Cystic acne is one of the most severe forms of acne, often causing painful, deep pimples that can lead to permanent scarring if not treated properly. Whether you’re dealing with a single painful pimple or experiencing chronic breakouts, finding effective treatments can feel overwhelming. In this article, we’ll explore how to get rid of cystic acne, covering both medical treatment options and helpful home remedies.
Cystic acne is a form of acne that develops when clogged pores result in inflammation deeper in the skin, resulting in large, swollen, and often painful cysts. This type of acne can be caused by a variety of factors, including hormonal imbalances, genetic predisposition, excess oil production, and tendency to inflammatory acne. People with either oily skin or sensitive skin can be prone to cystic acne. Unlike other types of acne, cystic acne requires more specialised and urgent care to prevent permanent scarring and further complications.
There are many treatment options available to tackle cystic acne, from over-the-counter remedies to stronger oral medication. The goal is to reduce skin inflammation, clear up clogged pores, and help you achieve clearer skin. Medical treatments can vary in intensity based on how severe the acne is. Consulting with a dermatologist is often the best way to determine which approach will work for your skin.
Topical retinoids, especially those of higher efficacy e.g trifarotene, are one of the most effective treatments for cystic acne. They work by promoting skin cell turnover, preventing clogged pores, and reducing inflammation. Retinoids also help to shed dead skin cells that accumulate on the skin’s surface, which can make acne worse if left untreated. Retinoids are usually applied at night to avoid sensitivity to sunlight. While results may take time, consistent use typically shows significant improvement in the skin's texture and appearance.
For more severe cases, oral medication is often prescribed. Antibiotics can help reduce skin inflammation, while birth control pills and spironolactone may regulate hormone levels and reduce acne triggered by the menstrual cycle. For extremely stubborn cases, oral isotretinoin (commonly known by the brand name Accutane) is considered a last-resort medication. It helps to reduce sebum production significantly.
It's important to note that oral medications, especially isotretinoin, can have side effects and must be closely monitored by a healthcare provider. Regular follow-up appointments will ensure that the treatment is working without causing adverse reactions.
Over-the-counter products containing salicylic acid or azelaic acid can be useful for treating cystic acne. These ingredients help clear clogged pores and reduce inflammation. Salicylic acid is especially effective at breaking down excess oils and removing dead skin cells. Azelaic acid, on the other hand, is known for being gentle on sensitive skin while still providing antibacterial benefits. These acids are widely available in various forms, from cleansers to spot treatments.
Laser treatment and light therapy are modern techniques that can reduce cystic acne and prevent scarring. Laser resurfacing works by targeting the deep layers of the skin, reducing oil production and killing acne-causing bacteria. Light therapy uses different types of light (often blue or red) to reduce inflammation and kill bacteria. These treatments are often performed in a dermatologist’s office and may require multiple sessions. While they tend to be more expensive than other treatments, they can offer long-term benefits for reducing both acne and acne scars, while avoiding the risks associated with systemic medications.
While professional treatments are often necessary for severe cystic acne, some home remedies can offer relief and support your skin’s healing process. These remedies can complement your skincare routine to help you learn how to get rid of acne effectively. However, keep in mind that home remedies work best for mild cases and may not completely resolve cystic acne on their own. Consistency and patience are essential when using these methods.
One of the simplest things you can do to prevent cystic acne is to use a gentle cleanser with warm water to clean your skin twice a day. Harsh cleansers can strip your skin of its protective barrier, leading to more irritation and acne breakouts. Use a product that is designed for sensitive skin and free from irritating chemicals. This helps prevent the accumulation of dead skin cells and bacteria that can lead to clogged pores. Always use lukewarm water, as hot water can exacerbate skin irritation. Double cleansing first with micellar water followed by a gentle cleanser, is effective for removing debris on the skin and minimizing clogged pores. One should do so even in the absence of makeup products as sunscreen in itself can also be comedogenic.
When your skin is inflamed due to cystic acne, keeping it hydrated is crucial. Hyaluronic acid is a common ingredient in skincare products because it helps maintain moisture without clogging your pores. It supports overall skin health and can help your skin heal faster from cystic acne breakouts. Hydration is especially important because many acne treatments can be drying. By adding moisture back into the skin, you can prevent further irritation and improve the healing process. Regular use of hyaluronic acid can also help maintain the skin’s elasticity, even as it battles inflammation.
Believe it or not, what you eat can influence your acne. Foods high in sugar, dairy products and processed foods may trigger hormonal fluctuations. Keeping a balanced diet rich in fruits, vegetables, and whole grains can help regulate hormone levels and prevent your acne from worsening. Reducing your intake of processed foods and focusing on nutrient-dense meals can make a significant difference in your skin's appearance. Some people also find that eliminating dairy products from their diet leads to clearer skin, as dairy has been linked to increased sebum production.
Tea tree oil is a natural antibacterial agent that can reduce the appearance of cystic acne. Diluting tea tree oil and applying it directly to the cyst may reduce inflammation and speed up the healing process. Always test on a small area of your skin to make sure you don’t experience any skin irritation. Tea tree oil is especially popular because of its anti-inflammatory properties, which can significantly reduce the size and redness of a pimple.
Preventing future cystic acne is just as important as treating current breakouts. Here’s how to keep your skin healthy and avoid triggering new acne breakouts.
Addressing hormonal imbalances is key to preventing cystic acne. Hormones can fluctuate due to the menstrual cycle, stress, lack of sleep, some forms of contraceptives or certain medical conditions. Talk to a healthcare provider if you think your hormones might be contributing to your acne. They may suggest medications like birth control pills or hormone-regulating treatments. Hormonal acne is often seen around the jawline and chin, so if you notice acne in these areas, it could be hormone-related. Treatments targeting hormone regulation can make a significant impact on the frequency of your breakouts.
A consistent skincare routine that includes products with salicylic acid, azelaic acid, or topical retinoids can help reduce the frequency and severity of acne breakouts. These ingredients clear away dead skin cells, unclog pores, and reduce skin inflammation. In addition to acne-fighting ingredients, always use a moisturiser to keep your skin hydrated. A good skincare routine not only treats acne but also protects your skin from further irritation and damage.
Though it’s tempting to pick at or squeeze a painful pimple, doing so can cause further skin irritation and potentially lead to permanent scarring. Let your treatment products do the work, and allow your skin to heal naturally. Picking can also push bacteria deeper into the skin, worsening the inflammation. It's better to use a spot treatment and be patient, as picking often prolongs the healing process and is a significant risk factor for scarring.
For persistent cases of cystic acne, treatments like laser treatment or light therapy might be necessary. These procedures can reduce bacteria and oil production while minimising the risk of scarring. Dermatologists can guide you toward the best course of action based on your specific skin needs. While these treatments are more invasive, they can be life-changing for individuals with severe or persistent acne that doesn’t respond to traditional methods.
Stress can exacerbate acne by causing spikes in hormone levels. Reducing stress through activities like exercise, meditation, or hobbies can go a long way toward achieving clearer skin. Finding ways to manage stress not only benefits your skin but also your overall health. Small lifestyle changes, like getting enough sleep and practising mindfulness, can significantly reduce acne flare-ups over time.
Dealing with cystic acne can be challenging, but with the right approach, you can regain control over your skin. From topical retinoids and oral medications to home remedies like tea tree oil and diet changes, there are many effective treatments to explore. Always consider speaking with a dermatologist to find a solution that’s tailored to your specific skin type and condition. By using our tips, you can learn how to get rid of cystic acne and work toward achieving clearer skin. With persistence and the right treatment plan, even severe acne can be managed effectively over time.