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Severe Acne Extractions: Professional Treatment for Cystic & Nodular Breakouts

Posted on May 19, 2025

Severe acne can be both emotionally and physically painful. It often leads to scarring, infection, and long-term skin issues if not treated professionally. The image above is a powerful visual of just how serious cystic and nodular acne can get—especially around the nose and chin area, which are dense with oil glands.

In this blog, we explore the root causes, medical-grade extraction processes, and professional insights into handling such intense acne outbreaks. With the help of real-life videos, you’ll see how dermatologists manage and treat these conditions.


🔬 What You’re Seeing: A Closer Look

The case shown in the image reveals:

  • Multiple inflamed pustules and nodules across the chin and lower cheeks
  • A large cyst or abscess on the nose, partially draining
  • Open lesions with bleeding, a sign of active or recent extractions

This level of acne is usually categorized as:

  • Cystic Acne: Deep, painful, pus-filled cysts
  • Nodular Acne: Hard lumps under the skin without pus but inflamed
  • Inflamed Papules and Pustules: Smaller but widespread acne bumps with visible infection

🎥 Watch Video 1: Full Skin Evaluation and Acne Classification

In this video, the dermatologist examines the patient’s acne pattern, classifies the types, and discusses potential internal or external causes. You’ll also hear about diagnostic tools used in dermatology clinics.


⚠️ Why Self-Treatment Makes Things Worse

Severe acne is not something to tackle alone. Picking or squeezing can lead to:

  • Scarring
  • Hyperpigmentation
  • Worsened infection
  • Spread of acne bacteria

In sensitive areas like the nose, there’s also a risk of spreading infection to deeper facial veins, which can become a serious medical emergency.


🎥 Watch Video 2: Pus and Cyst Extraction on Nose Lesion

This up-close video shows the extraction of the large nasal cyst seen in the image. The slow, clean, and methodical release of pressure and drainage illustrates how professionals handle even the most stubborn lesions.


💼 Treatment Procedure: Step-by-Step

Here’s what a professional acne extraction session may include:

  1. Cleansing and Disinfection: Medical-grade antiseptics are used.
  2. Steam or Warm Compress: To soften the skin and open pores.
  3. Sterile Extraction Tools: Like lancets and comedone extractors.
  4. Manual Expression: For pus and sebum removal.
  5. Post-procedure Antibiotic Creams: To prevent secondary infection.
  6. LED Light Therapy or Laser (optional): For faster healing and inflammation control.

🎥 Watch Video 3: Full-Face Extraction Procedure

Watch a step-by-step guide of a full-face extraction session targeting multiple nodules and pustules. This includes commentary on what to avoid and post-procedure best practices.


🧬 Root Causes of Severe Acne

Several factors may contribute to such intense breakouts:

  • Hormonal imbalances (common in PCOS, puberty, etc.)
  • Bacterial overgrowth (Propionibacterium acnes)
  • Overproduction of sebum
  • Blocked pores from makeup or skin products
  • Stress, poor diet, and dehydration

🎥 Watch Video 4: Behind the Scenes — What Causes Cystic Acne?

This informative video dives into medical explanations of acne formation, including hormone responses and oil gland function.


🧴 Post-Treatment Skincare Plan

After a professional extraction, maintenance is key. Dermatologists recommend:

  • Non-comedogenic skincare
  • Salicylic acid or benzoyl peroxide cleansers
  • Niacinamide serums for inflammation
  • Sunscreen daily
  • Regular dermatologist visits

🎥 Watch Video 5: Aftercare Routine for Acne-Prone Skin

See what dermatologists suggest for day-to-day care after undergoing a deep acne extraction treatment. This includes moisturizing, barrier repair, and spot treatments.


🧑‍⚕️ Final Word from the Dermatologist

Acne is a treatable condition, no matter how severe it looks. With professional intervention, modern treatments, and a dedicated skincare plan, full recovery and clear skin are possible. Always seek help early and never underestimate the importance of a trained skin expert.

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