See a dermatologist for cystic acne treatment options
Use prescription topical retinoids (adapalene, tretinoin) if recommended
Use prescription benzoyl peroxide (topical) as directed
Consider prescription topical antibiotics only as part of a plan (often paired with benzoyl peroxide/retinoid)
Ask about oral antibiotics for short-term control if appropriate
Ask about oral isotretinoin for severe, persistent, or scarring cystic acne
Ask about hormonal therapy (combined oral contraceptives, spironolactone) if appropriate
Use non-comedogenic, oil-free skincare and cosmetics
Wash with a gentle cleanser 1–2 times daily
Avoid scrubbing, harsh exfoliants, and abrasive tools
Do not pick, squeeze, or puncture cysts
Apply a cold compress for 5–10 minutes to reduce swelling
For flares, consider prescription intralesional corticosteroid injections (by a clinician)
Use spot treatment with benzoyl peroxide on non-open lesions if tolerated
Keep hands off face and avoid touching inflamed areas
Change pillowcases regularly and keep hair products off the face
Avoid heavy, occlusive hair/skin products; keep them non-comedogenic
Limit friction and irritation (tight helmets/straps, frequent rubbing)
Manage sweating promptly (rinse after workouts; change out of sweaty clothes)
Consider sun protection daily (SPF 30+), especially if using retinoids
Expect improvement in 8–12 weeks for many acne regimens
Seek urgent care if acne is accompanied by fever, severe pain, rapidly spreading redness, or eye involvement