A person should see a dermatologist if they have cysts, nodules, and deep, painful acne. They have late-onset or persistent acne: Late-onset acne may occur in adults who have never previously had the condition. Persistent acne is a relapse or continuation of acne from adolescence into adulthood
Severe acne often includes:
- Numerous papules, pustules, or nodules
- Painful, inflamed cysts
- Extensive areas affected (face, back, chest, shoulders)
- Scarring or risk of permanent scars
Suggested Steps:
- See a Dermatologist
This is the most important step. Severe acne often requires prescription treatments, such as:- Oral antibiotics
- Oral isotretinoin (Accutane) – highly effective but requires monitoring
- Hormonal treatments (e.g., birth control, spironolactone for females)
- Topical retinoids, benzoyl peroxide, or clindamycin
- Gentle Skin Care Routine
Use:- A mild cleanser (e.g., Cetaphil, CeraVe)
- Oil-free, non-comedogenic moisturizer
- Sunscreen daily
- Avoid Picking or Squeezing
This increases inflammation and scarring risk. - Lifestyle Factors
While not the main cause, factors like:- High-glycemic diets
- Stress
- Poor sleep
can contribute and should be addressed.
- Consider Mental Health
Severe acne can seriously affect self-esteem and mental well-being. Support or counseling might help.
