Cystic Acne: Causes, Symptoms, and Treatment Options

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 Introduction

Cystic acne is a severe form of acne that can be painful and difficult to treat. Unlike regular pimples, cystic acne forms deep under the skin and can lead to scarring if not addressed properly. Understanding its causes, symptoms, and treatment options is essential for managing this condition.

What Is Cystic Acne?

Cystic acne occurs when pores become blocked, and inflammation penetrates deeper layers of the skin. This results in large, red, painful bumps filled with pus.

Common Causes of Cystic Acne

  1. Hormonal Imbalances – fluctuations in testosterone and estrogen can trigger deep breakouts.

  2. Genetics – a family history of severe acne increases risk.

  3. Bacterial Infection – Propionibacterium acnes can worsen inflammation.

  4. Lifestyle Factors – stress, poor diet, and lack of sleep can contribute.

Symptoms of Cystic Acne

  • Large, tender bumps under the skin.

  • Redness and inflammation.

  • Painful to touch and sometimes accompanied by pus.

  • Frequent breakouts in the jawline, cheeks, and chin.

Treatment Options

Medical Treatments

  • Oral Antibiotics – reduce bacterial growth.

  • Isotretinoin (Accutane) – powerful treatment for severe acne.

  • Hormonal Therapy – birth control pills or spironolactone for women.

Skincare Routine

  • Gentle, non-comedogenic cleansers.

  • Avoid scrubbing or picking cysts.

  • Use topical treatments with benzoyl peroxide or salicylic acid.

Lifestyle Adjustments

  • Maintain a balanced diet low in sugar and processed foods.

  • Reduce stress with meditation or yoga.

  • Sleep 7–9 hours per night for skin recovery.

Conclusion
Cystic acne requires patience and proper care. Combining medical treatments with healthy lifestyle choices can help reduce breakouts, minimize scarring, and improve overall skin health.

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