Help with acne. (Thanks) in General acne discussion Posted December 16, 2006 If they are hard and painful they are nodule/cysts. They could be reoccurring, but it possibly may be a breakout spot for you. When they come to a head, use Benzoyl peroxide or tea tree oil for spot treating. Make sure you moisturize with a moisturizer. It's important to keep the area nourished. However when they are under the skin there's not much oyu can do but get a cortisone shot at a dermatologist, which gets rid of them very quickly (like 2-3 days). No its not hard or painful. Heck If I let warm water run on them While I am in the shower It will get alot smaller. I can't use Benzoyl peroxide or any oil in my skin. The Benzoyl peroxide leaves dark spots on my skin (I am a lite brownskin person) So I get very dark spots. Also any oil seems to make me break out. That why I ask about medican to reduce oil. I have found that I drink ALOT more water now and the acne is not that bad, but I again get a few bumps. Again thanks for the help.