Doctor insights on:
How To Prevent Cystic Acne
Wish it were easy...: Even in dermatology, we struggle with cystic acne. Genetics, hormones and bacteria all seem to play a role. Eating a healthy diet, low in sugary, processed foods and eliminating dairy can help some, but may not cure it. Topical and oral antibiotics are often necessary, and Isotretinoin may be needed as well. Sometimes hormonal therapies like spironolactone work wonders. ...Read more
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
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
Acne & Acne Scars: Acne and acne scars cannot be prevented. The key is to control acne break outs. Controlling break outs, minimizes the tendency to scar. Acne and acne scar control requires a multi-step approach that includes clinical and prescription skin care, oral medications, chemical peels, and laser and light treatments. Care coordination by medical provider with expertise in acne treatment is key. ...Read moreSee 2 more doctor answers
Rx: The oral contraceptive pill often ends a young woman's acne if she want it and can take it. Otherwise, i start with benzoyl peroxide plus topical clindamycin, adding a retinoic acid derivative if there are blackheads. Next, i move to a systemic antibiotic that's appropriate for the person. Dermatologists have the strongest medications. ...Read more
Patience: The baby acne is a common event that reflects hormones transferred during the pregnancy. While the baby is floating in moisture, the skin is will not respond, but within weeks of birth they break out for many weeks before the hormone levels begin to drop & the acne disappears. Keeping the skin clean & avoiding irritating soaps helps. Occasional use of a 1/2% hc once daily can calm some lesions. ...Read more
Gels/creams for acne: For treatment of acne pimples, over-the-counter benzoyl peroxide gel/cream is helpful. If desired, a doctor can add an antibiotic gel or cream. If more help is needed, prescription retinoids such as Retin-A or differin (adapalene) gel can be used instead of benzoyl peroxide. Oral contraceptives (for women) and oral antibiotics are options also. If acne pimples are severe, a dermatologist may help. ...Read more
This is serious: True cystic acne always requires systemic prescription Rx and usually requires isotretinoin. Get with your physician and ignore anything folks tell you about diet, hygiene, lifestyle, or "pop" / "natural" cures. You'll probably be offered isotretinoin. It is not pleasant and not for sissies. You're read the scare stories, but the medication is a life-saver. It's your choice. ...Read more
How to prevent pimples or acne (facial)? What are the remedies to be used in order to prevent pimples /acne?
Easy to Rx: For maintenance while you're pimple-free, often an oral antibiotic such as tetracycline or Erythromycin in a low dose is sufficient. Personal hygiene has nothing to do with acne, and no home remedy works. Your physician may offer you a topical medication instead or in addition. ...Read more
You can treat it: Usually acne with cysts requires isotretinoin. You can't prevent it from recurring, but you can take multiple courses of treatment (once or even twice a year) and expect a pretty good result. A little-known rx that may also help is spironolactone. Everything else will disappoint you. ...Read more
Scientific Rx: Benzoyl peroxide for starters. If not sufficient, topical Clindamycin and/or a topical retinoic acid derivative the latter especially if there are a lot of blackheads. Next step for a lady is the oral contraceptive pill if it is right for her. Then a systemic antibiotic right for the person. The big guns is accutae, not pleasant cheap or without risks but hugely effective and very much worth it. ...Read more
Baseline Rx: If you are not a woman who can take & wants the oral contraceptive pill, and you have had some bad breakouts, ask your physician whether there is an oral antibiotic that might be right for you. This is usually the best approach in this situation. This is the 21st century and all acne is manageable. Being young is hard enough as it is, and you deserve to be acne-free if that is your wish. ...Read more
Hard core Rx: This will respond well only to isotretinoin. Adjunct topical antibiotics & perhaps spironolactone may help as well. Nothing else will touch it and you'll repeat the course of rx over the years until it remits. It's not cheap, pleasant or risk-free but it is usually well worth it. ...Read more
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