as products between visits. ...Read moreSee 1 more doctor answer
CYSTIC ACNE: In my experience, medical extractions and meticulous skin care by a professional is superior to both. Accutane is the "nuclear option" and is a chemotherapy drug with many serious side effects. Since you didn't even share your age, let alone any pictures or what treatments you have had in the past, I suspect you are a very young individual and recommend you discuss this matter with your parents. ...Read more
Salicylic acid: However, if you have real scars (depressed lesions), it won't be sufficient to clear you. You need to get with your personal physician before things get worse and worse. All acne can be managed, though it cannot be cured until it remits on its own. It is unrelated to lifestyle and only marginally to diet. ...Read more
No: It's shiny and may make them less visible, but it won't touch them in the long-run. I'm really sorry that you ended up with acne scars. This is the 21st century and all acne is manageable with scientific medicine. Today's practitioners use fillers, microsurgery and lasers with fair results. ...Read more
Scientific Rx: If you are male and still have acne while on benzoyl peroxide and clindamycin, your physician may try a systemic antibiotic such as tetracycline 500 2x/day. Or if this is deep / cystic / severe acne, it may be time to consider accutane. For the scars, a dermatologist can abrade, fill, operate and/or laser; your choice, but note the hollywood stars who keep their scars for character. Good luck. ...Read moreSee 1 more doctor answer
Unlikely: See your medspa doctor for a skin analysis to see if you could undergo a series of laser skin care treatments. I usually combine the isolaz with the cool breeze after doing a microdermabrasion. It is a series of treatments and your doctor will prescribe medication to use between trips. If you want to avoid accutane, discuss with the doctor and she will help you with creams or other options. ...Read more
Acne: Retin a (tretinoin) is a topical product usually dispensed as a cream or gel available in different strengths that is effective in reducing inflammatory (red) pimples and comedones (black heads and white heads). The product is drying and should be used sparingly. Caution with sun exposure. See a dermatologist for a treatment regimen. ...Read moreSee 1 more doctor answer
Keloidalis Nuchae: Keloidalis nuchae is a destructive scarring folliculitis that occurs exclusively on the occipital scalp and posterior neck and affecting mostly african american men aged 13-25 years. Acne vulgaris is a common skin disease characterized by inflammatory lesions called zits with redness, swelling, pain, and white pus. Antibiotics used in keloidalis nuchae differ from ones used in acne vulgaris. ...Read more
Two different meds: Differen is a lower strength retinoid comparable to retin a (tretinoin) that may decrease oil gland activity among many other effects. Dalacin t is a topical antibiotic containing Clindamycin and similar to the older Cleocin t. Both can actually be used for acne breakouts, if prescribed and supervised by a qualified physician. ...Read more
Large pimple on neck, usually get one at a time. Is this just a large pimple or a form of cystic acne and how can I control it?
Cyst: Acne can present as large cyst like spots but usually in more general areas. Some cysts are sebaceous, caused by a plugged up oil gland. Some could be infected sweat gland. Sometimes infected with staph. Should get your doctor to see this to get the correct diagnosis. ...Read moreSee 1 more doctor answer
What do you advise if i had a cystic acne-type pimple a few months ago and it went away but i can still feel it under the skin?
I can't tell if I have 2 pimples next to each other or a cyst, how can I tell the difference? I had cystic acne about 8 years ago and I'm very scared
Dermatologist: Let your dermatologist take a look and advise treatment. You have already tackled this before. All the best. ...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
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 moreSee 2 more doctor answers
I am 21yrs with mild cystic acne (3-4 huge pimples continuously occurring at a time). My doctor asked if i wanted to take accutane. What should I do?
Suffering from nodular cystic acne. On 7th week of isotroin 30 mg medi. Suddenly painful pimple kind bumps hv brokeout in my jaw line n lil below.Hlp?
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 moreSee 2 more doctor answers
On Dianette for 6 months to control hirsutism & had no pimples until now. It's red & huge for 6 days with no change in state/size. Is it cystic acne?
Maybe: Skin health requires a concerted approach and in the case of nodulocystic acne requires use of medication. Healthy practices are: 1) reduced refined sugar, 2) elimination of food allergens, 3) supplementation with zinc and vitamin b5. There is some research to show that topical niacinamide is similar to topical clindamycin. ...Read more
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
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 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
I have cystic acne, and I currently have a pimple on my the shaft of my penis, is it safe to have sex if I use a condom?
I get cystic acne rarely on my chin.. I have 2 large, painful cystic pimples on my chin recently. Should I use benzoyl peroxide?
I recently discontinued isotretinoin for painful cystic acne. Now i'm breaking out on my forehead with little itchy bumps with long whiteheads. ?
See Your Derm: See your dermatologist. You may need a mild retinoid (tretinoin) to keep you from breaking out, at least for a few months. This will likley pass uneventfully. However, there could be another cause for this type of breakout. Your dermatologist can help you with this frustrating flare. ...Read moreSee 1 more doctor answer
I have worsening cystic acne on chin. Itchy and dry. Afew have been around for weeks. On monodox (doxycycline monohydrate). I have get 3-5 pimples on cheeks once a month. Help.?
Treatable.: Hi, Oral antibiotics for acne are hit or miss. Please try to prevent any emotional trauma if these pills don't bring you all the way to total satisfaction. I made a video that may help prevent the emotional impact of this common approach: https://www.youtube.com/watch?v=vYW3I6giJEg hope it helps, have a great day, -Dr. Neal Schwartz ...Read moreSee 1 more doctor answer
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 suffer from severe itchycheek acne with pimples, black heads and sometimes cystic acne. I have tried salicylic acid, benzoyl peroxide and retinol A.
See a dermatologist: Your acne is a function of hormones. Certain birth control can make it better, other birth control can make it worse. Do you have normal menstrual cycles? You will probably do well with oral spironolactone and topical tretinoin. This usually works in 3 months, then is continued. If it fails, oral isotretinoin will rescue you. ...Read more