- Pimples that live under the skin, or cystic acne, is incredibly difficult to treat because it does not respond to local treatment.
- Cystic acne usually refers to hormonal fluctuations.
- Dermatologists recommend oral medications and injections of cortisone for the treatment of cystic acne.
There is nothing worse than waking up to find that you have a giant, red and painful pimple deep under the skin. When talking about pimples, we often talk about things that can "pop up", but many pimples living deep under the skin can not get stuck and take away days (or even weeks).
These pimples under the skin are sometimes referred to as "blind pimples", but their correct expression is pure or cystic acne.
Cysts are painful, boring and difficult (but not impossible) for the treatment. Here's what you need to know about cystic acne.
Cysts develop and exist under the skin
Blind pimple / cist / pimple under the skin is "essentially a large bubble under skin-free skin without contact with the surface," said Joshua Zeichner, MD, director of cosmetic and clinical research at the Mount Sinai Hospital.
Debra Jaliman, a spokeswoman for the American Academy of Dermatology, added: "A blind brain develops from a combination of oil, bacteria and dirt that is trapped in the pores. It looks like a bra under the skin."
Due to the size of the cyst, inflammation and proximity of the nerves – they are usually better and better than traditional pimples.
Some cysts are visible, which means you can see a red "clump" on the surface of the skin, while others are so deep that although you can feel it, you can not "see" anything.
The biggest difference between cyst and white head, black head or pustule (what we consider as "traditional pimples") is that they do not come to the surface and can not get out.
"Sometimes I can develop a superficial pustular that you can squeeze out, but most of them often remain deep," said Dr. Julia Tzu, founder and medical director of Vall Street dermatology. Or, as Dr. Jaliman said, "Blind Brain does not have a skin outage" and added that an attempt to catch a cyst on the surface can "lead to even more irritation and infection."
Because of the depth and inflammation of the cyst, Dr. Zeichner said that this type of acne has a greater chance of leaving a scar "because of collagen damage under the skin".
Cystic acne is associated with hormonal acne
Androg, like testosterone, is a hormone that contributes to the formation of cysts, said Dr. Jaliman. All are equally affected by cystic acne, and people usually see an increase in cystic acne around hormonal fluctuations such as menstruation, during perimenopause or after starting or stopping the use of birth control pills.
Dr. Tzu added that most hormone acne manifests as cystic acne, especially around the egg.
Thinning treatments of acne rarely work on cysts
When considering acne treatments, we often think of benzene-peroxide-based and contrast-based salicylic treatments, but they are not as effective on cysts. In fact, everything you put on the skin's skin will probably not have much effect on the cyst and may only dry your skin, which will further disturb the cysts.
Read more: 5 acne treatments in place, which actually work, according to experts
"Since these types of pimples are so deep on the skin, unfortunately, current drugs often can not penetrate as much as they need to be effective," explains Dr. Zeichner, while dr. Tzu added that "local drugs are mostly anti-inflammatory and do not have specific antiandrogenic effects," which would be necessary to stop the cyst, given how many hormones play in the development of these types of pimples.
Although doctors agree that local treatments are not as effective as oral drugs, they prescribe topical antibiotics (such as Dapsone) or topical retinoids for patients with cysts.
Cysts respond best to oral medications and injections of cortisone
"If your acne does not improve after two to four weeks of non-prescription treatments, visit a dermatologist certified on a recipe regimen," Dr. Zeichner.
Doctors generally prescribe one or more of the following treatments for patients who are continuously struggling with deep, painful, under the clean skin:
Oral Antibiotics: This helps in the treatment and prevention of bacterial growth from access to the inside.
Oral spironolactone: People can be recommended with these oral medicines that block the effects of androgens that cause acne.
Birth Control: People also often prescribe certain birth control brands to manage the hormonal effects of cystic acne.
Cortisone Injections: A dermatologist can inject cortisone cysts to reduce inflammation, and cysts generally reduce the size within one day after the injection.
Isotretinoin: Often mentioned in its former brand, Accutane, Isotretinoin is a medication for oral therapy with severe acne recipe and is often the last resort after other options fail.
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