Cystic Acne: What is it? How is it produced? Who is more prone? Causes and Treatment

Cystic Acne is one of the most challenging types of Acne to treat.

During adolescence, it is not unusual to have a pimple or two. But if there are large, red, and painfully deep pimples on the skin, it could mean that something called Cystic Acne has developed.

These buds can be treated. Cystic Acne can persist for years. It can affect large areas of your skin and leave permanent scars. A dermatologist can help you with a treatment plan.

How is Cystic Acne produced?

A pimple forms when a pore in the skin is covered, usually with dead skin cells. Sometimes the bacteria get trapped inside the pore, causing the area to swell and turn red.

Cystic Acne occurs when this infection enters the skin, creating a pus-filled tender red bump. It can hurt or itch. The disease can spread, causing more acne outbreaks.

Who is more prone, and in what places of the Body?

You are more likely to develop cystic Acne in your teens or at 20. But it can happen to someone as young as eight years old or as old as 50. His face, chest, back, arms, and shoulders can be affected. Severe Cystic Acne is more common in men than in women. Women often have cysts in the lower half of the face.

What causes it?

No one is sure of the exact cause, but hormones called androgens play an important role. When you are a teenager, androgens increase.


This leads to changes in the skin that can result in clogged pores and, consequently, Acne. In women, hormonal changes can be triggered by menstrual cycles, pregnancy, menopause, or polycystic ovarian syndrome.

If one of your parents had severe cystic acne, you have a greater chance of getting it.

Treatment for Cystic Acne

Medicines that work on mild Acne often have little effect on cystic Acne. A dermatologist will probably recommend one or more of the following:

Oral antibiotics help control bacteria and reduce inflammation. Sometimes, your Acne may not respond to antibiotics. However, you may find that they do not work as well after a few years. Birth control pills help some women by regulating their hormones.

Prescription creams, lotions, or gels with retinoids, a form of vitamin A, can help unclog pores and help antibiotics do their job.

Isotretinoin, previously also known by the trade name Accutane, attacks all causes of Acne. If Acne is repeated, you can repeat the treatment. Women should avoid getting pregnant while taking this medication.

Spironolactone works like a hormonal blocker.