![]() That’s why dermatologists approach cystic acne with a powerful combination of topical treatments and antibiotics, moving on to scorched-earth methods like Accutane or a hormonal drug like spironolactone only if those earlier treatments fail. They’re often painful, and the scarring can be severe, making skin appear pockmarked and fissured. While whitehead pimples sit on the surface of the skin (which, though unsightly, means they’re easier to treat and conceal), cysts can linger under the surface of the skin like oil-filled balloons, growing bigger and more inflamed over time. Cystic-acne sufferers know that a cyst is not the same beast as your garden-variety pimple. ![]()
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