August 1


How to Deal With Very Bad Cases of Acne

By James

August 1, 2018

bad acne, severe acne

In younger people, acne is almost always related to hormonal changes, stress, or improper diet, while in women, acne is usually linked to the menstrual cycle. Acne does tend to get better with age; however, even some adults, especially women in their 40s and 50s could develop really bad acne breakouts. Many women tend to feel depressed or develop low body image or poor self-esteem due to acne.

While acne is the most common skin condition in the United States, some of its sufferers develop cystic acne, the most severe form of Acne Vulgaris.

This severe painful skin condition is characterized by large, inflamed acne lesions that form deep within the skin and result in painful, large bumps visible from the surface.

Regrettably, this ailment can be hard to treat but there are options available to help alleviate the pain and possible depression associated with this skin condition.

People who have severe acne tend to have many breakouts, which can cover their face, chest, back, and can also appear along the jawline and neck. Sometimes, it develops on the butt. When severe acne clears, acne scars usually appear.

Causes of Severe Case of Acne (Cystic Acne)

When pores become blocked by excess sebum, skin cells, and bacteria, this can cause infection. Cystic acne is what may result from the most severe types of such pore blockages, and those who develop cystic acne struggle with painful lesions under their skin.

Along with painful, inflamed acne lesions, those with cystic acne may also exhibit numerous comedones, which can be both open (blackheads) or closed (whiteheads).

A variety of factors, including genetics, hormonal changes, stress, and diet can cause cystic acne. When comedones become clogged and infected, the inflammation can lead to papules, pustules, nodules, and cysts, and can result in permanent scars.

Anyone who has severe acne knows how stubborn it can be, as you cannot clear it with acne treatment that you buy at the store. To see clearing, you have to wait it out and consult a dermatologist.

Benefits Of Treating Severe Acne

Living with severe acne can be tough, and many studies have found that acne can lead to poor self-esteem, depression, or anxiety. Acne treatment can help, even as many studies have shown that treatment for severe acne can clear acne, Prevent new scars, and Boost a person’s mood and self-esteem.

Women suffering from moderate adult acne can also benefit more from prescription acne medications than OTC acne products.

Dealing With Bad Acne


Antibiotics can be oral or topical. Topical acne antibiotics are available in the form of creams and lotions, while oral antibiotics for very severe acne include tetracycline, which is the best bet.

Antibiotics effectively kill the acne causing bacteria and also reduces inflammation. However, this medicine is not entirely devoid of side effects as many people have been known to experience dizziness, upset stomach, teeth discoloration etc….

Topical antibiotic solutions have lower side effects and they usually contain Benzoyl Peroxide (BP), with the concentration of BP in the topical acne medicine depending on the severity of one’s acne breakouts. Benzoyl peroxide works by peeling off layers of skin. Other popular drugs with antimicrobial ingredients for treating bad acne include:

  • Clindamycin,
  • Sodium Sulfacetamide,
  • Azelaic acid,
  • Erythromycin etc.

Birth control pill (females only):

A birth control pill can be another effective part of an acne treatment plan. A birth control pill may be used along with an antibiotic or a medicine called spironolactone when treating severe acne in order to get the acne under control.


Many acne sufferers have experienced clearer skin after using retinoid based creams and they also provide anti-aging skin benefits. Retinoid is a derivative of vitamin A and can help treat forms of acne like blackheads, whiteheads, clogged pores etc.

Oral retinoids are also available but they have been linked to some negative side effects like skin peeling, severe depression, and liver damage. Topical retinoids for treating bad acne in adults consist of drugs like:

  • Tazarotene,
  • Adapalene, and


In conclusion, it is important that you note that Cystic acne is the most painful and severe form of acne, and the hardest to treat, and untreated cystic acne can result in permanent scarring and emotional damage.

Cystic acne is rare, and most commonly found on the face, but can also be observed on the chest, back, and arms. Cystic acne is most common in teenage boys and young men but can affect teen girls and women.

Acne scars come in a variety of shapes and forms but can be prevented with early treatment, and some acne treatments can have severe side effects, so it’s important to consult with a doctor or licensed dermatologist, before embarking on any treatment plan.

While severe acne can be stubborn, it’s not impossible to get clearing, and thanks to advances in treatment, virtually all acne can clear with a dermatologist’s help.

If all else fails, there are many invasive or surgical solutions for treating acne and acne scars. One such method is laser therapy, which can certainly diminish the marks and blemishes left behind by bad acne.

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