Pimples inside the skin, also called cystic acne, are painful and embarrassing. This type of acne can also damage the skin, resulting in scarring, according to the American Academy of Dermatology. However, cystic acne doesn't usually respond to topical at-home treatments and requires more aggressive forms of treatment by a dermatologist. There are also procedures, such as surgical drainage, which reduce inflammation in deep cysts.
Step 1
Have the cysts surgically drained at your dermatologist's office. A physician is trained in draining acne lesions safely. Lesions drained in a sterile environment are also at lower risk for scarring. After the lesion has been drained, healing time will be quicker.
Step 2
See a dermatologist to have special medication injected into the acne lesion. According to the American Academy of Dermatology, injecting a corticosteroid into the cyst will promote healing. It also reduces inflammation and allows pimples to heal in three to five days, instead of several weeks.
Step 3
Use oral antibiotics to get rid of deep acne. Oral antibiotics fight bacteria that cause acne, according to MayoClinic.com. Use the medication as directed until acne symptoms improve. At this time, your doctor will recommend tapering off the medication to minimize the risk of antibiotic residence.
Step 4
Request the oral medication isotretinoin to treat acne that doesn't respond to other treatments options. This is a powerful medication that treats severe acne, according to the American Academy of Dermatology. The drug works by reducing oil production, preventing inflammation and clogged pores. The drug is taken for 16 to 20 weeks. After this time, medication is discontinued and deep acne lesions should improve.
Tips and Warnings
- Don't attempt to drain acne lesions at home, recommends the American Academy of Dermatology. Bacteria can get into the skin, causing infection and scarring. Also, discuss treatment side effects with your doctor. Isotretinoin may cause serious birth defects, preventing pregnant women from taking the medication.
- Talk with your insurance company about coverage for acne treatments. Each insurance company has different rules regarding the coverage of these treatments. Understanding coverage will assist in forecasting costs.



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