Cystic Acne
Treat deep lumps and painful inflammation with an experienced dermatologist at Derma Medical Clinic in Zurich - Sihlcity
Cystic Acne
Have chronic abscesses and painful nodules clarified and treated by an experienced dermatologist at the Derma Medical Clinic in Zurich - Sihlcity
Nodular acne: Deep, painful lumps and cysts that can leave scars – in our acne consultation we thoroughly assess and treat this specific form of acne – supported by skin therapy measures
Examinations
Thorough skin analysis
If needed: hormone check or skin swab
Therapy
Medication-based treatment (e.g. vitamin A acid medicines, antibiotics, or hormone therapy if needed)
Supportive skin therapy measures
Duration
First consultation: approx. 20–30 minutes
Treatment: up to several months
What is cystic acne?
Cystic acne, also known as nodular acne or deep acne, is different from regular acne: Instead of surface-level pimples, it causes deep, inflamed lumps and cysts, which are often painful and can lead to scarring.
This form of acne cannot be controlled by creams or skincare products alone – it needs medical treatment.
This specific acne treatment is especially important if you …
- are affected by deep, painful lumps or cysts
- find that regular acne treatments (e.g. creams or cosmetic products) don’t work well enough
- are looking for a thorough medical approach tailored to the needs of severe acne, supported by additional skin therapy measures
What happens during diagnosis and treatment of cystic acne?
In our acne consultation, we begin with a detailed skin analysis to determine what type of acne you have.
Depending on the findings, we’ll decide whether further steps like a hormone check or a swab are useful to identify the cause.
What does treatment for cystic acne involve?
Treatment includes – depending on severity:
Medication-based therapy
such as antibiotics, hormone treatments, or special tablets (e.g. vitamin A acid medicines) that reduce oil production and inflammation
Skin therapies like gentle cleaning or calming care that support the skin during treatment and help improve skin texture
Scar prevention and treatment
for example with early medical intervention or, if needed, follow-up treatments such as laser or microneedling to smooth the skin
How does the assessment of deep acne work?
Personal consultation & skin analysis:
In the first appointment, we review your medical history, past treatments, and current symptoms. The dermatologist takes a careful look at your skin, identifies the acne type, and checks for possible triggers.
Treatment planning:
We create an individual plan for your therapy: most often a combination of tablets (e.g. antibiotics or vitamin A acid medicines) and supportive skincare.
Skin therapy (depending on progress):
Additional gentle skin treatments like extractions or soothing care help stabilize your skin and ease tightness or discomfort.
Follow-ups & adjustments:
Regular check-ups help keep the treatment on track. We adapt the plan as needed to achieve long-term skin stability.
In our acne consultation, you’re cared for by experienced dermatologists and our skin therapist (medical aesthetician). All three have many years of expertise in the diagnosis and treatment of acne and blemishes – from mild cases to more severe forms.
Dr. Benjamin Miller
Board-certified Specialist in Dermatology and Venereology FMH
Dr. med. Markus Dendorfer
Board-certified Specialist in Dermatology and Venereology FMH
What you can expect from us
Experience with stubborn acne
We don’t just treat mild blemishes. We also offer treatment options for deep lumps, acne that doesn’t respond to standard care, or acne scars – from medical treatment plans to follow-up care.
Treatment tailored to your skin
Depending on the type of scar, we use precise methods like fractional laser or microneedling, chosen to match your skin.
Medical & skin therapy in one place
Medical treatment and skin therapy work hand in hand at our clinic. This allows us to reduce inflammation and improve skin texture at the same time – without conflicting advice or unnecessary appointments.
More than just skin
Our goal isn’t just short-term relief: we treat not only the visible symptoms but also take into account hormonal influences, your lifestyle, and emotional stress – because acne is more than a skin issue.
Identify, understand & treat nodular acne.
Book an appointment now for diagnosis and possible treatment at Derma Medical Clinic in Zurich - Sihlcity.
FAQ – Common questions about cystic acne treatment
What is cystic acne?
Cystic acne is a severe form of acne that causes deep, painful lumps or cysts under the skin. Unlike regular acne, it affects deeper layers of the skin, heals more slowly, and often leaves visible scars.
How is cystic acne different from regular acne?
Regular acne usually causes blackheads and surface pimples. Cystic acne leads to deep, inflamed bumps that stay longer, hurt more, and often result in scarring.
What causes cystic acne?
Cystic acne develops when oil glands produce too much sebum and pores become deeply inflamed. It’s often triggered by hormonal changes, e.g. during puberty or in adulthood. Genetics and a weakened skin barrier can also play a role.
Is cystic acne dangerous?
Cystic acne isn’t life-threatening, but it can cause strong inflammation and a high risk of lasting scars. That’s why early and thorough treatment is important.
How is cystic acne treated?
Treatment usually includes medications such as antibiotics or vitamin A acid medicines that reduce inflammation and oil production. If caused by hormones, hormone therapy may also help. Home remedies or drugstore products are not enough for this type of acne.
What does a skin therapist do and how is that different from a beautician?
A skin therapist (medical aesthetician) specializes in professional care and supportive treatment of skin issues like acne, rosacea, or pigmentation problems. Unlike a traditional beautician, they work closely with dermatologists and use modern methods and medically approved products. At Derma Medical Clinic, every treatment is performed by a licensed skin therapist – tailored to your skin type and condition.
How long does it take to treat deep acne?
First improvements usually appear after a few weeks. Depending on severity, full treatment can take several months to a year to achieve lasting results.
What helps relieve the pain of cystic acne?
Cooling compresses and anti-inflammatory medications can help relieve symptoms. But the most important step is a medical treatment plan that fights the inflammation effectively.
Can cystic acne cause scarring?
Yes, cystic acne often leads to scarring. Early, consistent treatment can reduce the risk. Existing scars can later be treated with laser therapy or microneedling.
What skincare supports the treatment?
Use gentle, non-irritating skincare products. Important: avoid scrubs or harsh cleansers, as they can make inflammation worse.
