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Nodular Acne Treatment

Updated on November 29, 2014

Nodular Acne Treatment


Nodular acne is considered to be one of the more severe forms of acne, falling under the troublesome “acne vulgaris” category. It is important, before you commit to any potential nodular acne treatment, that you fully understand what distinguishes nodular acne from other types of acne, and why it must be handled with significantly more caution than your regular “garden variety” (if you will) forms of acne. Many people have had the conception that cystic acne and nodular acne are one and the same thing; they are definitely similar, and they both fall under the acne vulgaris category, but there are slight differences between the two, which I will discuss here. Cystic acne is as the name sounds; it is acne characterized by cysts that develop on the skin, and most of the time the cysts are filled with pus. There is a common standard of measurement as far as cystic acne goes, where it is considered a bona fide cyst if it measures at least 5mm across. The last thing you would want to do with cystic acne is to go on a “squeezing spree” and try to bust some of the cysts (sorry for the graphic words there), as you could cause further inflammation and infection, and do way more harm than good in the long run. In fact, people who have failed to resist the “urge to squeeze” have many times left their skin permanently damaged with scarring and “pock marks”, as they’re called.

Nodular Acne Treatment

Photo Courtesy of Google Image
Photo Courtesy of Google Image

Nodular Acne Treatment

 But there are subtle differences between cystic acne and nodular acne. Nodular acne, again, does fall under the broad category of acne vulgaris, but it is characterized by being simply large, hard bumps that take up more real estate on your face. For a while, I dealt with these, and had no idea what they were or what I could call them. I ended up calling them a “zit area”, because the bump never officially formed into a head; it just became a large, round, red area with a huge bump in the middle. And when I say “huge”, I’m not necessarily talking about how high above the face it would rise; I’m talking more about the diameter of the darn thing. I would mainly get them right under my temple, or on the upper part of my cheeks (closer in towards the nose), and they would sometimes literally look like someone had punched me in the face. I actually had one person ask me before (when I had a large nodular bump on my cheek) if I had gotten hit by someone or something. I remember that a lot of times they would come after I had eaten really heavy buttery foods or foods heavy in oils; almost like clockwork, the big “zit areas” would show up. They were not as easy to remedy with a topical cream or toothpaste (as I explained in my hub about teenage acne remedies), because they really didn’t have a centralized “head”, so to speak. They were just big, round, and somewhat flat, but painful as crap if you applied any pressure to them. So as far as looking for a treatment for these things, I would advise for you to be careful, because any squeezing or other “zit-busting” methods will prove futile, and actually carry the possibility of really messing your skin up, and I mean permanently so. You could literally “traumatize” your skin if you try to squeeze a nodular acne bump, so DON’T DO IT!!! So what do you do, then for a potential treatment? Some people have recommended a professionally administered cortisone shot, which is basically a steroid that will reduce the inflammation. For people like me who want nothing to do with needles, what other options are there? Others have recommended Accutane (isotretinoin) as an alternative, but the list of potential side effects is somewhat daunting, including “suicidal ideation”—hey, if it’s going to be like that, I’ll just keep the zit! Many dermatologists have recommended a 2.5% benzoyl peroxide treatment, or a topical acne medication that contains benzoyl peroxide of some kind, due to the fact that the benzoyl peroxide is well-known for addressing the inflammation issues that aggravate acne. Ultimately, a trip to the dermatologist is a well-recommended way to go to find the appropriate nodular acne treatment, so that would be a good place to begin your journey towards getting rid of this worrisome condition.


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