Nodules and cysts

Nodules are large, inflamed bumps that feel firm. They develop deep in the skin and can be painful. Cysts are large, pus-filled, painful lesions.

Treatment: Ask to be referred to a dermatologist. “If the nodules and cysts are big, treat them aggressively with a retinoid to reduce the likelihood of scarring,” advises Dr Friedmann. “A combination of antibiotics and topical treatments is the first option for severe acne. But if you have a big occasion coming up, a cortisone injection can quickly reduce swelling and redness.”

Most dermatologists would prescribe a drug called isotretinoin for severe nodules and cysts.


Top tips to zap zits

Dr Jonathan Bowling, consultant dermatologist at The Nuffield Health Manor Hospital, Oxford says:

Exercise: It can help unblock your pores by making you sweat. Wash after exercise before the sweat dries.

Eat right: Too much sugar, dairy and refined carbohydrates can make acne worse. Almonds, blueberries, avocados and kidney beans are among a range of foods which may help to reduce and to prevent inflammation.

Get some rays: Just 15 minutes of sun a day could help treat the symptoms of acne. However, any longer and the drying effects could block pores further.

Drink lots of water: It’s essential for liver function which controls hormone production.


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