If you have acne that's not responding to self-care and over-the-counter treatments, make an appointment with your doctor. Early, effective treatment of acne reduces the risk of scarring and of lasting damage to your self-esteem. After an initial examination, your doctor may refer you to a specialist in the diagnosis and treatment of skin conditions (dermatologist).


Drink plenty of water: Our body gets dehydrated very quickly. Water is one of the important things our body organs require to function properly and it also helps in maintaining the skin soft and supple. Without enough water, our skin gets very dry and we use a heavy duty moisturize to maintain it supple. But moisturizers can clog the pores, so it is important to drink plenty of water.

While you can certainly benefit from a great skin-care regimen, "in cystic acne, usually you need internal treatment," he says. "Topical medications usually don't work. Accutane is a great miracle cure for really bad cystic acne, but most people with cystic acne will improve with oral antibiotics — sometimes for two weeks, sometimes for three weeks."


Drink plenty of water: Our body gets dehydrated very quickly. Water is one of the important things our body organs require to function properly and it also helps in maintaining the skin soft and supple. Without enough water, our skin gets very dry and we use a heavy duty moisturize to maintain it supple. But moisturizers can clog the pores, so it is important to drink plenty of water.
While you can certainly benefit from a great skin-care regimen, "in cystic acne, usually you need internal treatment," he says. "Topical medications usually don't work. Accutane is a great miracle cure for really bad cystic acne, but most people with cystic acne will improve with oral antibiotics — sometimes for two weeks, sometimes for three weeks."
Rubbing ice cubes on the face will decrease the size of acne and helps in healing the acne pain. You are required to take a few ice cubes and wrap them in a clean cloth. Now, rub it gently on the face, specially covering the infected area until the area becomes insensitive. If you have a lot of acne, you can hold ice for five minutes on the infected area. This will minimize the redness and inflammation of acne.
Benzoyl peroxide attacks the P. acnes bacteria. However, one of its main side effects is dryness: If you’re going to use anything with benzoyl peroxide, make sure to moisturize afterwards. Sulfur and azelaic acid are less common and less severe alternatives to benzoyl peroxide. Dr. Peter Lio, assistant professor of clinical dermatology at Northwestern University, says sulfur-based treatments are “a good fit for patients who can’t tolerate the side effects of benzoyl peroxide.”
Oral contraceptives: Oral contraceptives (birth control pills), which are low in estrogen to promote safety, have little effect on acne one way or the other. Some contraceptive pills have been shown to have modest effectiveness in treating acne. Those that have been U.S. FDA approved for treating acne are Estrostep, Ortho Tri-Cyclen, and Yaz. Most dermatologists work together with primary care physicians or gynecologists when recommending these medications.
Retinoids: Retin-A (tretinoin) has been in use for years, and preparations have become milder and gentler while still maintaining its effectiveness. Newer retinoids include adapalene (Differin) and tazarotene (Tazorac). These medications are especially helpful for unclogging pores. Side effects may include irritation and a mild increase in sensitivity to the sun. Adapalene 0.1% is now available without a prescription. With proper sun protection, however, they can be used even during sunny periods. The combination medication known as Epiduo gel -- which contains the retinoid, adapalene, along with the antibacterial, benzoyl peroxide -- is applied once a day.
Hey, ive had acne for 3-4 years nowand im 18 noa and it comes in spurts. Couple months i have like nothing to a few, then i go from that to a full blown break out. From my face, chest, and should blades. I have tried so much stuff and i can’t find what works for me. Today a guy at work told me his son had acne and he just rubbed a raw lemmon on the acne and it cleared up in a couple of days. Would you recommend that or what other methods would you suggest becUse i did try majority of the listed remedies. Also it is cystic acne that i have. Please i need to get this cleared up asap
What is cystic acne? It is a very painful pimple with pus and swelling in it. Regardless of age, it can affect anyone but it is very common in teenagers. Hormonal change during puberty is the root cause of this kind of acne. During puberty, androgen hormones increase rapidly which encourage excess oil production. Excess oil attracts dirt that locks up into the pores. When it clogs the pores and go deep into the skin, the bacteria thrive in it developing cystic pimple. So, the attack of bacteria is what causes cystic acne.
Dermatologists aren’t sure why azelaic acid is so effective at clearing up inflammation, but it’s often used as an option for sensitive skin or pregnant patients. The ingredient is good at treating malasma, acne, and rosacea, Dr. Linkner says. Your dermatologist can prescribe products with high concentrations of azelaic acid, and you can also find over-the-counter options with lower concentrations of this active ingredient.
The skin care products you apply to your face regularly can have a big impact on your complexion. You shouldn’t skip moisturizing if you have acne, especially if you’re using drying treatments—but the type of moisturizer you use can make a difference. “Even acne-prone teenagers need to moisturize to keep their skin barrier healthy. The skin barrier can become damaged from drying acne products and medications,” Arielle Kauvar, MD, director of New York Laser & Skin Care and clinical professor of dermatology at New York University School of Medicine, recently told Prevention.
Oral isotretinoin is very effective. But because of its potential side effects, doctors need to closely monitor anyone they treat with this drug. Potential side effects include ulcerative colitis, an increased risk of depression and suicide, and severe birth defects. In fact, isotretinoin carries such serious risk of side effects that all people receiving isotretinoin must participate in a Food and Drug Administration-approved risk management program.
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