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How can I avoid formation of scar due to popping of cystic pimple on eyebrow?

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

Patient's Query

Hi doctor,

I had a cystic pimple on my eyebrow for about a week that just popped under the skin last night. I have never experienced this before. So, I am worried about scarring.

Is this something I need to go and check with a dermatologist immediately to clean it out if I want to avoid scarring? What is the best thing to do in my situation to avoid a scar?

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

I have reviewed the clinical photograph attached (attachment removed to protect patient identity). Yes, you have developed nodulocystic acne. What did you mean by it has popped last night? Is this same lesion present for one week or it has subsided now since yesterday? If it has just appeared, then you will need a course of oral antibiotics to reduce inflammation and infection. Topically Fusidic acid 2 % cream can be applied twice daily. In most of the cases of nodulocystic acne intralesional steroid injection is given to reduce inflammation and scarring, cryotherapy would also help. Avoid squeezing and touching. In past what medication have you taken?

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

It first appeared around a week ago. So, it is much smaller now. Just last night though, it popped under the skin. The photo is from this morning. I have never had this happen before, so I wanted to find out if I needed to go to a dermatologist to have it opened and cleaned out to avoid scarring.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

At present, you do not need to go urgently to a dermatologist. Just apply Fusidic acid 2 % cream. At first, when it was inflammatory, at that point you could have considered cryotherapy. Now, it is in resolving phase as you mentioned it has decreased in size. Oral antibiotic tablet Azithromycin 500 mg once a day after meal course for three days can be considered if you are not allergic to oral antibiotics medication.

Looking forward to your response in order to help you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At September 3, 2018
Reviewed AtMarch 24, 2025

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