Understanding Cystic Acne: Causes, Symptoms, and Treatment Options

Introduction to Cystic Acne
What is Cystic Acne?
Causes of Cystic Acne
- 1. Hormonal Changes Hormonal fluctuations during puberty, menstruation, pregnancy or due to medical conditions like Polycystic Ovary Syndrome (PCOS) can trigger excess oil production, leading to clogged pores.
- 2. Genetics A family history of acne increases the likelihood of developing cystic acne.
- 3. Bacterial Growth The bacterium Cutibacterium acnes thrives in clogged pores, causing inflammation and contributing to the formation of cysts.
- 4. Dietary Factors Some studies suggest that a diet high in sugar or dairy may exacerbate acne for some people
- 5. Stress High stress levels can worsen acne by increasing oil production and inflammation.
Symptoms of Cystic Acne
- Large, painful cyst under the skin.
- Swelling and redness around the affected area.
- Deep-seated nodules that may last for weeks.
- Pus-filled lesions that can rupture and form scars.
- Tenderness or sensitivity in the affected areas.
Treatment Options for Cystic Acne in Singapore
- 1. Topical Treatments Dermatologists may prescribe topical retinoids or benzoyl peroxide to reduce inflammation and unclog pores.
- 2. Oral Medications
- Antibiotics: Short-term antibiotic use can help reduce bacterial growth and inflammation.
- Oral Isotretinoin: A potent medication for severe cases, isotretinoin addresses the root of cystic acne, including oil production and clogged pores.
- 3. Hormonal Therapy Women with cystic acne linked to hormonal imbalances may benefit from birth control pills or anti-androgen medications like spironolactone.
- 4. In-Office Procedures
- Corticosterioid Injections: Directly injected into cysts to reduce inflammation and speed up healing.
- Chemical Peels: Helps exfoliate dead skin cells and prevent future breakouts.
- Laser Therapy: Targets acne-causing bacteria and promotes skin healing.
- 5. Skincare Routine By establising a proper skincare routine tailored to acne-proned skin is crucial. Additionally, by using gentle cleansers, non-comedogenic moisturizers and sunscreen.
Prevention Tips for Cystic Acne
- 1. Maintain a Consistent Skincare Routine: Use products suited for acne-prone skin to cleanse, exfoliate and hydrate the regularly.
- 2. Avoid Touching Your Face: Touching or picking at cystic acne can worsen inflammation and lead to scarring.
- 3. Watch your Diet: Opt for a balanced diet rich in fruits, vegetables and whole grains. Monitor potential triggers like dairy or sugary foods.
- 4. Manage Stress: Engage in activities like yoga, mediation or exercise to keep stress levels in check.
- 5. Stay Hydrated: Drinking plenty of water can help maintain skin hydration and also reduces inflammation.
Why Seek Professional Help for Cystic Acne?
Cystic Acne Scarring: What You Need to Know
- One of the biggest concerns with cystic acne is the potential for scarring. Acne scars can appear as:
- Atrophic Scars: Depressions or indentations in the skin.
- Hypertrophic Scars: Raised, thickened areas of skin.
- Post-Inflammatory Hyperpigmentation (PIH): are dark spots that remain after the acne heals.
- Treatment options for acen scars include:
- Microneedling: Stimulates collagen production to reduce the appearance of scars.
- Chemical Peels: Improves skin texture and tone.
- Fractional Laser Resurfacing: Targets deeper scars for smoother skin.
Addressing Myths About Cystic Acne
- Myth 1: Washing your face more often will prevent acne.
- Fact: Over-washing can strip your skin of natural oils and trigger more oil production.
- Myth 2: Only teenagers get cystic acne.
- Fact: Adults, especially women, may also experience cystic acne due to hormonal imbalances.
- Myth 3: Eating greasy foods causes acne.
- Fact: While diet plays a role, greasy foods are not directly linked to acne.
Cystic Acne and Emotional Well-Being
When should you See a Dermatologist?
- Persistent cane that doesn't respond to over-the-counter treatments.
- Painful or inflamed cysts.
- Signs of scarring or pigmentation.
- Concerns about skin changes in existing moles and lesions.
Conclusion
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