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Severe Cystic Acne - Best Treatment Options

Cystic acne is one of the more severe forms of acne, characterized by large, pus filled cysts that begin deep in the skin. The blemishes are also known as papules and pustules. Nodular acne cysts can also form, which present as large, firm nodules under the skin surface. These cysts can take weeks to heal. Cystic acne breakouts commonly appear on the face, but can also appear anywhere on the body such as the shoulders, chest and back. This type of acne is associated with acne scarring. Because of the severity and extreme discomfort caused by cystic acne, not to mention the embarrassment it can cause, this is best treated by an experienced dermatologist to get the fastest results. Fortunately, there are several treatment options to explore.

When you have acne of any kind, you will want to follow an acne skin care regime twice each day, using specific acne products formulated for your skin. Avoid any overly harsh, abrasive products that could further irritate and inflame your sensitive skin. Using a proven acne product is a good idea, but quite honestly, a topical product is not usually adequate in dealing with severe cystic acne. You'll also want to identify the underlying cause of your acne, such as hormonal imbalance.

Often, some dietary changes are advised, not because there is necessarily a direct link between certain foods, like chocolate and acne, but because a healthier diet can balance the body and remove excess toxins that can contribute to breakouts. It is also thought that a highly acidic diet and acidic body pH contributes to acne in some people, so eating more alkaline foods such as apples, broccoli, and more vegetables can have a positive effect on your skin. Of course you should also drink plenty of water, avoid processed food, as well as excessively fatty foods, and avoid any specific foods that you have determined are triggers for new breakouts.

These changes are a good start, but when you've tried the simple things such as a topical acne product and modified diet, it is time to consider prescription acne medication as another option. Hormones may be prescribed, such as birth control pills, if the cystic acne seems to be hormonally related. Oral antibiotics may also be prescribed. These commonly include erythromycin and tetracycline, among others.

Accutane, also known as Isotretinoin, is a synthetic oral form of Vitamin A that is extremely effective in treating severe inflammatory cystic acne. It works by reducing the size of oil glands so the skin makes less oil. However, there are many potential undesirable side effects to this medication, so you really want to understand those before you take a course of treatment. It is usually taken for 16-20 weeks at a time, with additional courses prescribed if necessary.

Chemical peels are sometimes tried, although unlikely to have long term effect on cystic acne. Also, be sure to check with your physician if you are taking medication prior to getting any chemical peel treatment.

Newer procedures using photodynamic therapy, or PDT, are proving successful in many moderate acne cases. This procedure shrinks the oil glands, and reduces oil production. This is a good option if you don't want to take Accutane or other medications, but it can be expensive and is not always covered by insurance.

Hopefully, with the help of a good dermatologist, you will find the cure to your cystic acne by using one or more of these acne treatment options.

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