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Acne Cyst For Over Three Years. What To Do?

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I am a 17 year old male and I have had moderate acne for about 3 years. About 3 years ago a single cyst about the size (roundness) of my pinkie thumbprint, (sorry not very specific) appeared on my right cheek. I went on accutane 2 years ago and it got rid of everything right away. About a year ago my acne started flaring up again and now the cyst has made a come back. I wash my face twice a day, use retin-a every night, and take cephalexin twice a day. I am wondering if there is any way to get rid of this darn thing naturally so I can finally just be totally done with it once and for all. Thank you for your help!! :)

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I would say to address recurring cysts to either get a cortisone shot or to have them professionally excised. Please discuss w/ a derm.

Morning: Cetaphil cleanser, apply Sodium sulfacetamide

Evening: Cetaphil cleanser, apply differin, wait 1/2 hr, apply aczone as spot treatment.

Not overally exciting w/ the results

Also Has Seb Derm and been using Oxistat in beard area in the mornings. Same, nothing special about the results

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From what I know about cysts I think that when you get a pretty big one that is deep under the skin it is enclosed almost like it is in a sack. Even when the inflammation goes down the sack tends to remain along with some scar tissue, if it has been there for a while, this makes it easy for the empty sack to get re infected and really the only way to remove completely is to have the sack that held the cyst taken out, but even then I have heard of people having recurring cysts. This all sounds quite dramatic and having surgery isn't the only option, in fact it's the last option. I had a bad cystic outbreak about a year a go, I had one cyst that would not budge for months and ended up creating smaller cysts near by that seemed to be connected (my dermatologist says that this is a sinus tract and it is the same sort of thing, it remain when the inflammation is gone). It honestly took about six months for the inflammation to go down and then I could still feel lumps under my skin when I washed my face. My dermatologist said that this was likely the sack left over or some scar tissue. Since then I have been using differin once a day and got my acne under control, gradually the lumps I can feel under my skin have gone away, the dermatologist did say that the scar tissue or sack can dissolve in time on its own or basically reduce to nothing, which I hope is what has happened in my case. Sorry this was so long winded, what I'm trying to say is, your not alone, it's quite common and if I was you I would find a regimen to get your breakouts under control and with time the cyst and anything it leaves behind should settle down. I do think that a retinoid can help, I use differin which is very mild but it clears our your pores are helps to resurface your skin, so there is less chance of your pores becoming blocked and the cysts flaring up again, it also helps with the texture and any raised scar that the cyst might leave behind. Once the cysts is no longer infected, massage is a great technique to help with any raised scar or if you still find it has left a bit of a lump. I hope this help...don't worry it will get better :)

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Current Routine


Cleanse: Merumaya cleansing balm, removed with damp hands and a cotton wipe. Followed by la Roche Posse La Toleraine cleaner followed again by rinsing with damp hands, patting my face and a cotton wipe
Tone: Pixi glow tonic, simply apply some to the palm of my hands and pat on my face

Moisturise: Aveene rich, or light moisturising lotion (oil free) spf 20

Topicals: Vitage protect and perfect serum, after I moisturise now that it's coming into fall and winter


Same as morning but occasionally will thrown in a priori aha cleanser and use Differin after I moisturise a few nights a week

Bliss aha mask once a week/every two weeks followed by Nuxe crème fraiche moisturising mask

Oral medication: Cilest BCP

Supplements: No current supplements

Current make up: Various foundations depending on my mood, Estee lauder double wear light, Vichy Dermablend, Charlotte Tilbury and Skin 79 BB cream, NARS creamy concealer or Naked concealer, Dollish CC cream for days when I don't want to wear foundation and Jane Iredale mineral powder to finish. For some colour I use tea to tan By Terry, it's water base tint to give me some colour and various cream and powder blushes (love my blushes) currently loving Orgasm by Nars for a pop of colour on my cheeks and Vita Liberata mineral tan is amazing for the summer

Tools: Sigma F80 Kabuki for foundation or Real Techniques beauty blender and pretty much every other real techniques bruses for the rest of my make up

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