What do I do about this giant - most likely acne- bump on my lip line? (Photo)
Doctor Answers 5
Topical peels can help with cystic acne
Thank you for your question. Yes it does look like you have cystic acne which is one of the most difficult types of acne to treat. Though it is most likely caused by the same bacteria as regular acne, cystic acne lesions are far more painful and have more risk of scarring compared to mild or moderate acne. Cystic acne lesions actually rupture beneath the surface of the skin, pushing the blockage and swollen contents beyond the reach of traditional, topically-applied anti-acne products. This severe inflammation can be treated with oral antibiotics and a steroid shot to calm down the inflammation. Topical peels can help as well. It’s also possible that you have herpes as well. This could also benefit from antibiotics and an antiviral medicine. Cystic acne is triggered by hormones. With cystic acne, for reasons unknown, the skin's oil glands become hypersensitive to excess male hormones (women have male hormones that trigger acne), and react by overproducing sebum (an oily substance produced by the body to lubricate and waterproof skin). The amount of sebum produced is so excessive that the oil gland itself becomes engorged, swollen, and hardened with the excess. Unable to push almost any of the extra oil to the surface, the gland bursts underneath the skin, creating the large swollen mass (called a nodule or cyst) below the skin's surface.