A Closer Look At Acne Nodules And Cysts
Nodules
Nodules are much more common than cysts.
They appear as large, red, painful lesions over 5 millimeters in diameter. They are not filled with pus, and instead are solid fibrous masses.
Nodules develop when there is an extensive rupture of the pore especially deep within the skin, which dermatologists often refer to as a “complete explosion of a pore.”
They tend to appear on the back, neck, forehead, and chest. This is likely because these regions have pores with larger skin oil-producing glands.
Due to the extensive damage caused by the pore rupture, nodules may remain for weeks or months before healing.
Cysts come in 2 types:
Pseudocysts
Most acne cysts are best described as pseudocysts because in reality they are simply nodules that fill with waxy, foul-smelling pus. However, for clarity, the dermatology community uses the term “cyst” to refer to pseudocysts.
Similar to nodules, pseudocysts also tend to appear on the back, neck, forehead, and chest.
Pseudocysts can be stubborn, remaining for months or even years before healing.
True Cysts
True cysts appear as large, red, painful lesions between 7 – 15 millimeters in diameter.
Unlike nodules, true cysts are filled with fluid that can be felt as it moves beneath the skin when touched.
Similar to nodules and pseudocysts, true cysts also tend to appear on the back, neck, forehead, and chest.
Postpartum Acne Treatments If Youre Not Breastfeeding
If youre not breastfeeding, you can use all of the topical acne treatments mentioned above topical retinoids, benzoyl peroxide, salicylic acid, or a topical antibiotic.
Birth control pills may also curb acne. Additionally, your doctor might recommend an oral medication when topical medications dont work.
These include:
- oral antibiotics, which can reduce bacteria and fight inflammation
- anti-androgen agents, which block androgen hormones and help reduce oil production
If your acne doesnt respond to any of these treatments, another option is oral isotretinoin . This is a form of vitamin A that treats severe acne, such as acne characterized by nodules and cysts.
How To Prevent Body Acne
While theres no way to 100% prevent body breakouts, you can change certain habits to help keep your body clear, including:
- Using skin and hair products that say things like non-comedogenic, oil-free, non-acnegenic, or wont clog pores
- Washing your skin with a gentle cleanser, especially after sweating
- Avoiding scrubbing or over-cleansing
- Moisturizing regularly
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Make Sure You’re Doing Your Nightly Routine In The Right Order
You know you should wash your face at night, but you may not be doing it properly. Nazarian says the right order is to remove any makeup first, then wash your face, then apply any acne medicine, then finish with moisturizer. The order matters because you want to apply your medication directly to your skin without a layer of dirt, oil, or moisturizer obstructing it from fighting your acne. Plus, it might be drying, so moisturizing after can help with that.
Eliminate Pressure On Your Back

Anything that results in increased sweating and friction on your back, such as backpacks, sports gear, and back braces, can cause back acne, which is often referred to as acne mechanica, says Dr. Shah.
Shah recommends choosing a backpack thats lightweight and fits properly to minimize friction and irritation.
If you wear sports equipment that puts pressure on your back, dont wear the item for longer than you need to, or wear a clean cotton T-shirt underneath to reduce prolonged pressure and friction.
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Hydration Is Essential Before During And After Workouts
As I talked about before, water and hydration are the most important aspects of keeping your skin healthy. More importantly than your skin, your body needs enough water to function the right way.
Your body is around 60 percent water, so its important to keep those levels up. Water also helps keep all your organs functioning properly. Drinking water also makes you less hungry.
This can help you cut down on calories, and lose weight. Although if you drink too much water, you might gain water weight, this weight can be lost easily within a few days.
Drinking a glass of water instead of a soda or energy drink is also great for your body. Sodas are filled with sugar, that wont help your skin look better, or make any progress with lifting.
Water, without a doubt, is one of the best things you can put in your body. Itll help you lose weight, keep your skin clear, and keep your body running happily.
Treatments For Postpartum Acne
If postpartum acne continues past delivery, several options can help reduce breakouts and clear your skin.
Increasing your fluid intake and staying hydrated may naturally improve your acne. Additionally, cleansing your face and removing makeup before bed, as well as not touching your face, can make a difference.
Sometimes, though, you may need medication to treat postpartum acne. These treatment options vary depending on whether youre breastfeeding.
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Body Acne: Everything You Need To Know
Acne doesnt just develop on the face. Blemishes and pimples can occur anywhere on the body, commonly the back, chest, and upper arms. Body acne can be itchy and painful and cause some people to feel self-conscious. Read on for more information about the causes and best body acne treatments.
Your Laundry Detergent Is Irritating Your Skin
Per Dr. Downie, some of the chemicals in certain laundry detergents can be too harsh for your skin. And once you slip on your clothes or use your bath towels, your complexion might react to the residue thats left on the fabric, resulting in breakouts on your face, back, butt, chest, etc. If you recently switched to a new detergent because it was on sale and noticed a few breakouts ever since, that might be your problem.
The zit fix:
Choose a detergent thats fragrance-free, dye-free, and dermatologist-tested for sensitive skin, like Seventh Generation Concentrated Free & Clear Unscented Laundry Detergent.
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How To Prevent Back And Body Acne This Summer
The days are longer, the weathers warmer, and summer vacations are upon us, which means swimsuit season has officially arrived. And while theres a lot to love about this season, there are also back and body acne problems that arise for many during this time, which happen to be on full display in your bathing suit.
The good news is, there are a number of simple things you can do to get a handle on this unsightly problem so that you can strut in your suit with total confidence.
How Do You Treat Back And Chest Acne
If youre experiencing severe body acne with deep, painful cysts, its best to partner with a dermatologist so you can develop a unique plan for ongoing care. That being said, for mild to moderate body acne, some of the basic treatments used to treat acne on the face can be used for the back and chest. Heres how to get rid of body acne for good:
1. Use an acne cleanser
While any gentle soap or body wash can help remove dirt and oils, there are specific products geared toward fighting body acne breakouts. Dr. Thompson suggests starting with products that include benzoyl peroxide.
Normally, I favor milder benzoyl peroxide washes as stronger washes can cause more dryness and skin irritation for the face. Fortunately, the trunk tends to be less sensitive with treatment, Dr. Thompson said.
2. Try a topical retinoid
Whether a prescription agent or over-the-count adapalene gel, this is another great option for treating body acne. Products like Differin gel and Retin-A play a crucial role in the treatment of acne by regulating skin cell turnover and reducing inflammation deep in the skin to not only clear but prevent future pimples.
3. Remember sun protection
4. Develop good workout habits
Its great to put in the time for workouts, but dont hang out too long in your sweaty clothes. Make sure you shower and change clothes right after working outor doing anything that gets you sweaty.
5. Resist the urge to pop, pick or scrub acne
6. Modify your diet
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Causes For Sudden Adult Acne: Why Hormones Stress And More Can Cause Skin Breakouts
This question originally appeared on Quora. Answer by Tatiana Aynbinder.
Adult acne is quite a common issue that affects many people, and for some, it’s the first time they start to get acne breakouts. Let’s first look at some of the main culprits for sudden breakouts and what proactive measures you can take to control them.
Five reasons why your skin may suddenly be breaking out, and the solutions to combat the situation.
1. Hormones:
Hormonal fluctuation is one of the biggest factors wreaking havoc to your skin complexion. Hormones like estrogen, progesterones, and testosterone are the culprits. These hormones are affected by starting and stopping birth control, and by pregnancy. Typically, during your teenage years, a lot of hormonal fluctuation occurs as girls go through puberty and start getting their periods. However, especially in women, hormonal changes don’t just stop after adolescence. Menstrual cycles, birth control, pregnancy and even menopause may all cause hormones to fluctuate. Its not uncommon for women to suddenly get acne even after their childbearing years.
How do hormones lead to sudden acne breakouts? Androgens can cause excess sebum production in your skin. If your hormones are imbalanced with the female hormones such as estrogen and progesterone, this will lead to your body overproducing oil in your skin cells.
2. Stress is a significant factor contributing to sudden breakouts.
3. You are using the wrong products:
4. Diet
5. Environmental Factors
When To See A Dermatologist

Sometimes your body acne won’t go away on its own. If your skin is still bumpy even after following the measures above for weeks, it’s time to seek medical advice. Your dermatologist might ask you to buy over-the-counter products with salicylic acid or benzoyl peroxide. These topical treatments require no prescription and are highly effective at treating body acne.
Show Sources
American Academy of Dermatology Association: “ARE YOUR HAIR CARE PRODUCTS CAUSING BREAKOUTS?” “IS SPORTS EQUIPMENT CAUSING YOUR ACNE?” “IS YOUR WORKOUT CAUSING YOUR ACNE?” “SKIN CONDITIONS BY THE NUMBERS.”
National Center for Biotechnology Information: “Epidemiology of Acne Vulgaris and Its Association With Lifestyle Among Adolescents and Young Adults in Hail, Kingdom of Saudi Arabia: A Community-Based Study.”
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Traveling Somewhere New Can Wreak Havoc On Your Skin Contributing To Breakouts
Ever wonder why your skin looks like the surface of the moon after a vacation?
The change of environment the sun, heat, and humidity can trigger acne.
Your skins not used to those things, so its being challenged and reacts by breaking out, Frank says.
Zit zapper You cant change the weather or humidity of where you visit, but avoiding too much sun exposure and using a sunscreen with zinc oxide or titanium dioxide might help reduce breakouts.
And because your skin is adapting to environmental changes, dont pile on epidermal stress with new products.
How To Avoid Lifting
Learning how to avoid acne is a huge topic, and it would take a whole other blog post to explain all the best ways to stop it.
This being said, I want to set you on the right path to stopping acne so you can keep lifting weights happily.
My two most important tips are to remember to wash your face and try to not touch your face throughout the day.
Touching your face brings oil and dirt from whatever you were touching to your skin, and this isnt a good thing. Drink a good amount of water, around 8 cups a day, so you can avoid becoming dehydrated.
Nobody knows the true cause of acne or an exact way to cure/stop it. The best that you can do is keep your body and skin healthy and clean.
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Why Does Anyone Get Acne Anyway
Acne is something that affects everybody, not just lifters. Although we dont know all the direct causes of acne, we definitely know the basics.
Put simply, acne happens when the pores in your skin get clogged by oil and dirt. After theyre clogged, bacteria starts to grow in there if your pores arent properly cleaned out. This can affect lifters more than other people in some cases, due to them sweating more often.
The reasons for these pores being clogged are things like excessive sweating, poor skincare, and imbalances with your hormones. Along with this, these different causes result in different types of acne.
The most common types are whiteheads and blackheads, which are mostly caused by oil and are easier to get rid of.
A more serious type of acne is called cystic acne. Doctors think this type is mostly caused by hormones, but theyre still researching the main causes. Cystic acne is bigger, and redder, and very difficult to get rid of.
No matter which type of acne you get, there should be a way for you to get clear skin.
Treatment Of Nodulocystic Acne
Topical treatments
Less severe cases of nodulocystic acne, with only a few cystic lesions, are often treated with topical benzoyl peroxide or retinoids , or a combination of the two.
Oral antibiotics
Doctors sometimes add oral antibiotics to a treatment plan. They may provide some temporary relief, but should only be used for a maximum of 3 months.
Isotretinoin – for more severe cases
For people with severe nodulocystic acne, doctors may prescribe the oral medication, isotretinoin, often known by its brand name, Accutane®, normally for 15 – 20 weeks. However, isotretinoin causes severe and sometimes lifelong side effects, as well as birth defects, so its use should be carefully considered alongside a trusted physician, and never as a first-line treatment.1-12
Hormonal treatments – females only
Doctors will sometimes prescribe hormonal treatment, such as oral contraceptives or anti-androgen medications, to females with nodulocystic acne.
Cortisone shots – treating one lesion at a time
A shot of cortisone directly into a nodule or cyst can significantly help heal it and prevent scarring. Cortisone shots are effective and helpful, but should only be used on one, or a few, nodules or cysts at one time.
Cryotherapy – treating one lesion at at time
A doctor or nurse can apply extreme cold directly to a lesion to “kill” the lesion.
Oral Dapsone – a potential new option for cases where isotretinoin fails to help?
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Laundry Detergents With Dyes Or Perfumes
Wearing clean clothes can typically help prevent acne because they help prevent dirt and other contaminants from getting stuck in the pores. Some people may find that certain laundry detergents, particularly ones with dyes and perfumes, cause an acne breakout. A person who traces their outbreaks to laundry detergent should look for dye and perfume-free detergent.
What Causes Acne On Your Chest And Back
Body acne develops the same way as face acne, but there are some factors that lead to the development of acne on your chest and back.
Genetics, hormones and diet are likely some of the bigger triggers for acne, Dr. Thompson said. Other contributors to truncal acne can include use of androgens, such as testosterone or dihydrotestosterone , among male or transgender patients or androgenic anabolic steroids in body builders.
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Is It Acne Or Folliculitis
Folliculitis is an inflammation of the hair follicles, commonly caused by yeast or fungus. Folliculitis has symptoms similar to acne, with small bumps appearing on the skin of the affected area.
A person may mistake folliculitis for acne. Often, they may not suspect folliculitis until after traditional treatments for acne have been unsuccessful.
Folliculitis, unlike acne, may lay dormant for several months or years before flaring again. Also, folliculitis is often itchy, whereas acne is not.
People with folliculitis may experience outbreaks during hot and humid periods. Some other potential causes include:
- having oily skin
Acne may not require a doctors care.
A person can often self-treat acne at home with over-the-counter washes, wipes, lotions, and creams.
Some people who have experienced acne may be able to prevent future outbreaks by avoiding potential triggers that may cause their acne.
A person who develops cysts or nodules or who has a family history of them forming should see a doctor as soon as acne starts to develop, as these types of acne can cause permanent scarring.
Early treatment can help prevent the damage to the skin. Also, a person whose acne does not seem to clear may also wish to seek a doctors help.
People who experience flares of acne that come and go should see their doctor. When blemishes appear on and off, a person should seek medical attention as it may be folliculitis.
How To Pick A Good Skincare Product

Like most lifting supplements, the market is saturated with thousands of different skincare products. With all of these options, it can be hard to pick the right one. Ill give you a few tips for making a good choice.
Know what you need: In the section above, I explained a few types of acne. Your first step should be to figure out what type of acne you have. Its possible youll have multiple types of acne, so if this is true, you might need multiple products.
After this, do a simple search on skin products. This should give you a base to pick some good products that will work for your type of acne.
Avoid too many chemicals: As with most products, the best ones have the least chemicals. With acne products especially, some of these chemicals can be very harsh on your skin, possibly even making your acne worse.
Parabens are found in some skincare products, and theyre potentially dangerous. Theyre added to keep the product fresh, but theyve also been found in breast cancer tumors. Despite the study that found the link, theres no answer to whether or not they caused the tumors.
Along with this, avoid things with alcohol in them. Alcohol is put into many aftershaves, as well as exfoliators. Alcohol will feel good on your skin but dry it out, which is the opposite of what you want.
Above are just a few chemicals to avoid. To find more information, do a quick google search on which skincare product chemicals to avoid.
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