Cystic Acne

Cystic acne is the most severe form of acne, in which the skin becomes infected and inflamed as the pores get blocked. It results in large pus-filled pimples and redness, which can be painful to touch. Isotretinoin, antibiotics, topical retinoids, or spironolactone is used in its treatment.

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I have cystic acne, which is aggravated during my menstruation. Kindly help.

Query: Hello doctor,I have cystic acne, and it is triggered mostly on my chin, cheeks, lips, and jawline. It is most aggravating during my menstruation. I have scars now and discoloration on my skin because of it. They hurt a lot, and they get infected easily. My acne started to get worse once I got off my...  Read Full »

Dr. G.s.s. Sandeep

Answer: Hello, Welcome to I have seen your picture (attachment removed to protect the patient's identity). 1. It is nodulocystic acne (grade 3) on the chin. 2. Treatment of choice is oral retinoids - Accutane (Isotretinoin) after complete and proper evaluation. Duration of Accutane depends ...  Read Full »

What could be done for the scars that occur due to the popping of pimples?

Query: Hello doctor, I am a 25 year old female. From the last five years, I have acne. It had reduced a bit. But, recently I started to get white heads and papules. I then popped my papule and white head area. Now, it has become red and swollen and it is burning. I have applied cold water and aloe vera ge...  Read Full »

Dr. G.s.s. Sandeep

Answer: Hello, Welcome to I suggest the following: Start applying Opexa (a combination of Dimethicone and Ascorbyl Tetraisopalmitate) gel thrice daily. This will minimize the chances of scarring. Apply T-Bact (Mupirocin topical) ointment on the Opexa gel. This will reduce the infection. St...  Read Full »

I get red cysts on my face. Is it acne or rosacea?

Query: Hello doctor, I am a 25 year old male. I am 6'1" tall and I weigh 170 pounds. Often, I get red cysts of some sort on my face beneath the skin that take a while to heal. I have oily skin, and get whiteheads as well. I have fluid-filled boil-like lesions on my face. I have been to a few dermatologist...  Read Full »

Dr. Sushil Kakkar

Answer: Hello, Welcome to Rosacea is a skin disorder that affects people above 30 years. Other than acne-like lesions, people with rosacea have redness of the face and dry skin associated with burning sensation. They also have redness and irritation in the eyes. The redness of the face is a...  Read Full »

How to treat cystic acne present in face and neck?

Query: Hi doctor, I have acne only on the right side of my face in the cheeks, chin, and neck area. I have been diagnosed with cystic acne on my chin and started using Madeca Derma centelian cream since three years. Kindly help.  Read Full »

Dr. Shama Naaz

Answer: Hi, Welcome to Acne occurs due to the following as blockage of sebum (oil-producing glands), a surge in hormonal levels at the time of puberty, due to improper skincare, and also associated with menstrual irregularities. Here are some steps you can follow to get rid of acne: 1) ...  Read Full »

How long will it take to get rid of a cystic scar with laser surgery?

Query: Hi doctor, I am a student, and I have huge cystic acne scars on my nose. I am getting laser sessions for the same, in a local clinic. But, even after three sessions, my skin shows no difference. Those marks look raised and terrible. Should I discontinue the treatment as it is extremely expensive fo...  Read Full »

Dr. Prathap

Answer: Hi, Welcome to It is really difficult to get the scars healed with the available treatment options. Laser therapy is costly, and the results with this cannot be guaranteed. Laser therapy is one of the best available modality of treatment. So, if you can bear the cost, then you can conti...  Read Full »

What is the effective treatment for hormonal cystic acne?

Query: Hi doctor, I had hormonal cystic acne, and got treatment from a dermatologist, and was on pills that helped but caused me mood swings. Now, I do not want to continue them and am looking for an alternative. Can you please help me with this?  Read Full »

Dr. Kandi Disha Yermal

Answer: Hello, Welcome to I went through your query. For discussion on your problem, I need to know few more details. What is your daily routine diet? What is your activity schedule? Do you have oily skin? Exactly what is the location of acne? If there is any specific location like chin...  Read Full »

How to manage a bump on the nose?

Query: Hello doctor, I got a bump on my nose that went down after about a week, but never went all the way away and was very tiny. The site got iritatted and now it is a really big bump on my nose. How can I get this bump to go away? A bump in the same area occured a few months back. And I use Clean and C...  Read Full »

Dr. Dhepe Snehal Laul

Answer: Hi, Welcome to You can try, Nadibact (Nadifloxacin) cream twice daily for 15 days. Answer the below questions for details. Is it painful and tender to touch? Is it a pus-filled lesion? Is it soft or firm or hard in consistency? Do you have any burning sensation? Do you have a...  Read Full »

What is the dark bump like spot in front of my tragus?

Query: Hi doctor, I have a dark bump like spot in front of tragus. Ever since I have noticed this small bump it has got flattened and less puffy. I have some other spots too. I guess it is not a keloid. I went to a facialist and she stated it as not a pimple. I just need a clarification of what they are? W...  Read Full »

Dr. Jyotisterna Mittal

Answer: Hi, Welcome to I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and I do understand your concern. There is a nodule in front of your tragus, on the side of your cheek; which may be an acne cyst or nodule left behind...  Read Full »

How can cystic acne be treated without disfiguring the face?

Query: Hello doctor, How can a cystic acne be treated without devastating the face? And advice about men's health on cystic acne and what is the best treatment for cystic acne?  Read Full »

Dr. Yeshwanth Kumar

Answer: Hello, Welcome to Cystic acne comes under acne vulgaris grade 4. The generation they present as large inflamed pus-filled nodules which later develop into cysts along with draining sinuses. Treatment of severe acne includes, 1. We need to counsel the patient that severe acne can be ...  Read Full »

Is it a must to treat acne with topical and oral medicines?

Query: Hi doctor, I have been suffering from acne since one month, mainly it is cystic acne. I have always had this issue on and off, but this time it is painful and new acne keeps coming. The scar too takes long time to go. I have been using the over-the-counter Benzoyl peroxide face wash, Benzoyl peroxi...  Read Full »

Dr. Asmeet Kaur Sawhney

Answer: Hi, Welcome to I have gone through your history and seen the attached photographs (attachments removed to protect patient identity). According to me, you need both oral as well as topical medication to treat acne. Continue with the face wash but Benzoyl peroxide 10 percent is too st...  Read Full »

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