iCliniq Logo
HomeAnswersDermatologyacne

What is the treatment for cystic acne?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been struggling with cystic acne since I was 15 and I am 21 years old now. My breakouts are getting much much better but they hurt. I do not pop my pimples, but they turn into little stubborn keloid-like scars. It will either be a keloid or just a discolored spot that is dark with a light center. I do not get the dip scars they are always additional skin or just discolored spots that take months to fade. How can they be treated? I can send pictures if you like. I am a white, athletic woman who can tan but has freckles if that narrows down skin type for you. I guess that I have dry skin, but I drink a lot of water. Kindly help.

Thank you.

Answered by Dr. Suvash Sahu

Hello,

Welcome to icliniq.com.

I can understand your concern.

With your description, it seems that you have cystic acne with hypertrophic acne scars.

I suggest you follow the below-mentioned instructions:

  1. Start your treatment with Isotretinoin after consulting a dermatologist because it requires proper monthly evaluation and counseling regarding potential side effects ( teratogenicity is the most important adverse effect in this, if a female on Isotretinoin gets pregnant it can lead to malformation in the fetus like cranium, and face, cardiovascular and CNS defects so prescribers of isotretinoin must be registered with I pledge) it is a wonder drug for nodulocystic acne.
  2. Before starting the medication, get the liver function tests and lipid profile done.
  3. It acts basically by inhibiting sebum production by inhibiting sebaceous proliferation, and differentiation, decreasing sebaceous gland size, and also down-regulates the hormonal receptors in the skin which are responsible for increased oil production along with it also have antibacterial action (indirectly) and anti-inflammatory actions.
  4. Revert after six weeks as acne is a chronic disease and will take time to resolve.
  5. Kindly consult a specialist, talk to them, and take the medications with their consent.

I hope this information will help you.

Thank you.

Answered byDr. Suvash Sahu

Medically reviewed byiCliniq medical review team

Published At May 22, 2024
Reviewed AtJuly 2, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

Consult this doctor
Listen to related tracks in our music library

Related Questions

How to treat cystic acne and bad odor in me?

I have acne scars and red zones on my skin, mostly near my jawline and cheeks. Please help.

Will the acne scars on the face fade after a few months?

Read answers about:

acneacne scarspus-filled bumps

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Trustpilot

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.