Nodular acne can be one of the most painful types of acne, there is. Unlike other types of acne which disappear over time, nodular acne remains active long after it has cleared up. In some cases, nodular acne can actually spread to other parts of the body. Also, unlike other forms of acne, which go away on their own, nodular acne can be chronic and stubborn. Fortunately, there are many nodular acne treatment methods out there for you to choose from.
Nodular acne starts with the blockage of pores. Acne bacteria, propionibacteria, and other microorganisms that normally live in the sebaceous glands, follicles, septum, and the skin’s pores cause nodular acne when they overproduce. They then clog the pores in the skin and cause inflammation. As a result, it grows over an extended period and may remain active for years.
For severe nodular acne, it is recommended that a doctor perform a biopsy. If the pore wall is filled with a fluid-filled sac, this is a good sign. If the fluid-filled sac is filled with a blackish material, it is considered a more serious problem. If these nodules turn into cysts, there is only one way to remove them: either with prescription-strength benzoyl peroxide or with oral or topical antibiotics.
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In some cases, nodular acne will clear up on its own within a few months; in others, it may take several years. Most treatment plans involve using prescription-strength benzoyl peroxide, topical antibiotics, and at least one oral retinoid. Oral retinoids include tretinoin, adapalene, retinaldehyde, or isotretinoin. These medications work by unblocking pores and allowing skin cells to shed their dead layers of skin.
The most commonly used treatment options are topical antibiotics, such as benzoyl peroxide or azelaic acid, and oral retinoids, such as tretinoin, adapalene, or isotretinoin. While several months may be needed for these treatments to be effective, they are usually administered over several months in order to give your skin time to adjust to the new treatment regimen. The first treatment options will often take several months, while others will not take several months at all. Some people respond faster to topical antibiotics and topical retinoids than to any other treatment option.
A common reason for persistent this type of acne is a decrease in hormones. If you are experiencing an outbreak, talk to your dermatologist about hormonal treatment options. Hormone treatment is most often considered in cases of severe inflammation or acne that have not cleared up on their own. Your dermatologist will need to perform tests to determine if hormone treatment is appropriate for your case, as each case will require a different method of treatment.