Dealing with acne cysts the size of golf balls is not only painful but can also be emotionally distressing. These large, inflamed bumps form deep under the skin and are filled with pus, bacteria, and dead skin cells. They often don’t respond to over-the-counter treatments and require professional medical care.
1. See a Dermatologist Immediately
When a cyst reaches this size, it’s crucial to consult a dermatologist as soon as possible. Attempting to pop or drain it at home can lead to infection, permanent scarring, and further inflammation.
2. Cortisone Injections
Dermatologists may inject the cyst with a corticosteroid, which quickly reduces swelling, pain, and redness. Within 24–72 hours, the cyst can shrink dramatically without the need for incision or drainage.
3. Oral Antibiotics or Accutane
For recurrent or severe cystic acne, oral antibiotics may be prescribed to reduce bacterial buildup. In more extreme cases, isotretinoin (Accutane) can offer long-term relief by shrinking oil glands and preventing clogged pores.
4. Surgical Drainage
If the cyst is extremely large and painful, a dermatologist may perform incision and drainage. This sterile procedure releases built-up fluid and pressure, allowing the skin to begin healing. This should only be done by a professional.
5. Aftercare and Prevention
Post-treatment, keep the area clean and avoid touching or applying makeup. A gentle skincare routine with non-comedogenic products, combined with regular checkups, helps prevent future flare-ups.
Avoid Home Remedies
Applying toothpaste, squeezing, or using harsh scrubs will only make the situation worse. These cysts are too deep for surface treatments to work.
Summary:
Treating massive cystic acne requires patience, medical care, and proper skincare. Never ignore a cyst this size—get help early to heal safely and avoid long-term skin damage.