Can Cystic Acne Ever Be Cured?
TL;DR
- Treatment for cystic acne often involves a combination of medications to reduce oil production and lasers to target acne-causing bacteria.
- Treating cystic acne is a journey that requires patience; with the right management, you can see significant improvements within a few months, and while complete resolution is possible, it may take a bit longer.
Table Of Contents
Acne can manifest in several forms, ranging from mild to severe. While you may experience occasional breakouts, some people face more persistent and severe forms of acne.
Cystic acne is a severe form of acne, presenting as painful, swollen lumps that develop deep beneath the skin. These cysts are often filled with pus and can take a long time to heal. Cystic acne can occur in clusters and has a higher risk of scarring, unlike milder forms of acne. It’s most common in teenagers but can occur at any age.
In this article, we will look at why you can suddenly get cystic acne even as an adult, whether cystic acne is lifelong, and the most effective treatment options.
Why Am I Getting Cystic Acne All of a Sudden?
Cystic acne occurs due to a combination of factors that lead to clogged hair follicles and inflammation. These contributing factors include:
- Excess oil, dead skin cells, and bacteria
When these accumulate, they block the hair follicles, causing inflammation and cyst formation.
- Hormonal fluctuations
Changes in hormones, especially during puberty, menstruation, or pregnancy, can trigger cystic acne.
- Genetic predisposition
If your family has a history of severe acne, you may be more prone to developing cystic acne.
- Lifestyle factors
Diet and stress levels can influence oil production and skin health, further contributing to breakouts.
If you find yourself getting sudden outbreaks of cystic acne, it could be because of:
- Hormonal Changes
Related to the menstrual cycle or stress, which can cause increased oil production.
- Dietary Factors
Consuming high-glycemic index foods or dairy may play a role.
- Changes in Skincare Products
Alterations in your skincare routine can lead to breakouts as your skin adjusts. Using occlusive products, such as petroleum-based creams or coconut oil, can block pores and exacerbate breakouts.
- Stress
Increased stress hormones stimulate your oil glands, leading to more oil production and creating a perfect environment for cyst formation.
54% of women over 25 experience some form of facial acne, and cystic acne can occur in your 30s when hormonal changes are at their peak. If you’re still dealing with acne as an adult, know that you’re not alone—breakouts are a completely normal part of many people’s skin journey, regardless of age.
How Is Cystic Acne Treated?
Addressing cystic acne effectively involves exploring different treatment options. Usually a combination of the following treatment methods is required:
Laser Therapy
- Laser therapy, particularly with the Fotona Acne Laser, is a validated option for acne treatment. Fotona employs advanced laser technologies that can enhance overall results in managing cystic acne. This method is often preferred by patients who are unable or unwilling to use topical or systemic treatments, or who wish to optimise their recovery with combination therapy.
Cortisone Injections
- Cortisone injections are a type of steroid administered to treat cysts or nodules on occasion. This treatment can effectively reduce swelling and promote healing of lesions, thereby helping to prevent scarring.
- Patients may choose this approach for faster resolution of acne, especially for larger, more painful cystic acne, or before significant social events.
Oral Antibiotics
- Oral antibiotics specifically target the bacteria that contribute to the development of acne.
- Tetracycline, an antibiotic used to treat acne, has been shown to reduce cystic acne by 65%.
Oral Isotretinoin
- Isotretinoin is an oral medication approved by the US Food and Drug Administration (FDA) for treating severe cystic acne. It can provide long-lasting relief from acne in about two-thirds of patients who take it at the recommended dosage.
- However, it may cause side effects such as dry lips, facial redness, dry skin, and mood changes. Due to the high risk of birth defects, it is generally not prescribed to women of childbearing age without strict precautions.
Is Isotretinoin (Acnotin, Accutane) Necessary For Cystic Acne Treatment?
Isotretinoin (Acnotin, Accutane) isn’t always necessary for treating cystic acne, but it has been shown to be highly effective in many cases.
Isotretinoin significantly reduces oil production, lowers acne bacteria, and has anti-inflammatory properties, all of which contribute to the improvement of cystic acne.
While most experience some temporary side effects, such as dry skin and eye irritation, isotretinoin still proves successful in providing lasting results, particularly for those who do not respond to other therapies.
If you are unable or would prefer not to take medication for your acne, our doctors can tailor a treatment plan designed to meet your goals and still achieve satisfying results.
Do Pimple Patches Work for Cystic Acne?
Pimple patches can provide some relief for superficial acne but are generally not effective for cystic acne. These patches may help reduce inflammation in smaller blemishes, but they do not penetrate deep enough to treat larger cysts effectively. For cystic acne, more targeted treatments are usually necessary.
Is Cystic Acne a Chronic Condition?
Cystic acne can be a chronic condition for some, leading to recurring flare-ups that require ongoing management. Although it may not be permanent, factors such as hormonal changes, stress, and dietary choices often trigger outbreaks. This means you may need to remain proactive in your treatment approach to prevent future occurrences.
Acne cysts can last anywhere from several days to a few weeks, depending on their severity and the treatment being used. Initially, they may feel painful and swollen, but with appropriate care, they should gradually subside. If not properly treated, cysts can persist longer and potentially leave scars.
How Long Does Cystic Acne Take to Clear?
The time required to clear cystic acne varies based on its severity and the treatment approach. With appropriate management, many people see significant improvement within a few months. However, achieving complete resolution may take longer, and ongoing maintenance is often necessary to prevent future flare-ups.
We understand that dealing with cystic acne can be challenging. Don’t hesitate to reach out to us at SL Aesthetic Clinic. We’re here to listen and provide the support you need.
