Deep inflammatory acne, often called cystic acne, creates painful, swollen bumps deep under the skin. Treating it requires a mix of home care, over-the-counter products, and professional help to reduce inflammation, fight bacteria, and prevent scars.
Start by seeing a dermatologist if your acne is severe, tender, or leaving marks, as over-the-counter options alone may not reach deep enough. They will check your skin type and create a plan based on how bad it is.
For home care, use gentle cleansing twice a day with a mild, non-comedogenic cleanser to avoid irritating the skin. Apply benzoyl peroxide at a low strength like 2.5 percent to kill bacteria and calm swelling. Start slowly to prevent dryness, and use it every other day at first.
Over-the-counter salicylic acid or azelaic acid can help unclog pores and ease redness. Moisturize daily with a light, oil-free product to keep your skin barrier strong. Always apply broad-spectrum sunscreen, since sun exposure worsens marks and slows healing.
Prescription topicals like tretinoin speed up skin cell turnover to clear blockages and reduce new cysts. These retinoids are stronger than store-bought versions and work best when used nightly after building tolerance.
Your doctor might prescribe oral antibiotics such as doxycycline for a few weeks to cut bacteria and inflammation quickly. For hormonal causes, especially in women, spironolactone or certain birth control pills can balance oil production.
In tough cases, isotretinoin, known as Accutane, provides long-term clearing by shrinking oil glands, but it needs close monitoring for side effects.
For fast relief on big cysts, ask about cortisone shots in the office. These shrink swelling in one or two days without popping the lesion yourself, which risks scars.
Professional extractions by a dermatologist safely drain deep blockages. Chemical peels exfoliate buildup and improve texture, while lasers like AviClear target oil glands for lasting control.
Light therapies reduce bacteria and redness. To avoid scars, treat early and stick to your routine. Microneedling or laser resurfacing can smooth existing marks by boosting collagen once breakouts are under control.
Sources
https://worldofasaya.com/blogs/acne/complete-guide-treating-cystic-acne-step-by-step
https://www.advanceddermatologypc.com/conditions/acne/
https://www.fivensondermatology.com/acne
https://www.tuftsmedicine.org/about-us/news/acne-over-30
https://renotahoederm.com/when-its-time-to-see-a-dermatologist-for-acne-in-reno-nv/
https://herndondermatology.com/services/acne-care
https://doralhw.org/acne-treatment-beyond-topicals-when-to-consider-professional-procedures-2/
