How Cystic Acne is Different from Regular Acne

Bob Berendsen • June 1, 2021
Woman with cystic acne

How Cystic Acne is Different from Regular Acne

Your skin has pores that help your skin to breath and regulate your temperature. At times, different substances can clog these pores. When they become clogged, acne tends to follow.

 

Acne affects around 50 million Americans every year. This skin condition can affect anyone and can severely hurt your confidence and self-esteem. It is often associated with hormonal changes such as pregnancy, menopause, certain medications, and using particular skin products. You might also get this condition if you wear tight clothing or live in a hot and humid climate.

 

Acne can affect the face, upper arms, and upper trunk. If you have been living with acne that is affecting your quality of life, it is time to seek treatment. You will likely take the right steps to clear your skin if you can identify the type of acne that is affecting you. There are several different types of acne, with cystic acne and white heads being the most common.

 

Not sure which kind you may have? Here is the way to tell the difference between regular zits, and pesky cysts.


Cystic Acne and Regular Acne Have Different Causes

Regular acne occurs when the pores on the skin are clogged. Clogging is often associated with the overproduction of sebum by sebaceous glands. Hormonal changes, stress, genetics, or changes in your diet are likely to cause the overproduction of this oil. This oil, together with dead skin cells, mix and get stuck in the pores. If you do not fully remove these cells and oil from your pores, they end up causing regular acne.

 

On the other hand, cystic acne occurs when regular pimples erupt on the inside of the skin. The erupted pimples form cysts under the skin. As a result, your skin's surface will have hard nodules.


These Two Types of Acne Have Different Characteristics

Regular acne is characterized by small pimples, blackheads, papules, and whiteheads that appear on top of the skin. These skin blemishes are not normally painful, and they disappear in a matter of a few days. If not treated however, they may reappear a few days later.

 

Cystic acne is characterized by sebaceous cysts that lie under the skin. These cysts are larger than normal papules and pimples, and they are sometimes painful. If not treated, these cysts can remain in the same area for months.


Regular Pimples Have Whiteheads While Sebaceous Cysts Lack Whiteheads

Regular pimples form a whitehead that is attached to the skin surface. On the flip side, sebaceous cysts do not have a whitehead. Therefore, if you try to pop a sebaceous cyst, the substances in the cysts will not come out. Instead, the bacteria inside the cyst will go deeper into your skin.


These Two Types of Acne Are Treated Differently

Dermatologists treat regular acne using practices that unclog your pores. For instance, a dermatologist may tell you to use cleansers, creams, or topical toners on your face when experiencing this type of acne. These products contain salicylic acid, a compound that exfoliates the skin, removing excess oil and dead skin cells from skin pores.

 

If a bacterial infection causes your regular acne, your dermatologist will advise you to buy a retinoid. The dermatologist might also advise you to buy products with benzoyl peroxide. These products might be topical or oral and will reduce inflammation on your skin. They will also kill the bacteria that is causing your skin troubles.

 

Cystic acne, on the other hand, is treated using oral antibiotics such as tetracycline. This medication will fight the infections under your skin, reducing the symptoms of this acne. If this medication fails to work, your dermatologist will use Isotretinoin to treat it. This drug is a good medication for cystic acne, but it has side effects. To prevent these side effects, your dermatologist will regularly check in with you. In case of any negative side effects, the dermatologist will meet with you to determine if treatment should be stopped.

 

If you are a female and all the above drugs fail to work, your doctor may recommend you take anti-androgen medications. These medications will help you if your cystic acne is a result of hormonal imbalance. They will regulate the production of androgen hormone and block the effects of this hormone on sebaceous glands. As a result, your cystic acne will disappear. Your doctor might also use birth control pills to treat your cystic acne.

 

If all the above treatments do not achieve clear skin, your doctor may opt to drain the cysts through excision. After draining it, they will inject a steroid into the area. The steroid will eliminate the infection in the cysts and make the cysts less painful. You will need to apply antibiotic ointment to the treated area to prevent the formation of scars. Other treatment methods that your doctor might use include laser treatments, chemical peels, and photodynamic therapy.

 

 

 

Acne affects many people, and options are available. If you are dealing with recurring acne that is affecting your quality of life or self-esteem, visit us at Pine Belt Dermatology & Skin Cancer Center to find the right treatment options for you. 


July 31, 2026
At Pine Belt Dermatology & Skin Cancer Center , we understand that selecting the right skincare products can be challenging. While many over-the-counter (OTC) options promise results, not all skin concerns can be addressed with these products. Knowing the difference between OTC and prescription treatments helps you make educated decisions and recognize when to seek professional care. If you are treating acne, eczema, rosacea, or signs of aging, upgrading your treatment plan at the right time can improve your skin health and confidence. Understanding Over-the-Counter Skin Treatments Over-the-counter skincare products are available without a prescription and are intended for mild to moderate skin concerns. When used consistently, many contain ingredients that help maintain healthy skin. Common OTC ingredients include: Salicylic acid for acne Benzoyl peroxide to reduce acne-causing bacteria Retinol for fine lines and uneven texture Hydrocortisone cream for minor itching and irritation Moisturizers with ceramides or hyaluronic acid to heal the skin barrier These products are a good starting point for mild conditions. However, because OTC treatments use lower-strength active ingredients, they may not be effective for chronic or serious skin issues. When Prescription Skin Treatments May Be Necessary Prescription treatments use stronger active ingredients and are customized to your specific skin condition. A dermatologist can diagnose the underlying cause and recommend medications that address the problem more effectively than OTC products. Prescription treatments may include: Oral medications for moderate to severe acne Prescription-strength retinoids Medications to manage eczema or psoriasis Treatments for rosacea and chronic redne Prescription creams for hyperpigmentation or melasma Antifungal or antibacterial medications for skin infections These therapies are chosen based on your medical history, skin type, and treatment goals to maximize results and minimize side effects. Time to Upgrade Your Treatment While many start with OTC products, some situations require a dermatology appointment. Consider seeing a dermatologist if: Your skin condition has not improved after several weeks of steady OTC treatment. Acne is causing painful cysts, nodules, or permanent scarring. Rashes, redness, or irritation continue to worsen. You experience frequent flare-ups of eczema, psoriasis, or rosacea. You notice new or changing skin growths or unusual spots. Your skin concern is affecting your confidence or quality of life. Early treatment has the potential to prevent conditions from getting worse and minimize the chances of long-term skin damage. Why Professional Assessment Matters Many skin conditions look similar, making self-diagnosis challenging. For example, stubborn acne may be rosacea, and chronic dry patches could indicate eczema, psoriasis, or another condition. A board-certified dermatologist can accurately diagnose your skin concern and develop a customized treatment plan. Professional guidance also helps you avoid spending time and money on ineffective products. Healthy Skin Starts with the Right Treatment Over-the-counter products are important for daily skincare, but they may not treat complex or persistent concerns. Transitioning to prescription treatment at the right time can greatly improve your skin’s appearance and long-term health. At Pine Belt Dermatology & Skin Cancer Center , our team offers complete evaluations and customized treatment plans for acne, eczema, rosacea, hyperpigmentation, skin cancer screenings, and other skin conditions. If your current skincare routine is not resulting in success, we are here to help you achieve healthier, more confident skin. 
June 29, 2026
At Pine Belt Dermatology & Skin Cancer Center, we believe education is key to protecting and maintaining healthy skin. July is significant for skin health, featuring both UV Safety Awareness Month and World Skin Health Day on July 8 . These occasions highlight the importance of sun protection and raise awareness of common concerns, such as hyperpigmentation and melasma . Understanding how ultraviolet (UV) exposure affects your skin helps prevent long-term damage and supports a healthier, more even complexion. Why UV Protection Matters The sun emits ultraviolet rays that can damage skin even on cloudy days. While many associate UV exposure with sunburn, its effects are broader. Repeated UV exposure accelerates skin aging, increases skin cancer risk, and contributes to pigmentation disorders. Common effects of excessive UV exposure include: • Sunburn and skin irritation • Premature aging, including fine lines and wrinkles • Dark spots and uneven skin tone • Increased risk of skin cancer • Worsening of hyperpigmentation and melasma Daily sun protection is one of the most effective ways to maintain healthy skin and reduce preventable damage. What Is Hyperpigmentation? Hyperpigmentation is a common condition where areas of skin become darker than the surrounding tissue due to excess melanin production. Multiple factors can contribute to hyperpigmentation, including: • Sun exposure • Acne scars and inflammation • Hormonal changes • Skin injuries or irritation • Certain medications While hyperpigmentation is mostly harmless, many seek treatment to improve skin tone as well as restore confidence. Understanding Melasma Melasma is a type of hyperpigmentation that shows up as brown or gray-brown patches, typically on the cheeks, forehead, nose, and upper lip. Melasma is frequently associated with: • Hormone changes during pregnancy • Birth control medications • Hormone replacement therapy • Genetic predisposition • Sun exposure Although melasma is not dangerous, it can be difficult to treat because UV exposure frequently triggers or worsens it. Even minimal sun exposure can increase pigment production and make discoloration more noticeable. Protecting Your Skin from UV Damage Whether you are concerned about skin cancer, hyperpigmentation, or melasma, daily sun protection is essential. Dermatologists suggest: • Using sun lotion with SPF 30 or higher every day • Reapplying sunscreen every two hours when outdoors • Wearing wide-brimmed hats and protective clothing • Seeking shade during peak sunlight hours • Wearing UV-protective sunglasses • Avoiding tanning beds Consistent sun protection helps prevent new pigmentation issues. World Skin Health Day: A Reminder to Prioritize Skin Care Observed annually on July 8, World Skin Health Day encourages preventive steps to maintain healthy skin. This is a reminder to perform regular self-exams, schedule dermatology visits, and address concerns early. If you notice persistent dark spots, changes in pigmentation, or new skin lesions, seek an expert assessment to determine the cause and identify treatment options. Supporting Healthy Skin Year-Round UV Safety Awareness Month and World Skin Health Day remind us that protecting your skin is an investment in long-term health. Practicing sun safety and understanding conditions like hyperpigmentation and melasma help preserve your skin’s health, appearance, and function. At Pine Belt Dermatology & Skin Cancer Center, our team provides personalized evaluations and treatments for pigmentation concerns, sun-damaged skin, and overall skin health. Plan a visit and learn how we can help you achieve healthier, more confident skin.
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