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Adult acne is a growing concern for many, as it often comes with the added frustration of persistent flare-ups. For many adults, cystic acne is an unexpected problem, as they never had severe acne during their teenage years. The deep cysts that characterize this condition are different from the more typical pimples or blackheads.
Cystic Acne: Key Factors That Cause You to Develop Acne

1. Hormonal Imbalances
Hormonal imbalances are one of the primary triggers for cystic acne, particularly in adults. These imbalances occur when there is an abnormal fluctuation in the levels of hormones like androgens, which play a significant role in regulating oil production in the skin. The overproduction of androgens leads to the activation of sebaceous glands, which are responsible for producing sebum (oil).
When excess sebum is produced, it can mix with dead skin cells and clog the pores, creating an environment in which bacteria, particularly Propionibacterium acnes, thrive. This bacterial growth leads to inflammation, which is the hallmark of cystic acne.
2. Puberty
During puberty, both males and females experience a surge in androgen production. This increase in androgens stimulates the sebaceous glands, causing them to produce more oil than usual. For many teenagers, this results in acne, and when the acne is deep, inflamed, and filled with pus, it can develop into cystic acne.
Although some adolescents experience only mild breakouts, others are more prone to severe acne, including cystic pimples. The hormonal changes during puberty are temporary, but for some, they can persist, making cystic acne a recurring problem.
3. Pregnancy
Pregnancy is another significant time when hormonal fluctuations can affect the skin. During pregnancy, a woman's body produces elevated levels of hormones such as progesterone and estrogen, which can influence sebum production. For some women, these changes lead to an increase in acne breakouts.
In some cases, the skin becomes oily and more prone to clogged pores, triggering cystic acne flare-ups. However, pregnancy hormones can affect women differently—some women experience an improvement in skin appearance, while others see a worsening of acne.
4. Menopause
As women approach menopause, which typically occurs between the ages of 45 and 55, they undergo another major hormonal shift. During this time, estrogen levels begin to decline, while androgen levels may remain the same or even increase. This shift in hormonal balance can lead to an overproduction of sebum, triggering acne breakouts. For many women, menopause-related acne is similar to the hormonal acne they experienced during their teenage years, but the breakouts are more often seen along the jawline and chin areas.
Cystic acne during menopause may also occur in conjunction with other symptoms of hormonal imbalance, such as hot flashes and night sweats. This period of life can be particularly challenging for women who are not accustomed to acne breakouts as adults.
5. Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) is a common hormonal disorder that affects many women of reproductive age. One of the key characteristics of PCOS is the overproduction of androgens, which can lead to symptoms like excessive oil production, acne, and excess hair growth. For women with PCOS, cystic acne can be particularly problematic, as it often appears in areas like the jawline, chin, and upper neck.
In addition to the hormonal imbalance, PCOS can also cause irregular menstrual cycles and fertility issues. The increased levels of androgens not only stimulate the sebaceous glands to produce more oil, but they also contribute to the formation of cystic acne by promoting the clogging of hair follicles and the development of painful, pus-filled acne cysts. Women with PCOS may also experience other skin-related issues, such as darkened patches of skin (a condition known as acanthosis nigricans) and scalp hair thinning.
5. Menstrual Cycles and Acne
For many women, the hormonal fluctuations that occur during the menstrual cycle can cause acne to worsen, particularly in the week leading up to menstruation. In the days before menstruation, there is typically an increase in progesterone levels, which stimulates the sebaceous glands to produce more oil.
This excess oil can clog pores, trap dead skin cells, and create the perfect environment for bacterial growth, leading to the development of acne breakouts. Hormonal acne that occurs during menstruation is often concentrated along the lower face, including the chin, jawline, and neck.
Tailoring Approaches for Severe Breakouts
When it comes to cystic acne treatment, a one-size-fits-all approach doesn’t work. While typical acne treatments such as topical benzoyl peroxide and salicylic acid can be effective for mild acne, they are usually insufficient for cystic acne, which is a more severe form. Cystic acne requires more aggressive treatment to reduce inflammation, clear excess oil, and fight the bacterial infection deep within the skin.
Topical Retinoids
Topical retinoids, such as adapalene and tretinoin, are often used to treat cystic acne. These Vitamin A derivatives help to increase skin cell turnover, preventing dead skin cells from clogging the pores. They also help to reduce the size of sebaceous glands and the production of excess oil, addressing one of the root causes of cystic acne.
Oral Antibiotics
For moderate to severe cystic acne, oral antibiotics such as doxycycline or minocycline are often prescribed. These medications help to reduce inflammation, kill bacteria, and prevent further breakouts. However, they are usually used for a limited time to avoid antibiotic resistance.
Oral Isotretinoin (Accutane)
In cases of severe cystic acne that do not respond to other treatments, isotretinoin (commonly known as Accutane) is often the treatment of choice. This medication significantly reduces oil production and prevents the development of acne cysts. Isotretinoin can be highly effective, but due to its potential side effects, it is typically prescribed after other options have been exhausted.
Photodynamic Therapy
A newer and less invasive option for treating cystic acne is photodynamic therapy (PDT). PDT involves the application of a light-sensitive solution to the skin, followed by exposure to a specific wavelength of light. This therapy targets acne-causing bacteria and reduces oil production, making it a promising treatment for cystic acne.
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Acne Treatment: A Revolutionary Solution for Cystic Acne

Cystic acne can often lead to scarring that leaves lasting marks on the skin, but there's hope. Perfect Medical's Acne Treatment offers a cutting-edge solution designed not only to treat active acne but also to address the scars and skin damage that can result from cystic acne.
The best way to tackle acne scars is by preventing acne flare-ups in the first place. Perfect Medical’s Acne Treatment employs vacuum dermabrasion technology, which gently exfoliates the skin, removing oil, dirt, and dead skin cells.
This process not only reduces acne but also creates an ideal environment for collagen repair, a critical step in minimizing scarring. The treatment also infuses medical-grade hydrating essence deep into the skin, promoting healing and reducing the appearance of scars left by cystic acne.
How Can Acne Treatment Tackle Inflammatory Acne?
The treatment works on multiple fronts to target both acne and post-acne skin damage:
1. Exfoliation and Deep-Cleansing: The vacuum dermabrasion technology removes 30-35mm of excess oil, dirt, and old skin cells, ensuring that the skin is thoroughly cleaned and ready to heal.
2. Hydration and Collagen Stimulation: The infusion of medical-grade hydrating essence into the skin promotes collagen production, a key factor in skin repair and regeneration, helping to smooth and renew the skin.
3. Bacterial Control: This treatment helps control acne-causing bacteria, preventing further breakouts and providing long-lasting results.
Benefits for Cystic Acne Scarring
Pore Refinement: By stimulating collagen and promoting hydration, the Acne Treatment works to shrink enlarged pores and reduce the appearance of scars.
Skin Texture Improvement: As the skin heals, it becomes smoother and more even, with noticeable improvements after just one session.
Long-Term Prevention: Regular treatments help reduce the risk of future breakouts, addressing the root causes of acne to prevent recurring scarring.
How to Maintain Clear Skin: Preventing Future Cystic Acne Breakouts
Once cystic acne is under control, it’s crucial to adopt a consistent skincare routine and lifestyle changes to prevent future flare-ups. Preventing cystic acne requires a comprehensive approach that combines proper skincare, hormonal management, dietary adjustments, and thoughtful makeup choices. This multi-faceted approach ensures long-term skin health and helps minimize the risk of future breakouts.
Skincare Routine: The Foundation for Acne Prevention
Maintaining a daily skincare routine tailored to acne-prone skin is essential for keeping cystic acne at bay. A well-thought-out skincare regimen helps manage oily skin, prevents clogged pores, and promotes overall skin health. Here’s how to ensure your routine supports clear skin:
Cleansing and Exfoliation
Using a gentle, non-comedogenic cleanser helps to remove dirt, oil, and impurities without irritating the skin. Regular exfoliation, around 2-3 times a week, removes dead skin cells that can clog pores and contribute to acne development. Salicylic acid and benzoyl peroxide are commonly used exfoliants known to clear pores and reduce acne. However, avoid harsh scrubs that could irritate the skin and worsen acne.
Moisturizing
Even oily skin requires moisture, but it's important to use an oil-free moisturizer that won't clog pores. Non-comedogenic moisturizers hydrate the skin, keeping it balanced and preventing it from overproducing oil, which could lead to acne.
Sun Protection
Daily application of SPF 30+ sunscreen is a must. Not only does sunscreen protect the skin from harmful UV rays, but it also helps prevent post-acne scarring from worsening. Choose a sunscreen that’s specifically formulated for acne-prone skin to avoid clogging pores.
Diet and Lifestyle: Support Your Skin from the Inside Out
Diet and lifestyle play a significant role in maintaining clear skin. Certain foods and habits can trigger acne flare-ups, while others can help keep cystic acne in check.
Avoid High Glycemic Foods
A diet rich in refined sugars and high glycemic index foods can increase insulin levels, which subsequently boosts oil production and worsens acne. Foods like white bread, sugary snacks, and sodas should be limited. Instead, opt for a balanced diet rich in vegetables, whole grains, and lean proteins.
Manage Stress and Get Enough Sleep
Chronic stress can lead to hormonal imbalances, which can trigger acne flare-ups. Practicing stress-reducing techniques such as meditation, yoga, or deep breathing can help manage cortisol levels and minimize acne breakouts.
Sleep is another vital factor for skin health. Getting 7-9 hours of quality sleep every night allows the skin to repair and regenerate, preventing acne and other skin issues.
Hormonal Management: Regulating Hormones to Control Acne
For many adult women, hormonal fluctuations are a key trigger for cystic acne. Hormonal imbalances, especially during periods of hormonal changes like menstruation, pregnancy, and menopause, can increase androgen levels. This hormonal shift stimulates the sebaceous glands to produce excess oil, contributing to clogged pores and acne development.
Birth Control Pills and Hormonal Treatments
If hormonal fluctuations are contributing to cystic acne, birth control pills or other hormonal treatments may help regulate androgen levels and reduce acne symptoms. Birth control pills, in particular, can help stabilize hormone levels and control oil production. If birth control is not suitable, consult with a healthcare provider about alternative treatments that can balance hormones.
Other Hormonal Treatments
For individuals with more severe acne or conditions like polycystic ovary syndrome (PCOS), additional hormonal treatments, such as anti-androgens, may be effective. These treatments can help reduce excess sebum production and control acne breakouts.
Makeup and Facial Products: Choose Carefully to Prevent Breakouts
The makeup and facial products you use can either contribute to acne or support healthy skin. When selecting makeup, always opt for non-comedogenic products that are specifically formulated not to clog pores. Avoid heavy foundations, which can exacerbate acne-prone skin and increase the likelihood of future breakouts.
Gentle Removal of Makeup
Properly removing makeup at the end of the day is equally important. Use lukewarm water and a gentle cleanser to avoid stripping the skin or causing irritation. Harsh cleansing or tugging at the skin can lead to inflammation and worsen acne. Follow up with a soothing toner and an oil-free moisturizer to keep skin hydrated and balanced.
Take Action For a Better Skin Today!
Maintaining clear skin and preventing cystic acne flare-ups doesn’t have to be a challenge. If you're looking for a comprehensive solution to acne management, Perfect Medical’s Acne Treatment combines advanced technologies and medical-grade ingredients to keep acne at bay and promote smooth, healthy skin.
Book your free trial today and experience the revolutionary Acne Treatment at Perfect Medical. Don’t let acne hold you back—embrace clear, glowing skin!
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FAQ
1. How can I manage severe acne and prevent painful bumps on my skin’s surface?
To clear severe acne and reduce painful bumps, it's essential to follow a consistent skincare routine. Topical treatments like benzoyl peroxide or topical antibiotics can help kill acne-causing bacteria, while keeping your skin hydrated with an oil-free moisturizer can prevent further irritation. Additionally, maintaining a clean routine—such as washing your face and hair regularly—can prevent oils from clogging your pores.
2. Can using oral contraceptives help prevent acne in older adults?
Yes, oral contraceptives can help regulate hormone levels, which is a key factor in preventing acne, particularly cystic acne. Hormonal shifts, especially during aging, can increase androgen levels, leading to excessive oil production and clogged pores. Oral contraceptives can balance these hormones and may improve acne, including nodulocystic acne, in adult women.
3. What are the common cystic acne causes and how do they relate to family history?
Cystic acne is often caused by hormonal changes, excess oil production, and clogged pores. Genetics also play a significant role—if you have a family history of acne, you may be more prone to developing it. Other factors like stress, certain medications, and even environmental triggers (like tanning beds) can exacerbate cystic acne symptoms.
4. How can I avoid acne spots and scars from tanning beds?
Tanning beds can worsen acne, especially for individuals with acne-prone skin or severe types of acne like acne conglobata. Exposure to UV rays can irritate the skin's surface, leading to inflammation and acne flare-ups. To prevent acne spots and scarring, it's essential to avoid tanning beds and use sunscreen regularly to protect your skin from further damage.
5. Which foods should I avoid to reduce acne breakouts on my upper arms and face?
To help prevent acne flare-ups, it's advisable to avoid foods with a high glycemic index, such as processed sugars and dairy products, which can trigger hormonal imbalances and increase oil production. In addition, fried foods and those high in fats can worsen acne symptoms, particularly on sensitive areas like the upper arms and face.