Large pimples under the skin are called cysts. Cysts are very painful and don't go away quickly. Breakouts may occur on the face, back or chest area. A cystic acne lesion is soft and contains fluid under the skin. Overactive oil glands, too many dead skin cells and high amounts of bacteria on the skin can cause cystic acne. Fortunately, there are several ways to get rid of and prevent this type of acne.
Step 1
Consult a licensed dermatologist. A dermatologist offers some of the most effective solutions for cystic acne. If your acne doesn't respond to over-the-counter acne products, find a dermatologist through the American Academy of Dermatology.
Step 2
Request cortisone shots. Because cystic acne occurs deep under the skin, the acne is usually resistant to topical treatments. Set up an appointment for treatment with your dermatologist. She will inject cortisone, a chemical naturally produced in the body, to reduce inflammation. Cortisone has been found to speed up the healing process for cystic acne.
Step 3
Talk with your doctor about using antibiotics short term to reduce inflammation and bacteria on the skin. The oral medications are used up to four months to clear cystic acne. Once the skin responds to treatment, ask your dermatologist about trying topical treatments again. Antibiotics can't be used long-term because of the risk of developing antibiotic resistance.
Step 4
Ask your doctor if you are a good candidate for isotreition, an oral medication for acne. The medication is very effective for cystic acne that doesn't respond well to other treatment methods. Take the medication as prescribed, typically for three to six months. Women who are pregnant or who might become pregnant can't take this medication because of the risk of serious birth defects.
Step 5
Request laser light therapy if you don't respond well to other options. Laser treatments damage the oil glands, according to the MayoClinic.com. As a result, the glands produce less oil. The amount of skin bacteria is also reduced, improving the overall appearance of skin.
Tips and Warnings
- Avoid touching the skin or using products that aren't oil-free. These habits may cause additional acne outbreaks.
- Don't squeeze cystic acne. Cystic acne is filled with pus and tempting to squeeze. However, squeezing acne lesions can create scars, inflammation and make acne last longer.
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