What Kind of Treatment Should I Seek for Post Inflammation from an Acne Cyst? (photo)

Question

hI i made the error of not realizing that my pimple was actually an acne cyst. I squeeze it not realizing the damage Now the skin is red/I have been applying aquaphor and cloderm on it. I want to see a different dermatologist than the one who I usually see, because I dont have much confidence in him to treat this sort of thing. I am wondering what kind of treatment I should seek? I do not have acne regularly. this was a reaction to something I included in my diet, which I have stopped consuming

Mariusz Sapijaszko, MD, FRCPC · Answer

Inflamed (red) acne can leave permanent marks (either scars or pigmentation changes). The key thing is to see a dermatologist and deal with your acne and decrease inflammation from it.I hope that helps and best regards, Dr. Sapijaszko.

Brian S. Biesman, MD · Answer

I am sorry to learn of your struggles.  I do feel that you should seek the opinion of a highly experienced dermatologist in whom you have confidence.  Acne cysts can be challenging to treat but there are some measures that can be taken which should lead to improvement.  This is not likely to resolve of its own accord so I recommend seeking treatment sooner rather than later

Raffy Karamanoukian, MD, FACS · Answer

An examination is needed to direct treatment. A combination of local wound care and/or a cortisone injection may be indicated. It is not clear what is causing the hypopigmentation, and that is what requires an examination to gauge the process. Best, Dr. Karamanoukian

Morris Westfried, MD · Answer

Oral antibiotic and a small injection if kenalog would quiet this down quickly and the injection may work alone.

Michael H. Gold, MD · Answer

Thanks for your
question and thanks for sending in your photo – it helps.  You need to see a board certified
dermatologist to examine this lesion as there is still some sort of
inflammation going on in the middle and some light area, or hypopigmentation on
the edges, which may mean that there is still a lot of inflammation there.  Some careful attention needs to be given here,
and you may need a steroid injection in the middle area (very small amount) and
then some appropriate topical antibiotic to the rest of the lesion. It looks
like this can be taken care of but I would get into an office sooner than later
to prevent any long term problems from occurring.

Marta I. Rendon, MD · Answer

It appears that the cyst in the picture is still inflamed. For that I would recommend you see a dermatologist as you will benefit from topical and even short course of systemic antibiotics. If this is a recurrent problem, a regimen with retinoids and topical antibiotics to prevent recurrence and improve the current condition is important.

Philip Young, MD · Answer

I would consider some oral and topical antibiotics first. Then if it doesn't get better possibly adding some steroids to the lesion in an injectible form. I would avoid aggresive invasive treatment at this time.

Davin Lim, MBBS, FACD - Account Suspended · Answer

You have PIH with H as the Hypopigmentation, I can also notice it is red. Now, time, and sunscreen will be your best treatment. Sunscreen will prevent or reduce the red areas going darker. The white areas should repigment with time. If you have an experienced dermatologist who is confident to treat skin of colour, V Beam laser to the red areas can help reduce the inflammation, and stimulate collagen. Even with your skin type, pulse dye laser is possible. CheersDr Davin LimLaser DermatologistBRISBANE, Australia

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question. You should see a board certified Dermatologist. They will often prescribe topical steroids or in some cases inject steroids to treat post acne inflamation.

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