Breaking Free from Cystic Acne: Tips from MakatiMed Dermatologists
For many Filipinos, acne is something we thought we’d leave behind after high school. But for some, painful and stubborn breakouts continue well into adulthood. This is especially true for cystic acne—deep, swollen pimples that can linger, scar, and affect one’s confidence. If you’ve ever had to cover up before an important event or felt frustrated with skincare routines that don’t seem to work, you’re not alone. The good news? Dermatologists at Makati Medical Center (MakatiMed) share practical solutions to help you finally break out of the cycle.
What Exactly Is Cystic Acne?
Unlike common pimples that appear on the skin’s surface, cystic acne develops deep under the skin. Dr. Julie Anne Patricia M. Songco, a dermatologist at MakatiMed, explains that these occur when oil and dead skin clog the pores and attract bacteria, leading to infection. The body’s natural response creates pus-filled, swollen bumps that can be painful and long-lasting. Left untreated, they may cause permanent scars.
Why Some People Are More Prone
Cystic acne often affects those with oily skin, but it can also be triggered by certain medications, family history, hormonal imbalances like polycystic ovarian syndrome (PCOS), or even environmental factors such as sweat and humidity—something many Filipinos deal with daily.
Smart Skincare Choices That Work
Dr. Songco highlights tried-and-tested treatments you can add to your skincare routine:
Benzoyl Peroxide – Reduces inflammation, fights bacteria, and unclogs pores.
Salicylic Acid – Prevents breakouts from worsening.
Retinoid A – Helps stop dead skin from blocking pores.
When it comes to facial cleansers, gentle is best. Avoid harsh scrubs or formulas with beads that may irritate the skin. Instead, wash your face once in the morning and again before bedtime with a mild cleanser.
Makeup Matters Too
Sleeping with makeup on is a big no-no, especially if you’re prone to cystic acne. According to Dr. Songco, makeup, sweat, and dust can worsen breakouts overnight. Always remove makeup with a gentle remover and wash your face thoroughly before bed. For safer choices, check labels for “non-comedogenic” products—these won’t clog pores.
Hands Off Your Skin
We all know how tempting it is to pop a pimple, but Dr. Songco strongly advises against it. Picking at cystic acne can spread bacteria, worsen infection, and leave scars that are harder to treat in the long run.
When to See a Dermatologist
If your cystic acne doesn’t go away with creams or lifestyle changes, don’t lose hope. MakatiMed dermatologists recommend seeking professional care. Treatments may include minimally invasive procedures tailored to your skin’s needs. “Cystic acne takes time to heal, but the earlier you get expert advice, the better your chances of clearer skin,” says Dr. Songco.
Cystic acne may feel like an endless cycle, but with the right skincare routine, lifestyle adjustments, and expert guidance, it can be managed. If you’ve been struggling for months or years, don’t wait—consult a dermatologist who can personalize a treatment plan for you.