Cystic Acne Treatment in Miami: Expert Care for Deep, Painful Acne

Suffering from severe, deep acne that won't respond to regular treatments? Our board-certified dermatologists specialize in treating the most stubborn cases of cystic and nodular acne with advanced, proven therapies.

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Understanding Cystic Acne: The Most Severe Form

Cystic acne represents the most severe form of acne vulgaris, characterized by deep, inflamed breakouts that form beneath the skin's surface. Unlike regular pimples, cystic acne develops when infection goes deep into the skin, creating painful, pus-filled bumps that can persist for weeks or months.

These deep nodules and cysts form when oil ducts become clogged and infected, triggering an intense inflammatory response. The inflammation extends deep into the dermis, which is why cystic acne is so painful and why it carries the highest risk of permanent scarring among all acne types.

At Paradise Medical Center, our dermatologists understand the physical and emotional toll that cystic acne takes on patients. Many who come to us have already tried numerous over-the-counter products and home remedies without success. We provide the medical-grade treatments necessary to effectively address this challenging condition.

Early intervention is critical with cystic acne. The longer severe acne goes untreated, the greater the risk of permanent scarring, including ice pick scars, boxcar scars, and hypertrophic scarring. Our goal is not only to clear your current breakouts but to prevent future scarring through aggressive, appropriate treatment.

Before and after cystic acne treatment results at Paradise Medical Center Miami

Expert Insights on Cystic Acne Treatment

🎬 Video Coming Soon: Dr. Teresa Moreno discusses advanced treatment options for severe cystic acne

Advanced Treatment Options for Cystic Acne

Cystic acne requires aggressive, medical-grade treatment that goes beyond what over-the-counter products can provide. Our comprehensive approach addresses both immediate symptom relief and long-term cure.

Intralesional Cortisone Injections

For rapid relief of painful cystic lesions, we offer cortisone injections directly into the cyst. This can reduce inflammation and pain within 24-48 hours—ideal for urgent situations.

Isotretinoin (Accutane) Therapy

The gold standard for severe cystic acne, isotretinoin is the only medication that can provide long-term remission or cure. We provide comprehensive monitoring throughout treatment.

Combination Medical Therapy

Tailored protocols combining oral antibiotics, hormonal treatments (for appropriate patients), and prescription topicals for comprehensive acne control.

Scar Prevention & Treatment

Early intervention prevents scarring. For existing scars, we offer microneedling, chemical peels, laser therapy, and other advanced treatments.

Dermatologist consultation for cystic acne at Paradise Medical Center

Why Professional Treatment is Essential for Cystic Acne

Attempting to treat cystic acne at home or with over-the-counter products is not only ineffective—it can make the condition worse. Squeezing or picking at cystic lesions drives the infection deeper into the skin, increasing inflammation and scarring risk.

Professional dermatological treatment offers several critical advantages for cystic acne patients. We have access to prescription-strength medications that target the root causes of cystic acne formation, including excess sebum production, bacterial proliferation, and inflammation.

Distinguishing Cystic Acne from Other Conditions

Some conditions can mimic cystic acne, including rosacea, folliculitis, and hidradenitis suppurativa. Accurate diagnosis is essential for effective treatment—what works for one condition may worsen another.

Managing Acne Scarring

Patients prone to keloid formation require special consideration in their acne treatment plan. We tailor our approach to minimize scarring risk while effectively treating active cystic acne.

The Isotretinoin Journey: What to Expect

For many patients with severe cystic acne, isotretinoin represents the most effective path to clear skin. Understanding the treatment process helps ensure the best possible outcomes.

Initial Consultation and Evaluation

Before starting isotretinoin, we conduct a thorough evaluation including review of your acne history, previous treatments, medical history, and baseline laboratory testing. We discuss the medication's benefits, potential side effects, and requirements for safe use, including pregnancy prevention measures for female patients.

Treatment Duration and Monitoring

Isotretinoin treatment typically lasts 4-6 months, depending on dosage and response. You'll have regular follow-up appointments, including monthly visits with laboratory monitoring. Most patients see significant improvement within the first 2-3 months, with continued clearing throughout treatment.

Managing Side Effects

The most common side effects include dry skin and lips, which are expected and manageable with proper moisturization. We provide detailed guidance on managing these effects and monitor for any concerning symptoms throughout your treatment.

Post-Treatment Care and Maintenance

After completing isotretinoin, most patients enjoy long-term remission from severe acne. We provide guidance on maintaining results and can recommend additional treatments like chemical peels or laser therapy to optimize skin appearance.

Our Other Advanced Dermatology Services

Moderate Acne Treatment

Comprehensive treatment protocols for moderate inflammatory acne before it progresses to severe cystic form.

Rosacea Treatment

Expert care for facial redness, flushing, and acne-like bumps associated with rosacea.

Keloid Treatment

Specialized care for raised, overgrown scars including those from acne.

Skin Cancer Screening

Comprehensive skin exams for early detection of skin cancer and suspicious lesions.

Microneedling

Advanced treatment to improve acne scars and overall skin texture.

Eczema Treatment

Comprehensive care for inflammatory skin conditions and sensitive skin.

Frequently Asked Questions About Cystic Acne

What makes cystic acne different from regular acne?

Cystic acne forms deep within the skin, creating large, painful, fluid-filled nodules that don't come to a head like regular pimples. These deep lesions are more likely to cause permanent scarring and require specialized dermatological treatment that goes beyond over-the-counter products.

How quickly can cortisone injections help cystic acne?

Cortisone (steroid) injections can dramatically reduce the size and pain of cystic lesions within 24-48 hours. This treatment is often used for urgent situations like large cysts before important events, or for individual cysts that aren't responding to other treatments. The injection delivers anti-inflammatory medication directly into the lesion.

Is isotretinoin the only cure for cystic acne?

Isotretinoin (formerly Accutane) is the most effective treatment for severe cystic acne and the only medication that can provide long-term remission or cure for many patients. However, some patients respond well to other treatments including hormonal therapy (for women), antibiotics, or combination approaches. Our dermatologists evaluate your individual case to recommend the most appropriate treatment.

Can cystic acne scars be treated?

Yes, we offer multiple scar treatment options including microneedling, chemical peels, laser resurfacing, subcision, and dermal fillers. The best approach depends on the type and severity of scarring—ice pick, boxcar, rolling, or hypertrophic scars each respond differently to various treatments. We recommend addressing active acne first before undertaking scar treatment.

Visit Our Miami Dermatology Clinic

Paradise Medical Center Dermatology Clinic

8364 SW 8th St

Miami, FL 33144

Phone: (786) 738-9515

Stop Suffering from Cystic Acne

Don't let painful, severe acne control your life. Our experienced dermatologists can help you achieve the clear skin you deserve.

Call (786) 738-9515 Now