While we are all familiar with the typical redbumps or whiteheads that can surface on our skin, ‘under the skin’ pimples, medically termed as cystic acne, is less commonly understood. Cystic acne is formed when the skin pores get blocked due to excess oil, dead cells and bacteria. If inflammation occurs deep inside the pores, it results in painful ‘under the skin’ pimples. To those uninitiated, these may appear as raised, red bumps that are tender to touch and often lead to significant discomfort.
Unlike surface-level acne that eventually breaks open and heals, ‘under the skin’ pimples do not come to a head. Rather, they grow larger beneath the skin and can linger for weeks. The development of these pimples can be attributed to a multitude of causes that range from genetic factors and hormonal changes to unhealthy lifestyle habits like lack of sleep, stress, inadequate water intake, and poor diet.
Difference between an Under the Skin Pimple and Hidradenitis Suppurativa
It’s critical to distinguish these deep-seated pimples from a similar skin condition known as hidradenitis suppurativa. The latter is a chronic skin condition characterized by the appearance of lumps under the skin. However, unlike under the skin pimples which are unrelated to sweat glands, hidradenitis suppurativa affects areas bearing apocrine sweat glands and hair follicles; such as the armpits, groin, and anal area and can result in severe pain and even the formation of tunnels under the skin.
Several hidradenitis suppurativa treatments are available that range from lifestyle changes, medication to surgical intervention in severe cases. It is important to consult a dermatologist or a skincare professional when dealing with this condition.
Mitigating Under the Skin Pimples
Now that we understand what ‘under the skin’ pimples are, let’s turn our attention to how to deal with them. A crucial point is not to pick or squeeze them. Irrespective of the temptation, doing so will only aggravate the inflammation and can even result in scarring. Instead, apply a warm compress a few times in a day to reduce the swelling and ease discomfort. It’s also recommended to use skincare products with ingredients like salicylic acid, niacinamide, and benzoyl peroxide that work to fight acne.
Further, the role of a balanced diet and a healthy lifestyle cannot be overstated in preventing and healing cystic acne. Regular exercise, sufficient water intake, adequate sleep, and a diet high in fruits, vegetables and lean proteins can assist in managing the underlying causes of these pimples and promote overall skin health.
Wrapping it up
Cystic acne or ‘under the skin’ pimples can be painful and difficult to deal with. However, by incorporating healthy lifestyle habits, not picking on them and applying appropriate skincare treatments, they can be effectively managed. Remember, if these pimples persist over time, or you suspect having hidradenitis suppurativa, it’s important to seek professional medical advice to get access to the right treatment plan.