Cysts or Nodules
5. Cysts or Nodules

Cysts or Nodules are blockages of oil glands that have burst open and produced inflammation and pus in the surrounding tissue. These lesions have the potential to produce long-term scarring. Immediate treatment of these lesions can minimize or prevent subsequent side effects.
see pictures

Cysts or Nodules usually require:
  • ORAL medications such as:
    • Antibiotics such as Tetracycline, Minocycline, Doxycycline, or Erythromycin
    • Birth Control Pills (when indicated, in women)
    • Cortisone
  • Acne surgery by a dermatologist followed by a gentle flushing with a very dilute cortisone (usually, approximately 3 mg per cc of Triamcinolone Acetonide) through the drained cyst or nodule. These 2 procedures usually produce a resolution of the lesion is 2 to 3 days.
  • Topical warm (NOT HOT) water compresses
  • In situations where these treatments do not produce an improvement over the course of several weeks or months, oral Accutane can be discussed with the patient. Accutane is contraindicated in pregnant, possibly pregnant, or women contemplating pregnancy and should be used carefully or not at all in many other situations.
Each of these medications has advantages and side effects. It is very important that all relevant issues be fully discussed with each patient by the responsible dermatologist.


I hope that this site has been helpful.

For specific medical information or individual treatment recommendations you need to be seen by a dermatologist in person. If you would like to be seen as a patient by Dr. Jay, please phone 212-755-2237 for an appointment.

Please be advised that I cannot respond to medical questions via email. All medical questions require that you be seen in person by a board-certified dermatologist. Please phone 212-755-2237 to see Dr. Jay personally, or see your local dermatologist. Thank you.

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