The scene begins with a patient nervously sitting in the clinic chair, a towel draped gently around their shoulders. For months, they’ve been dealing with severe cystic acne on the cheek—angry, swollen bumps that have caused not just physical pain but deep self-consciousness. Today, they’ve finally gathered the courage to have it treated.
The dermatologist examines the cheek, identifying several large cysts that have been building up pressure beneath the skin. These aren’t ordinary pimples; they’re deep-rooted, filled with a mix of thick pus and traces of blood from inflammation. The skin looks tight and glossy, stretched by the swelling beneath. With careful preparation, the area is cleansed thoroughly, ensuring everything remains sterile.
The first incision is small but precise, and immediately, a thick stream of pus escapes under gentle pressure. It’s both shocking and oddly satisfying to watch as the tension releases. The dermatologist works methodically, applying pressure from the base of the cyst to ensure everything is expelled. Along with the pus comes a small amount of blood, a normal part of deep acne extractions.
Cyst after cyst is addressed, each one releasing its contents in a mix of creamy white and yellow fluid. The process is meticulous, as leaving any residue inside could cause recurrence. Between extractions, the dermatologist gently wipes the skin clean, revealing patches of raw but relieved skin beneath. The patient, though slightly wincing from the pressure, can already feel the reduction in swelling.
After the extractions are complete, the cleaned areas are treated with an antibacterial solution to prevent infection. The cheek looks tender and red, but the painful lumps are gone, replaced by a smooth, flattened surface. The patient’s reflection already shows a remarkable difference—not perfect, but a huge step forward.
Cystic acne can be stubborn, but with professional care, patience, and proper after-treatment, it can be managed effectively. This intense session wasn’t just about removing pus and blood—it was about restoring comfort, confidence, and hope for clearer skin in the future. The transformation is not just skin-deep; it’s a fresh start.