Acne cyst
Hello Doctor: My skin has generally been okay and I don't usually get acne, but since middle school, I have been developing sebaceous cysts (I have seen a doctor for this).
A few years ago, I also started to notice one or two small cysts on my face, which were not very noticeable and did not cause much trouble.
However, starting this summer, the cysts on my face suddenly increased significantly, mostly concentrated around my jawline, with some becoming inflamed and swollen.
Additionally, I have started to experience recurring acne on both sides of my cheeks (near my ears), which comes and goes.
This is quite bothersome.
Could there be an issue with my body? Thank you.
Xiao C, 20~29 year old female. Ask Date: 2009/11/26
Dr. Huang Ruiyun reply Dermatology
Hello: Women should pay attention to whether their menstrual cycle is regular, whether they are overweight (to rule out the possibility of polycystic ovary syndrome).
They should also consider if they are under excessive stress, have irregular sleep patterns, are taking any medications, or using inappropriate skincare or cosmetic products.
Additionally, it may be due to inherent body constitution.
Lastly, it is still recommended to see a dermatologist in person.
Wishing you peace and health.
Reply Date: 2009/11/26
More Info
Understanding the causes and treatments for acne and skin cysts is essential for managing these common skin conditions effectively. Based on your description, it seems that you have been experiencing an increase in sebaceous cysts (commonly referred to as "lipomas" or "pilar cysts") and acne, particularly around the jawline and cheeks.
Acne is a multifactorial skin condition primarily caused by the overproduction of sebum (oil), clogged hair follicles, and the presence of bacteria, particularly Propionibacterium acnes. Hormonal fluctuations, especially during puberty, menstruation, or due to conditions like polycystic ovary syndrome (PCOS), can exacerbate acne. Stress, diet, and certain medications can also contribute to the severity of acne.
Sebaceous cysts, on the other hand, are non-cancerous lumps beneath the skin that occur when sebaceous glands become blocked. They can be caused by a variety of factors, including genetics, skin trauma, or conditions that affect the skin's ability to shed dead cells. While they are generally harmless, they can become inflamed or infected, leading to redness, swelling, and discomfort.
Given that you have noticed a sudden increase in the number of cysts and acne lesions, it is crucial to consider several factors:
1. Hormonal Changes: If you are experiencing hormonal fluctuations, this could lead to increased oil production and subsequent acne breakouts. It might be beneficial to consult with a healthcare provider to evaluate your hormone levels.
2. Skin Care Routine: Review your skincare products. Using comedogenic (pore-clogging) products can worsen acne. Opt for non-comedogenic and oil-free products, and ensure you are cleansing your skin properly to remove excess oil and debris.
3. Diet: Some studies suggest that high-glycemic foods and dairy products may exacerbate acne. Keeping a food diary to track your diet and any corresponding skin changes could provide insights into potential triggers.
4. Stress Management: Stress can influence hormone levels and exacerbate skin conditions. Incorporating stress-reducing activities such as exercise, meditation, or yoga may help improve your skin's condition.
5. Medical Treatment: Since your condition has worsened, it is advisable to consult a dermatologist. They may recommend topical treatments such as retinoids, benzoyl peroxide, or salicylic acid for acne. For cysts, if they are inflamed or painful, a dermatologist might suggest drainage or injection of corticosteroids to reduce inflammation.
6. Follow-Up Care: Regular follow-ups with a dermatologist can help monitor your skin condition and adjust treatments as necessary. They can also provide guidance on managing any potential scarring from acne or cysts.
In summary, while both acne and sebaceous cysts can be frustrating and distressing, understanding their underlying causes and seeking appropriate treatment can lead to significant improvement. It is essential to work closely with a healthcare provider to develop a tailored treatment plan that addresses your specific needs and concerns.
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